Comprehensive Stroke Center

UR Medicine

ABCD2 Score for TIA

Age ≥ 60
BP ≥ 140/90mmHg
Initial blood pressure reading.
Either SBP > 140 or DBP > 90
Clinical features of the TIA
Duration of Symptoms
History of Diabetes

Glasgow Coma Scale/Score (GCS)

Best Eye Response
Best Verbal Response
Best Motor Response

Intracerebral Hemorrage (ICH) Score

Glasgow Coma Score
Age ≥ 80
ICH Volume ≥ 30ml
Intraventricular Hemorrage
Infratentorial Origin of Hemorrage

Modified Rankin Scale (MRS)

Description Score
No symptoms at all 0
No significant disability despite symptoms; able to carry out all usual duties and activites 1
Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance 2
Moderate disability; requiring some help, but able to walk without assistance 3
Moderately severe disability, unable to walk w/o assistance & unable to attend to own bodily needs without assistance 4
Severe disability; bedridden, incontinent and requiring constant nursing care and attention. 5
Dead 6

Hunt and Hess Scale

For non-traumatic sub-arachnoid hemorrage patients.
(Choose single most appropriate grade.)

Description Grade
Asymptomatic, mild headache, slight nuchal rigidity 1
Moderate to severe headache, nuchal rigidity, no neurologic deficit other than cranial nerve palsy 2
Drowsiness/confusion, mild focal neurologic deficit 3
Stupor, moderate-severe hemiparesis 4
Coma, decerebrate posturing 5

WFNS Scale


Glasgow Coma Score Motor Deficit Grade
15 Absent 1
13 - 14 Absent 2
13 - 14 Present 3
7 - 12 Present or Absent 4
3 - 6 Present or Absent 5

  • Maximum score of 15 has the best prognosis
  • Minimum score of 3 has the worst prognosis
  • Scores of 8 or above have a good chance for recovery
  • Scores of 3-5 are potentially fatal, especially if accompanied by fixed pupils or absent oculovestibular responses
  • Young children may be nonverbal, requiring a modification of the coma scale for the evaluation

Scales / Scores

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