modified NIHSS (mNIHSS, 11-item)

Modified NIH Stroke Scale (Meyer 2002): the eleven retained items (LOC questions/commands, gaze, visual fields, motor arm L/R, motor leg L/R, sensory as 0/1, language, extinction) each 0 to its item max.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

LOC questions
1
LOC commands
0
Best gaze
1
Visual fields
2
Motor arm left
0
Motor arm right
3
Motor leg left
0
Motor leg right
2
Sensory
1
Best language
1
Extinction / neglect
1

Result: mNIHSS 12 of 31: moderate stroke per Meyer 2002.

The tool opens with these values already filled in. Replace them with your own.

What the result means

0
No stroke symptoms.
1-4
Minor stroke.
5-15
Moderate stroke.
16-20
Moderate-severe stroke.
>=21
Severe stroke.

What you enter

  • LOC questions (0-2)
  • LOC commands (0-2)
  • Best gaze (0-2)
  • Visual fields (0-3)
  • Motor arm left (0-4)
  • Motor arm right (0-4)
  • Motor leg left (0-4)
  • Motor leg right (0-4)
  • Sensory (0 normal / 1 abnormal)
  • Best language (0-3)
  • Extinction / neglect (0-2)
How this is calculated

Meyer BC, Hemmen TM, Jackson CM, Lyden PD. Modified National Institutes of Health Stroke Scale for use in stroke clinical trials: prospective reliability and validity. Stroke. 2002;33(5):1261-1266. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.