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NIH Stroke Scale (NIHSS)

Standardized 15-item assessment of ischemic stroke severity. Total range 0–42.

About this calculator

NIHSS is the international standard for stroke severity assessment in the first hours and days. AHA/ASA Guidelines 2019 recommend NIHSS as a key tool for thrombolysis and thrombectomy decisions. Score ≥ 6 with confirmed large vessel occlusion suggests considering endovascular treatment.

Source

Brott T, Adams HP Jr, Olinger CP, et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke. 1989;20(7):864-870.

Formula version: brott-1989-aha-2019-v1

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