ToolsCalculators
Modified NIH Stroke Scale (mNIHSS)
Modified NIH Stroke Scale (mNIHSS)
LOC questions (month, age)
LOC commands (open/close eyes, grip/release)
Best gaze
Visual fields
Motor - left arm
Motor - right arm
Motor - left leg
Motor - right leg
Sensory
Best language
Extinction/inattention (neglect)
Result0 points
Consistent with no measurable deficit.
When to use
- Serial bedside quantification of stroke severity; a reliability-improved alternative to the full NIHSS.
Formula
Removes LOC-alertness, facial palsy, ataxia and dysarthria items and collapses sensory to 0-1; sums the remaining 11 items. Range 0-31.
Pearls and pitfalls
- Redundant/low-reliability NIHSS items were dropped, improving inter-rater agreement while preserving prognostic value.