Stroke Risk Index Calculator

Level of Consciousness

Alert

Not alert, but can be aroused by mild stimulation

Not alert, requires repeated stimulation to respond

Comatose

Patient knows own month and age

Correctly answers both

Correctly answers one

Both incorrect

Patient follows commands to open and close eyes

Correctly follows both commands

Correctly follows one command

Neither correctly followed

Longest gaze (only horizontal gaze)

Normal

Partial gaze palsy

Deviates with effort

Visual field test

No visual loss

Partial hemianopia

Complete hemianopia

Bilateral hemianopia (including cortical blindness)

Facial palsy (ask patient to show teeth or raise eyebrows and close eyes)

Normal symmetric movement

Mild palsy

Partial palsy (complete or near complete paralysis of lower half of face)

Complete palsy of one or both sides

Right arm motor function

Normal

Drifts

Some effort against gravity

No effort against gravity

No movement

Unable to test

Left arm motor function

Normal

Drifts

Some effort against gravity

No effort against gravity

No movement

Unable to test

Right leg motor function

Normal

Drifts

Some effort against gravity

No effort against gravity

No movement

Unable to test

Left leg motor function

Normal

Drifts

Some effort against gravity

No effort against gravity

No movement

Unable to test

Ataxia

No

One limb

Two limbs

Pain sensation to pinprick

Normal

Mild to moderate decreased sensation

Severe to complete loss of sensation

Language

No aphasia

Mild to moderate aphasia

Severe aphasia

Mute

Dysarthria

No

Mild to moderate dysarthria

Severe dysarthria

Physical or intubation obstacle to assessment

Neglect and inattention

Normal

Neglect or decreased response to simultaneous stimulation on both sides in one sensory modality

Severe unilateral neglect or neglect in more than one sensory modality