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Assessments 1-6 of NIHSS




(10/15 parts of NIHSS)

1a : LOC - alert, drowsy etc


1b : LOC - month and age


1c : LOC - commands open/close eyes, make a fist


2 : Best Gaze - horizontal movement only


3 : Visual - Cover 1 eye. Hold fingers at each visual field


4 : Facial Palsy - "show me your teeth". "raise your eyebrows". "squeeze your eyes shut"


5a : Motor Arm L - Extend arm(90degrees sitting, 45degrees supine) palm down, 10seconds


5b : Motor Arm R - "................................"


6a : Motor Leg L - Extend leg (45degrees, supine), 5seconds.


6b : Motor Leg R - "..............................."

Assessments 7-11 of NIHSS




(5/15 parts of NIHSS)

7 : Limb Ataxia - Finger to nose. Heel to knee and down shin.


8 : Sensory - pinprick to face, arm, trunk, and leg. Compare side to side.


9 : Best Language - name items, describe picture, read a sentence (Intubated pt write response)


10 : Dysarthria - Evaluate speech clarity by asking pt to repeat listed words


11 : Extinction and Inattention - Simultaneous stimuli (eyes closed, "tell me the side im touching" "Tell me the finger that wiggles"

Hemianopia

is a decreased vision or blindness (anopsia) in half the visual field, usually on one side of the vertical midline.








(Wikipedia)

homonymous hemianopsia

A homonymous hemianopsia is the loss of half of the visual field on the same side in both eyes.






(Wikipedia)

Heteronymous hemianopsia

A Heteronymous hemianopsia is the loss of half of the visual field on different sides in both eyes. It is separated into two categories:






(Wikipedia)

Ataxia

Ataxia is a neurological sign consisting of lack of voluntary coordination of muscle movements that includes gait abnormality.






(Wikipedia)

Dysarthria

Dysarthria is a condition in which the muscles you use for speech are weak or you have difficulty controlling them. Dysarthria often is characterized by slurred or slow speech that can be difficult to understand.






(mayo clinic)

Aphasia
aphasia is a disorder that results from damage to language centers of the brainis; the inability to produce and/or comprehend language, due to brain damage
Inattention

AKA Hemispatial Neglect






a deficit in attention to and awareness of one side of space is observed. It is defined by the inability of a person to process and perceive stimuli on one side of the body or environment, where that inability is not due to a lack of sensation.[1] Hemispatial neglect is very commonly contralateral to the damaged hemisphere, but instances of ipsilesional neglect (on the same side as the lesion) have been reported.[2]




(Wikipedia)

Extinction

Extinction is a neurological disorder that impairs the ability to perceive multiple stimuli of the same type simultaneously. Extinction is usually caused by damage resulting in lesions on one side of the brain. Those who are affected by extinction have a lack of awareness in the contralesional side of space (towards the left side space following a right lesion) and a loss of exploratory search and other actions normally directed toward that side.






(Wikipedia)

Stuporous

"be stunned or amazed") is the lack of critical mental function and a level of consciousness wherein a sufferer is almost entirely unresponsive and only responds to base stimuli such as pain. Those in a stuporous state are rigid, mute and only appear to be conscious, as the eyes are open and follow surrounding objects



(Wikipedia)

Obtunded

The National Institute of Health classifies obtundation as similar to lethargy and describes an obtunded patient as having lessened interest in the environment and slower responses to stimulations.



(NIH)