The Hunt-Hess Score (for cerebral aneurysms)

  • Grade 0: No deficits or discomforts.
  • Grade I : Headache but no neurological impairment
  • Grade II: Cognitive impairments such as forgetfulness and/or arousal problems such as drowsiness and/or cranial neuropathy.
  • Grade III: Cognitive/arousal deficits and limb deficits for power, tone, and/or sensation
  • Grade IV: Unconscious with marked changes in limb tone, power
  • Grade V: Unresponsive
  • Add 1 grade if major concurrent health problem such important lung, heart, liver, kidney, etc pathology

References:

  1. Hunt W E, Hess R M: Surgical Risk as Related to Time of Intervention in the Repair of Intracranial Aneurysms. J Neurosurg 28: 14-20, 1968.

  2. Hunt W E, Kosnik E J: Timing and Perioperative Care in Intracranial Aneurysm Surgery. Clin Neurosurg 21: 79-89, 1974.

 
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