Ischaemic stroke: assessment scales

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Ischaemic stroke: assessment scales. Level of consciousness (LOC): 0-3, LOC questions: 0-2, LOC commands: 0-2. Fully referenced neurology checklist.

National Institutes Stroke Scale (NIHSS)

  • Level of consciousness (LOC): 0-3 
  • LOC questions: 0-2
  • LOC commands: 0-2
  • Best gaze: 0-2
  • Visual: 0-3
  • Facial palsy: 0-3
  • Motor arm: 0-4
  • Motor leg: 0-4
  • Limb ataxia: 0-2
  • Sensory: 0-2
  • Best language: 0-3
  • Dysarthria: 0-2
  • Extinction and inattention: 0-2

Cincinnati Pre-hospital Stroke Scale (CPSS)

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Recognition Of Stroke In the Emergency Room (ROSIER)

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Rapid Arterial oCclusion Evaluation (RACE) scale

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Other stroke assessment scales

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References

  1. Brott T, Adams Jr HP, Olinger CP, et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke 1989; 20:864-870.
  2. Kothari RU, Pancioli A, Liu T, Brott T, Broderick J. “Cincinnati Prehospital Stroke Scale: reproducibility and validity.” Ann Emerg Med 1999; 33:373-378.
  3. Nor AM, Davis J, Sen B, et al. The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument. Lancet Neurol 2005; 4:727-734.
  4. Pérez de la Ossa N, Carrera D, Gorchs M, et al. Design and validation of a prehospital stroke scale to predict large arterial occlusion: the rapid arterial occlusion evaluation scale. Stroke 2014; 45:87-91. 
  5. Harbison J, Hossain O, Jenkinson D, Davis J, Louw SJ, Ford GA. Diagnostic accuracy of stroke referrals from primary care, emergency room physicians, and ambulance staff using the face arm speech test. Stroke 2003; 34:71-76.
  6. And 2 more. Subscribe to see the full list

Related checklists

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