Sadar[0] Mengantuk[1] Stupor[2] Koma [3] Menjwb. 2 pertanyaan tepat [0] Menjwb. 1 pertanyaan tepat [1] Salah [2] Mengikuti 2 perintah tepat [0] Mengikuti 1 perintah tepat[1] Salah [2] Normal [0] Abnormal pd satu mata [1] Abnormal pd kedua mata [2] Tak ada gangguan visual [0] Hemianopia parsial [1] Hemianopia komplit [2] Hemianopia bilateral [3] Normal [0] Minor [1] Parsial [2] Komplit [3] Tak ada kelumpuhan [0] Jatuh sebelum 10 detik [1] Tdk dpt diluruskan scr penuh [2] Tdk dpt menahan gravitasi [3] Tdk ada gerakan [4] Tak ada kelumpuhan [0] Jatuh sebelum 10 detik [1] Tdk dpt diluruskan scr penuh [2] Tdk dpt menahan gravitasi [3] Tdk ada gerakan [4] Tak ada kelumpuhan [0] Jatuh sebelum 10 detik [1] Tdk dpt diluruskan scr penuh [2] Tdk dpt menahan gravitasi [3] Tdk ada gerakan [4] Tak ada kelumpuhan [0] Jatuh sebelum 10 detik [1] Tdk dpt diluruskan scr penuh [2] Tdk dpt menahan gravitasi [3] Tdk ada gerakan [4] Tak ada [0] Pd ekstremitas atas atau bawah [1] Pada keduanya [2] Normal [0] Parsial [1] Terganggu berat [2] Tak ada afasia [0] Afasia ringan –sedang [1] Afasia berat [2] Bisu [3] Normal [0] Disatria ringan –sedang [1] Distartria berat [2] Normal[0] Ringan [1] Hebat [2]
TOTAL SKOR NIHSS
MODIFIED RANKIN SCALE (MRS) TOTAL (0–6) : …...................................................................(0)No symptoms at all (1) No significant disability despite symptoms; able to carry out all usual duties and activities (2)Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance (3)Moderate disability; requiring some help, but able to walk without assistance (4)Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance(5)Severe disability; bedridden, incontinent and requiring constant nursing care and attention(6)Dead
