The Modified National Institutes of Health Stroke Scale (mNIHSS) scoring sheet

Item number	Item name	Scoring guide	Patient score
1b	LOC questions	0 = Answers both correctly	_____
		1 = Answers one correctly
		2 = Answers neither correctly
1c	LOC commands	0 = Performs both tasks correctly	_____
		1 = Performs one task correctly
		2 = Performs neither task
2	Gaze	0 = Normal	_____
		1 = Partial gaze palsy
		2 = Total gaze palsy
3	Visual fields	0 = No visual loss	_____
		1 = Partial hemianopsia
		2 = Complete hemianopsia
		3 = Bilateral hemianopsia
5a	Left arm motor	0 = No drift	_____
		1 = Drift before 10 seconds
		2 = Falls before 10 seconds
		3 = No effort against gravity
		4 = No movement
5b	Right arm motor	0 = No drift	_____
		1 = Drift before 10 seconds
		2 = Falls before 10 seconds
		3 = No effort against gravity
		4 = No movement
6a	Left leg motor	0 = No drift	_____
		1 = Drift before 5 seconds
		2 = Falls before 5 seconds
		3 = No effort against gravity
		4 = No movement
6b	Right leg motor	0 = No drift	_____
		1 = Drift before 5 seconds
		2 = Falls before 5 seconds
		3 = No effort against gravity
		4 = No movement
8	Sensory	0 = Normal	_____
		1 = Abnormal
9	Language	0 = Normal	_____
		1 = Mild aphasia
		2 = Severe aphasia
		3 = Mute or global aphasia
11	Neglect	0 = Normal	_____
		1 = Mild
		2 = Severe
Score (out of 31):			_____

The item numbers correspond to the NIHSS scale. The scale is shorter, having only 11 total items (versus 15 items on the NIHSS).

LOC: level of consciousness.

From: 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; 33:1261. DOI: 10.1161/01.str.0000015625.87603.a7. Copyright © 2002 American Heart Association. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.

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The Modified National Institutes of Health Stroke Scale (mNIHSS) scoring sheet