Behavioural Neurology (Jan 2010)

The NIHSS-Plus: Improving Cognitive Assessment with the NIHSS

  • Rebecca F. Gottesman,
  • Jonathan T. Kleinman,
  • Cameron Davis,
  • Jennifer Heidler-Gary,
  • Melissa Newhart,
  • Argye E. Hillis

DOI
https://doi.org/10.3233/BEN-2009-0259
Journal volume & issue
Vol. 22, no. 1-2
pp. 11 – 15

Abstract

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Background: The National Institutes of Health Stroke Scale (NIHSS) has been criticized for limited representation of cognitive dysfunction and bias towards dominant hemisphere functions. Patients may therefore receive a low NIHSS score despite a fairly large stroke. A broader scale including simple cognitive tests would improve the clinical and research utility of the NIHSS.