NIH Stroke Scale (NIHSS) Calculator

The NIH Stroke Scale (NIHSS) is a standardized tool to quantify stroke severity (total score 0-42). Use this form to quickly compute a NIHSS total score.

Score 0-3.
Ask two orientation questions (e.g., month, age).
e.g., “open/close eyes”, “grip/release hands”.
Assess horizontal eye movements.
Confrontation testing for hemianopia/quadrantanopia.
Have the patient describe a scene; name the items; read the sentences
Have the patient read the words