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Hunt and Hess scale

Hunt and Hess scale

 

 

The Hunt and Hess scale is a grading systems used to classify the severity of a subarachnoid hemorrhage based on the patient’s clinical condition. 

 

 

The Hunt and Hess scale a predictor of patient’s prognosis/outcome, with a higher grade correlating to lower survival rate. 

 

 

Grade: 1-5

 

 

Asymptomatic, mild headache, slight nuchal rigidity

 

 

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

 

 

Drowsiness, confusion, mild focal neurologic deficit

 

 

Stupor, moderate-severe hemiparesis

 

 

Coma, decerebrate posturing

 

 

The mortality is minimum with grade 1 and maximum with grade 5.

 

 

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