Does the National Institutes of Health Stroke Scale Favor Left Hemisphere Strokes?

National Institutes of Health Stroke Scale (NIHSS).

Factor analysis of the National Institutes of Health Stroke Scale in patients with large strokes.

BACKGROUND The National Institutes of Health Stroke Scale (NIHSS) was created to detect treatment-related differences in clinical trials and was designed to measure right- and left-sided cerebral hemispheric function. OBJECTIVE To validate the original design in patients with very large strokes. DESIGN A previously published factor structure was fit to the data. Then, a new analysis was con...

Is the association of National Institutes of Health Stroke Scale scores and acute magnetic resonance imaging stroke volume equal for patients with right- and left-hemisphere ischemic stroke?

BACKGROUND AND PURPOSE The National Institutes of Health Stroke Scale (NIHSS) is an established measure of neurological impairment; however, it can award more points for tests of presumed left-hemisphere function, such as language, than for tests of right-hemisphere function, such as neglect. This difference may be important if a low NIHSS score is used to exclude patients with right-hemisphere...

Picturing the Size and Site of Stroke With an Expanded National Institutes of Health Stroke Scale

BACKGROUND AND PURPOSE The National Institutes of Health Stroke Scale (NIHSS) includes minimal assessment of cognitive function, particularly in right hemisphere (RH) stroke. Descriptions of the Cookie Theft picture from the NIHSS allow analyses that (1) correlate with aphasia severity and (2) identify communication deficits in RH stroke. We hypothesized that analysis of the picture description...

Distribution of National Institutes of Health stroke scale in the Cincinnati/Northern Kentucky Stroke Study.

BACKGROUND AND PURPOSE Little is known about the distribution of National Institutes of Health Stroke Scale (NIHSS) scores from patients with ischemic stroke sampled from population-based studies. We describe the distribution of NIHSS in ischemic stroke cases from the Cincinnati/Northern Kentucky Stroke Study. METHODS Within a biracial population of 1.3 million, all strokes among area residen...