NIHSS Answer Key
NIHSS Answer Key
NIHSS Answer Key
5b- 0
I. Patient 1
6a- 2
1a- 0 6b- 2
1b- 0 7- 0
1c- 0 8- 1
2- 0 9- 0
3- 0 10- 1
4- 1 11- 0
5a- 3
IV. Patient 4
5b- 0
6a- 1 1a- 0
6b- 0 1b- 0
7- 1 1c- 0
8- 2 2- 0
9- 0 3- 0
10- 0 4- 1
11- 1 5a- 0
5b- 0
II. Patient 2
6a- 0
1a- 0 6b- 0
1b- 2 7- 0
1c- 0 8- 1
2- 0 9- 0
3- 0 10- 0
4- 1 11- 0
5a- 0
V. Patient 5
5b- 0
6a- 0 1a- 0
6b- 0 1b- 1
7- 0 1c- 0
8- 1 2- 0
9- 2 3- 2
10- 1 4- 2
11- 0 5a- 4
5b- 0
III. Patient 3
6a- 1
1a- 0 6b- 0
1b- 0 7- 1
1c- 0 8- 1
2- 0 9- 1
3- 0 10- 0
4- 1 11- 1
VI. Patient 6 3- 0
4- 1
1a- 0
5a- 0
1b- 0
5b- 0
1c- 0
6a- 0
2- 0
6b- 2
3- 0
7- 0
4- 0
8- 1
5a- 0
9- 0
5b- 0
10- 1
6a- 0
11- 0
6b- 1
7- 0 III. Patient 3
8- 1
1a- 0
9- 0
1b- 1
10- 0
1c- 0
11- 0
2- 0
3- 0
4- 3
GROUP B
5a- 0
I. Patient 1 5b- 0
6a- 0
1a- 0 6b- 0
1b- 1 7- 0
1c- 0 8- 0
2- 0 9- 0
3- 0 10- 1
4- 1 11- 0
5a- 0
5b- 4 IV. Patient 4
6a- 0
1a- 3
6b- 3
1b- 2
7- 0
1c- 2
8- 1
2- 2
9- 1
3- 2
10- 0
4- 2
11- 1
5a- 0
II. Patient 2 5b- 4
6a- 2
1a- 0 6b- 4
1b- 1 7- 0
1c- 0 8- 1
2- 0 9- 3
10- 2 correctly.
11- 2 2. 0 - normal.
3. 2 - severe.
V. Patient 5
4. 1- minor paralysis.
1a- 0 5a. 0 - no drift.
1b- 0 5b. 4 - no movement.
1c- 0 6a. 0 - no drift.
2- 0 6b. 4 - no movement.
3- 0 7. 1 - present in one limb.
4- 0 8. 2 - severe or total sensory loss.
5a- 0 9. 2 - severe aphasia.
5b- 0 10. 1 - mild to moderate
6a- 1 dysarthria.
6b- 0 11. 1 - complete neglect.
7- 1
II. Patient 2
8- 1
9- 0 1a. 0 - alert.
10- 0 1b. 0 - answers both correctly.
11- 1 1c. 0 - preforms both tasks
correctly.
VI. Patient 6
2. 0 - normal.
1a- 0 3. 0 - no visual loss.
1b- 0 4. 0 - normal symmetrical
1c- 0 movement.
2- 0 5a. 0 - no drift.
3- 0 5b. 0 - no drift.
4- 0 6a. 1- mild drift.
5a- 0 6b. 2 - some efforts against
5b- 0 gravity.
6a- 0 7. 0 - absent.
6b- 1 8. 1 - mild to moderate sensory
7- 0 loss.
8- 1 9. 0 - normal, no aphasia.
9- 0 10. 0 - normal.
10- 0 11. 0 - no abnormality
11- 0
III. Patient 3
GROUP C
1a. 0 - alert.
I. Patient 1 1b. 0 - answers both correctly.
1c. 0 - performs both tasks
1a. 0 - alert. correctly.
1b. 2 - neither correct. 2. 0 - normal.
1c. 1 - preforms one task 3. 0 - no visual loss.
4. 1 - minor paralysis. 7. 2 - present in two limbs.
5a. 0 - no drift. 8. 1 - mild to moderate sensory
5b. 0 - no drift. loss.
6a. 1 - drifts, does not hit bed. 9. 1 - mild to moderate aphasia.
6b. 0 - no drift. 10. 1 - mild to moderate
7. 1 - present in one limb. dysarthria.
8. 1 - mild to moderate sensory 11. 0 - no abnormality
loss.
VI. Patient 6
9. 0 - normal, no aphasia.
10. 0 - normal 1a. 0 - alert.
11. 0 - no abnormality 1b. 1 - answers one correctly.
1c. 0 - performs both tasks
IV. Patient 4
correctly.
1a. 0 - alert. 2. 0 - normal.
1b. 0 - answers both correctly. 3. 0 - no visual loss.
1c. 0 - performs both tasks 4. 0 - normal.
correctly. 5a. 0 - no drift.
2. 0 - normal. 5b. 1 - drifts, does not hit bed.
3. 0 - no visual loss. 6a. 0 - no drift.
4. 1 - minor paralysis. 6b. 1 - drifts, does not hit bed.
5a. 1 - drift, does not hit bed. 7. 0 - absent.
5b. 0 - no drift. 8. 0 - normal/.
6a. 1 - drifts, does not hit bed. 9. 0 - normal, no aphasia.
6b. 0 - no drift. 10. 1 - mild to moderate
7. 2 - present in two limbs. dysarthria.
8. 1 - mild to moderate sensory 11. 0 - no abnormality.
loss.
9. 0 - normal, no aphasia.
10. 0 - normal
11. 0 - no abnormality
V. Patient 5
1a. 1 - not alert, but arousable.
1b. 0 - answers both correctly.
1c. 0 - performs both tasks
correctly.
2. 1 - partial gaze palsy.
3. 1 - parietal.
4. 0 - normal.
5a. 2 - drifts to hit bed.
5b. 0 - no drift.
6a. 2 - drifts to hit bed.
6b. 1 - drifts, does not hit bed.