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This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.

Pediatric NIH Stroke Scale (PedNIHSS)

15 items of the NIH Stroke Scale with pediatric adaptations (Ichord 2004/2011), total 0–42

Age
1a Level of consciousness

Infants 4 months to 2 years: score × 3, items 1b and 1c are omitted.

1b Questions (age? where is the caregiver?)

From 2 years: “How old are you?” (also showing fingers) and pointing/looking to the caregiver present.

1c Commands (close eyes; “show me your nose”)
2 gaze movement
3 visual field (finger counting from 6 years, visual threat 4 months–6 years)
4 facial palsy
5a Motor function, left arm

In uncooperative children, assess spontaneous or elicited movement without a time limit.

5b Motor function, right arm
6a Motor function, left leg
6b Motor function, right leg
7 limb ataxia (under 5 years: reaching for a toy, kicking)
8 sensation
9 language (picture material from 6 years; 2–6 years by observation)

Infants 4 months to 2 years: 0 = responds to sounds and orients; 2 = responds without spatial orientation; 3 = does not respond.

10 dysarthria
11 extinction and inattention

Infants 4 months to 2 years: 1 for sensory or motor deficit, 2 for both.

Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.