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NIHSS评分要点 杜万良 北京天坛医院神经内科 2018.6.11 原始版 Stroke 1989;20:864-870 l.a. Level of Consciousness Alert Drowsy Stuporous Coma 0 1 2 3 l.b. LOC Questions Answers both correctly Answers one correctly Incorrect 0 1 2 1.c. LOC Commands Obeys both correctly Obeys one correctly Incorrect 0 1 2 2. Pupillary Response Both reactive One reactive Neither reactive 0 1 2 3. Best Gaze Normal Partial gaze palsy Forced deviation 0 1 2 4. Best Visual No visual loss Partial hemianopia Complete hemianopia 0 1 2 5. Facial Palsy Normal Minor Partial Complete 0 1 2 3 6. Best Motor Arm NO drift Drift Cant resist gravity No effort against gravity 0 1 2 3 7. Best Motor Leg NO drift Drift Cant resist gravity No effort against gravity 0 1 2 3 8. Plantar Reflex Normal Equivocal Extensor Bilateral extensor 0 1 2 3 9. Limb Ataxia Absent Present in upper or lower Present in both 0 1 2 10. Sensory Normal Partial loss Dense loss 0 1 2 11. Neglect No neglect Partial neglect Complete neglect 0 1 2 12. Dysarthria Normal articulation Mild to moderate dysarthria Near unintelligible or worse 0 1 2 13. Best Language No aphasia Mild to moderate aphasia Severe aphasia Mute 0 1 2 3 14. Change from Previous Exam Same Better Worse S B W 15. Change from Baseline Same Better Worse S B W 现行版 1a Level of consciousness 0=Alert 1=Not alert, arousable 2=Not alert, obtunded 3=Unresponsive 3 Visual ?elds 0=No visual loss 1=Partial hemianopsia 2=Complete hemianopsia 3=Bilateral hemianopsia 6a Left motor leg 0=No drift 1=Drift before 5 s 2=Falls before 5 s 3=No e?ort against gravity 4=No movement 9 Language 0=Normal 1=Mild aphasia 2=Severe aphasia 3=Mute or global aphasia 1b Questions 0=Answers both correctly 1=Answers one correctly 2=Answers neither correctly 4 Facial palsy 0=Normal 1=Minor paralysis 2=Partial paralysis 3=Complete paralysis 6b Right motor leg 0=No drift 1=Drift before 5 s 2=Falls before 5 s 3=No e?ort against gravity 4=No movement 10 Dysarthria 0=Norm
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