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Frequently Asked Questions

What is the NIHSS and how is it used?

The NIHSS is not the only tool used to evaluate and record your condition if you have had a stroke, but you can follow the numbers that your healthcare providers use when they record your NIHSS severity so that you can get a general idea about your overall progress over time.

What does a NIHSS score of 42 mean?

A maximum score of 42 represents the most severe and devastating stroke. 3. The levels of stroke severity as measured by the NIHSS scoring system are: 0 = no stroke. 1–4 = minor stroke. 5–15 = moderate stroke. 15–20 = moderate/severe stroke. 21–42 = severe stroke.

How accurate is the NIHSS?

On the other hand, bedside users could acquire sufficient proficiency using the NIHSS to communicate with each other. A patient’s total NIHSS score portrays a vaguely accurate description of the patient equivalent to the descriptors mild, moderate, or severe stroke.

Is the NIHSS valid against infarct volumes?

The final (r-tPA) version of the NIHSS was validated against infarct volumes. 17 Several scale items require intact language function, so the NIHSS overweights deficits in patients with left versus right brain strokes. 17, 18 Thus, left hemisphere strokes score 4 more points than right hemisphere strokes of similar size.


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