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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