====== Hunt and Hess Stroke Scale ======

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The Hunt and Hess scale is a widely used grading system that classifies the severity of subarachnoid hemorrhage based on clinical presentation. It ranges from Grade I (asymptomatic or minimal symptoms) to Grade V (deep coma). Higher Hunt and Hess grades are generally associated with increased mortality.

====Modified Hunt and Hess Stroke Scale====

0 Unruptured aneurysm 

[[Hunt and Hess Stroke Scale 1]]- Asymptomatic or minimal headache and slight nuchal rigidity 

1a no acute meningeal/brain reaction, but with fixed neuro deficit

2 Moderate-severe headaches, nuchal rigidity, cranial nerve palsy 

3 Drowsiness, confusion, or mild focal deficit 

[[Hunt and Hess Stroke Scale 4]] Stupor, severe hemiparesis, vegetative disturbance

[[Hunt and Hess Stroke Scale 5]] Deep coma, decerebrate rigidity, moribund appearance 

Hypertension, diabetes, arteriosclerosis, chronic pulmonary disease, or vasospasm assigns patient to next less favorable category 
====Old Hunt and Hess Stroke Scale====

1	Asymptomatic, mild headache, slight nuchal rigidity.

2	Moderate to severe headache, nuchal rigidity, no neurologic deficit other than cranial nerve palsy.

3	Drowsiness / confusion, mild focal neurologic deficit.

4	Stupor, moderate-severe hemiparesis.

[[Hunt and Hess Stroke Scale 5]]	Coma, decerebrate posturing
((Hunt WE, Hess RM. Surgical risk as related to time of intervention in the
repair of intracranial aneurysms. J Neurosurg. 1968 Jan;28(1):14-20. PubMed PMID:
5635959.)).

==== Subarachnoid hemorrhage scales ====

see [[Subarachnoid hemorrhage scales]].

====References====