Stroke Severity Scores

Question 1

ICH Score

Answer 1

Score 24 hrs post hemorrhage is more accurate than admission score.
Includes age, GCS, volume, location, & presence of intraventricular blood.
Predictive of 30-day mortality risk.

Question 2

Hunt & Hess Score

Answer 2

Used for SAH
Based on LOC & symptoms
Scores 1-5 (5 the worst)

Question 3

Fisher Scale Score

Answer 3

Predict vasospasm after SAH.
Based on amount/location of blood on initial CT scan.
Scores 1-4 (4 the worst)

Question 4

World Federation of Neurological Surgeons (WFNS) Score

Answer 4

Clinical severity grading tool.

Based on GCS & presence/absence of Moro deficit.

Question 5

ABCD2

Age, BP, Clinical features, Demonstration & Diabetes

Answer 5

Predicts short-term risk of stroke in pts with TIA. 
Distinguish true TIAs from mimics. 
Score 0-7
   1-3: low risk
   4-5: moderate risk 
   6-7: high risk 
Admission advised >4
Discharge w/ outpatient workup <4