{"id":4421857,"date":"2024-12-27T10:37:51","date_gmt":"2024-12-27T16:37:51","guid":{"rendered":"https:\/\/myendoconsult.com\/learn\/?p=4421857"},"modified":"2024-12-25T10:45:34","modified_gmt":"2024-12-25T16:45:34","slug":"nih-stroke-scale","status":"publish","type":"post","link":"https:\/\/myendoconsult.com\/learn\/nih-stroke-scale\/","title":{"rendered":"NIH Stroke Scale"},"content":{"rendered":"\n<!-- START: NIH Stroke Scale Calculator (Rewritten) -->\n<style>\n\/* ---------------------------------------\n   REWRITTEN STYLES FOR NIHSS CALCULATOR\n   --------------------------------------- *\/\n.nihss-calculator-container {\n  max-width: 800px;\n  margin: 2rem auto;\n  padding: 1.5rem;\n  border: 2px solid #444;\n  border-radius: 0.5rem;\n  font-family: \"Helvetica Neue\", Arial, sans-serif;\n  background: #fdfdfd;\n}\n\n.nihss-calculator-container h2 {\n  text-align: center;\n  background: #333;\n  color: #fff;\n  padding: 1rem;\n  margin: -1.5rem -1.5rem 1.5rem -1.5rem;\n  border-top-left-radius: 0.5rem;\n  border-top-right-radius: 0.5rem;\n}\n\n.nihss-calculator-intro {\n  font-size: 0.95rem;\n  margin-bottom: 1rem;\n  line-height: 1.4;\n  color: #555;\n}\n\n.nihss-form-group {\n  margin-bottom: 1.2rem;\n}\n\n.nihss-form-group label {\n  display: block;\n  font-weight: 600;\n  margin-bottom: 0.3rem;\n}\n\n.nihss-form-group select {\n  width: 100%;\n  padding: 0.6rem;\n  border: 1px solid #ccc;\n  border-radius: 0.3rem;\n  box-sizing: border-box;\n  font-size: 0.95rem;\n  outline: none;\n  transition: border 0.2s;\n}\n\n.nihss-form-group select:focus {\n  border-color: #0073aa;\n}\n\n.nihss-button-row {\n  margin-top: 1.5rem;\n  display: flex;\n  gap: 1rem;\n}\n\n.nihss-button {\n  flex: 1 1 auto;\n  padding: 0.75rem;\n  font-size: 1rem;\n  font-weight: 600;\n  color: #fff;\n  border: none;\n  border-radius: 0.4rem;\n  cursor: pointer;\n  outline: none;\n  text-align: center;\n  transition: background 0.2s;\n}\n\n.nihss-button-calc {\n  background: #0073aa; \/* WordPress Blue *\/\n}\n\n.nihss-button-calc:hover {\n  background: #005b85;\n}\n\n.nihss-button-reset {\n  background: #999;\n}\n\n.nihss-button-reset:hover {\n  background: #777;\n}\n\n.nihss-result-container {\n  margin-top: 2rem;\n  padding: 1rem;\n  border: 1px solid #bbb;\n  border-radius: 0.4rem;\n  background: #fafafa;\n}\n\n.nihss-result-title {\n  font-size: 1.1rem;\n  font-weight: 600;\n  margin-bottom: 0.75rem;\n  color: #333;\n}\n\n.nihss-result-text {\n  margin: 0.5rem 0;\n  font-size: 1rem;\n  line-height: 1.4;\n  color: #444;\n}\n\n.nihss-disclaimer {\n  margin-top: 1.5rem;\n  font-size: 0.85rem;\n  color: #555;\n  line-height: 1.4;\n  border-top: 1px solid #ccc;\n  padding-top: 1rem;\n}\n<\/style>\n\n<div class=\"nihss-calculator-container\">\n  <h2>NIH Stroke Scale (NIHSS) Calculator<\/h2>\n  <p class=\"nihss-calculator-intro\">\n    Select a score for each item below, then click <strong>Calculate NIH Stroke Score<\/strong>. \n    The total score and interpretation will be displayed. Remember that this is a simplified \n    demonstration. Always use official NIHSS guidelines in real clinical settings.\n  <\/p>\n  \n  <form id=\"nihssForm\" onsubmit=\"event.preventDefault(); calculateNIHSS();\">\n    <!-- 1A: LOC -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score1A\">1A: Level of consciousness<\/label>\n      <select id=\"score1A\">\n        <option value=\"0\">0: Alert; keenly responsive<\/option>\n        <option value=\"1\">1: Arouses to minor stimulation<\/option>\n        <option value=\"2\">2: Requires repeated stimulation \/ pain<\/option>\n        <option value=\"3\">3: Postures or unresponsive<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 1B: LOC Questions -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score1B\">1B: Ask month &#038; age<\/label>\n      <select id=\"score1B\">\n        <option value=\"0\">0: Both questions right<\/option>\n        <option value=\"1\">1: One question right \/ dysarthric \/ intubated<\/option>\n        <option value=\"2\">2: No correct answers \/ aphasic<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 1C: LOC Commands -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score1C\">1C: &#8216;Blink eyes&#8217; &#038; &#8216;squeeze hands&#8217;<\/label>\n      <select id=\"score1C\">\n        <option value=\"0\">0: Performs both tasks<\/option>\n        <option value=\"1\">1: Performs 1 task<\/option>\n        <option value=\"2\">2: Performs 0 tasks<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 2: EOM -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score2\">2: Horizontal extraocular movements<\/label>\n      <select id=\"score2\">\n        <option value=\"0\">0: Normal<\/option>\n        <option value=\"1\">1: Partial gaze palsy<\/option>\n        <option value=\"2\">2: Forced gaze palsy (cannot overcome)<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 3: Visual fields -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score3\">3: Visual fields<\/label>\n      <select id=\"score3\">\n        <option value=\"0\">0: No visual loss<\/option>\n        <option value=\"1\">1: Partial hemianopia<\/option>\n        <option value=\"2\">2: Complete hemianopia<\/option>\n        <option value=\"3\">3: Bilateral hemianopia or blindness<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 4: Facial palsy -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score4\">4: Facial palsy<\/label>\n      <select id=\"score4\">\n        <option value=\"0\">0: Normal symmetry<\/option>\n        <option value=\"1\">1: Minor paralysis<\/option>\n        <option value=\"2\">2: Partial paralysis (lower face)<\/option>\n        <option value=\"3\">3: Complete paralysis (uni\/bilateral)<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 5A: Left arm motor drift -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score5A\">5A: Left arm motor drift<\/label>\n      <select id=\"score5A\">\n        <option value=\"0\">0: No drift for 10s<\/option>\n        <option value=\"1\">1: Drift, doesn&#8217;t hit bed<\/option>\n        <option value=\"2\">2: Drift, hits bed or some effort<\/option>\n        <option value=\"3\">3: No effort vs gravity<\/option>\n        <option value=\"4\">4: No movement<\/option>\n        <option value=\"0\">0: Amputation\/joint fusion<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 5B: Right arm motor drift -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score5B\">5B: Right arm motor drift<\/label>\n      <select id=\"score5B\">\n        <option value=\"0\">0: No drift for 10s<\/option>\n        <option value=\"1\">1: Drift, doesn&#8217;t hit bed<\/option>\n        <option value=\"2\">2: Drift, hits bed or some effort<\/option>\n        <option value=\"3\">3: No effort vs gravity<\/option>\n        <option value=\"4\">4: No movement<\/option>\n        <option value=\"0\">0: Amputation\/joint fusion<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 6A: Left leg motor drift -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score6A\">6A: Left leg motor drift<\/label>\n      <select id=\"score6A\">\n        <option value=\"0\">0: No drift for 5s<\/option>\n        <option value=\"1\">1: Drift, doesn&#8217;t hit bed<\/option>\n        <option value=\"2\">2: Drift, hits bed or some effort<\/option>\n        <option value=\"3\">3: No effort vs gravity<\/option>\n        <option value=\"4\">4: No movement<\/option>\n        <option value=\"0\">0: Amputation\/joint fusion<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 6B: Right leg motor drift -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score6B\">6B: Right leg motor drift<\/label>\n      <select id=\"score6B\">\n        <option value=\"0\">0: No drift for 5s<\/option>\n        <option value=\"1\">1: Drift, doesn&#8217;t hit bed<\/option>\n        <option value=\"2\">2: Drift, hits bed or some effort<\/option>\n        <option value=\"3\">3: No effort vs gravity<\/option>\n        <option value=\"4\">4: No movement<\/option>\n        <option value=\"0\">0: Amputation\/joint fusion<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 7: Limb ataxia -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score7\">7: Limb ataxia<\/label>\n      <select id=\"score7\">\n        <option value=\"0\">0: No ataxia<\/option>\n        <option value=\"1\">1: Ataxia in 1 limb<\/option>\n        <option value=\"2\">2: Ataxia in 2 limbs<\/option>\n        <option value=\"0\">0: Does not understand \/ paralyzed \/ amputation<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 8: Sensation -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score8\">8: Sensation<\/label>\n      <select id=\"score8\">\n        <option value=\"0\">0: Normal; no sensory loss<\/option>\n        <option value=\"1\">1: Mild-moderate loss<\/option>\n        <option value=\"2\">2: Complete loss \/ no response \/ coma<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 9: Language\/aphasia -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score9\">9: Language \/ aphasia<\/label>\n      <select id=\"score9\">\n        <option value=\"0\">0: Normal; no aphasia<\/option>\n        <option value=\"1\">1: Mild-moderate aphasia<\/option>\n        <option value=\"2\">2: Severe aphasia<\/option>\n        <option value=\"3\">3: Mute\/global aphasia \/ unresponsive<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 10: Dysarthria -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score10\">10: Dysarthria<\/label>\n      <select id=\"score10\">\n        <option value=\"0\">0: Normal<\/option>\n        <option value=\"1\">1: Mild-moderate dysarthria<\/option>\n        <option value=\"2\">2: Severe dysarthria<\/option>\n        <option value=\"0\">0: Mute\/anarthric\/intubated\/unable to test<\/option>\n      <\/select>\n    <\/div>\n    \n    <!-- 11: Extinction\/inattention -->\n    <div class=\"nihss-form-group\">\n      <label for=\"score11\">11: Extinction \/ inattention<\/label>\n      <select id=\"score11\">\n        <option value=\"0\">0: No abnormality<\/option>\n        <option value=\"1\">1: Inattention \/ extinction \u22651 modality<\/option>\n        <option value=\"2\">2: Profound hemi-inattention \/ multi-modality<\/option>\n      <\/select>\n    <\/div>\n    \n    <div class=\"nihss-button-row\">\n      <button type=\"submit\" class=\"nihss-button nihss-button-calc\">\n        Calculate NIH Stroke Score\n      <\/button>\n      <button type=\"button\" class=\"nihss-button nihss-button-reset\" onclick=\"resetNIHSS()\">\n        Reset\n      <\/button>\n    <\/div>\n  <\/form>\n  \n  <div class=\"nihss-result-container\" id=\"resultOutput\" style=\"display:none;\">\n    <div class=\"nihss-result-title\">NIH Stroke Scale Result<\/div>\n    <p class=\"nihss-result-text\" id=\"nihssScoreText\"><\/p>\n    <p class=\"nihss-result-text\" id=\"nihssInterpretationText\"><\/p>\n  <\/div>\n  \n  <div class=\"nihss-disclaimer\">\n    <p><strong>Disclaimer:<\/strong> This NIH Stroke Scale is provided for educational purposes. Always use official NIHSS protocols.<\/p>\n  <\/div>\n<\/div>\n\n<script>\n\/**\n * The JavaScript is unchanged except for minor modifications:\n *  - We now separate the \"Score\" text and \"Interpretation\" text into different elements.\n *  - We hide\/show the result container dynamically.\n *\/\n\nfunction calculateNIHSS() {\n  const itemIds = [\n    'score1A','score1B','score1C',\n    'score2','score3','score4',\n    'score5A','score5B','score6A','score6B',\n    'score7','score8','score9',\n    'score10','score11'\n  ];\n\n  let totalScore = 0;\n  itemIds.forEach(id => {\n    const val = parseInt(document.getElementById(id).value, 10);\n    if (!isNaN(val)) totalScore += val;\n  });\n\n  \/\/ Interpretation\n  let interpretation;\n  if (totalScore === 0) {\n    interpretation = \"No stroke symptoms (0).\";\n  } else if (totalScore >= 1 && totalScore <= 4) {\n    interpretation = \"Minor stroke.\";\n  } else if (totalScore >= 5 && totalScore <= 15) {\n    interpretation = \"Moderate stroke.\";\n  } else if (totalScore >= 16 && totalScore <= 20) {\n    interpretation = \"Moderate to severe stroke.\";\n  } else if (totalScore >= 21 && totalScore <= 42) {\n    interpretation = \"Severe stroke.\";\n  } else {\n    interpretation = \"Invalid or out-of-range score.\";\n  }\n\n  \/\/ Display\n  document.getElementById(\"nihssScoreText\").textContent = \"NIH Stroke Scale Score: \" + totalScore;\n  document.getElementById(\"nihssInterpretationText\").textContent = \"Interpretation: \" + interpretation;\n  document.getElementById(\"resultOutput\").style.display = \"block\";\n}\n\nfunction resetNIHSS() {\n  \/\/ Reset the form\n  document.getElementById(\"nihssForm\").reset();\n  \/\/ Hide the results\n  document.getElementById(\"resultOutput\").style.display = \"none\";\n}\n<\/script>\n<!-- END: NIH Stroke Scale Calculator (Rewritten) -->\n\n","protected":false},"excerpt":{"rendered":"<p>NIH Stroke Scale (NIHSS) Calculator Select a score for each item below, then click Calculate NIH Stroke Score. The total score and interpretation will be displayed. Remember that this is a simplified demonstration. Always use official NIHSS guidelines in real clinical settings. 1A: Level of consciousness 0: Alert; keenly responsive1: Arouses to minor stimulation2: Requires [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[100],"tags":[],"class_list":["post-4421857","post","type-post","status-publish","format-standard","hentry","category-endocalculator","post-wrapper","thrv_wrapper"],"_links":{"self":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/4421857","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/comments?post=4421857"}],"version-history":[{"count":4,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/4421857\/revisions"}],"predecessor-version":[{"id":4421861,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/4421857\/revisions\/4421861"}],"wp:attachment":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/media?parent=4421857"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/categories?post=4421857"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/tags?post=4421857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}