Hunt and Hess scale

Hunt and Hess scale

The Hunt and Hess scale is used to classify the severity of a non-traumatic subarachnoid hemorrhage.

Description grade

#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

References

*Hunt WE, Hess RM. “Surgical risk as related to time of intervention in the repair of intracranial aneurysms.” Journal of Neurosurgery 1968 Jan;28(1):14-20.
*Hunt WE, Meagher JN, Hess RM. “Intracranial aneurysm. A nine-year study.” Ohio State Medical Journal 1966 Nov;62(11):1168-71.

Hunt and Hess classification is being replaced by WFNS classification


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