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NATIONAL INSTITUTES OF HEALTH STROKE SCALE (NIHSS)

Manual of Operations and Procedures Version 05/09/2016 Appendix I: STROKE Scales-NIHSS, Version Date 05/09/16 Rev 10/1/2003 Subject ID ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Subject Date of Birth ___ ___/___ ___/___ ___ Hospital ID _____ Date of Examination ___ ___/___ ___/___ ___ NATIONAL INSTITUTES OF HEALTH STROKE SCALE (NIHSS)1 Interval: [ ] Baseline [ ] 7-10 days [ ] 1 month [ ] 3 months [ ] 6 months [ ] Other _____ Time: ___ ___:___ ___ [ ]am [ ]pm Person Administering SCALE _____ Purpose: The NIH STROKE SCALE (NIHSS) is a standardized neurological examination intended to describe the neurological deficits found in large groups of STROKE patients participating in treatment trials. Administer STROKE SCALE items in the order listed.

NATIONAL INSTITUTES OF HEALTH STROKE SCALE (NIHSS) 1. Interval: [ ] Baseline [ ] 7-10 days [ ] 1 month [ ] 3 months [ ] 6 months ... 1 The National Institute of Neurological Diseases and Stroke (NINDS), National Institutes of Health (NIH), Last Revised 01 October 2003

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