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| Échelle de Hunt et Hess× | NIHSS× | |
|---|---|---|
| Domaine | Neurologie | Neurologie |
| Famille | Process / pipeline | Process / pipeline |
| Année d'origine≠ | 1968 | 1989 |
| Auteur d'origine≠ | William E. Hunt and Robert M. Hess | Thomas Brott and NIH Stroke Study Group |
| Type | Clinician-rated | Clinician-rated |
| Source fondatrice≠ | Hunt, W. E., Hess, R. M. (1968). Surgical risk as related to time of intervention in the repair of intracranial aneurysms. Journal of Neurosurgery, 28(1), 14-20. DOI ↗ | Brott, T., Adams, H. P., Olinger, C. P., et al. (1989). Measurements of acute cerebral infarction: A clinical examination scale. Stroke, 20(7), 864-870. DOI ↗ |
| Alias | Hunt-Hess Grade | NIH Stroke Scale |
| Apparentées≠ | 4 | 5 |
| Résumé≠ | The Hunt and Hess Scale is the most widely used clinical grading system for assessing severity and prognosis in subarachnoid hemorrhage (SAH) caused by ruptured intracranial aneurysm. Developed by neurosurgeons William Hunt and Robert Hess in 1968, the five-point ordinal scale measures level of consciousness and presence of focal neurological deficits. Hunt-Hess grade at admission is the single strongest predictor of 30-day mortality and functional outcome and guides urgency of neurosurgical intervention. | The NIHSS is the standard acute stroke severity assessment tool used in emergency departments, stroke centers, and clinical trials worldwide. Developed by the NIH Stroke Study Group in 1989, the 15-item scale provides rapid, reproducible quantification of acute neurological deficit from ischemic or hemorrhagic stroke. NIHSS scores inform thrombolytic and thrombectomy eligibility, predict outcomes, and serve as primary endpoint in stroke intervention trials. |
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