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The NIHSS score is defined as the sum of 15 individually evaluated elements, and ranges from 0 to 42. Stroke severity may be categorized as follows: no stroke symptoms, 0; minor stroke, 14; moderate stroke, 515; moderate to severe stroke, 1620; and severe stroke, 2142 [6, 7].
The NIH Stroke Scale (NIHSS) measures neurological function in patients with signs and symptoms of stroke.
14 = minor stroke. 515 = moderate stroke. 1520 = moderate/severe stroke. 2142 = severe stroke.
Conclusions: The NIHSS score strongly predicts the likelihood of a patients recovery after stroke. A score of or =16 forecasts a high probability of death or severe disability whereas a score of or =6 forecasts a good recovery.
Obtain full NIHSS scores a minimum of every 2 hours for the first 24 hours during reperfusion; after that obtain full NIHSS scores at least every 4 hours, increasing the time between assessments as dictated by changes in a patients status.
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Stroke severity may be stratified on the basis of NIHSS scores as follows: Very Severe: 25. Severe: 15 24. Mild to Moderately Severe: 5 14.
Stroke severity may be stratified on the basis of NIHSS scores as follows (Brott et al, 1989): Very Severe: 25. Severe: 15 24. Mild to Moderately Severe: 5 14.
Scale Definition 0 = Normal symmetrical movements. 1 = Minor paralysis (flattened nasolabial fold, asymmetry on smiling). 2 = Partial paralysis (total or near-total paralysis of lower face). 3 = Complete paralysis of one or both sides (absence of facial movement in the upper and lower face).

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