NIH Stroke Scale (NIHSS)

Current versionNeurology / trauma·15 inputs·2 references

Based on Brott T et al. (1989).

Pogosh offers this calculator when a case matches stroke, transient ischemic attack tia, lvo stroke, crao, cervical artery dissection, cerebral venous thrombosis. It runs only when you press Calculate.

Decision support for clinicians — review before acting.

1a. Level of consciousness

1b. LOC questions (month, age)

1c. LOC commands (open/close eyes, grip)

2. Best gaze

3. Visual fields

4. Facial palsy

5a. Motor — left arm

5b. Motor — right arm

6a. Motor — left leg

6b. Motor — right leg

7. Limb ataxia

8. Sensory

9. Best language

10. Dysarthria

11. Extinction and inattention

Runs only when you press Calculate. Values are not stored.

References

Brott T, Adams HP Jr, Olinger CP, et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke. 1989;20:864-870. Search PubMed
Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update. Stroke. 2019;50:e344-e418. Search PubMed

Related calculators

Glasgow Coma Scale ABCD² score (stroke risk after TIA)Canadian CT Head Rule (minor head injury, adults)

Pogosh CDS reads a clinical note and offers the calculators that fit the case. Try it on your own note, browse all calculators, or call them from your software through the API.