Hunt and Hess classification (subarachnoid hemorrhage)
Clinical grade and approximate survival in aneurysmal SAH.
Inputs
0 of 1Clinical picture
When to use
- Aneurysmal SAH at presentation.
Pearls and pitfalls
- Add 1 grade for serious systemic disease or severe vasospasm (original description).
Why use
Common shorthand for SAH severity.
| Criterion | Points |
|---|---|
| Clinical picture: Asymptomatic or mild headache, slight nuchal rigidity | +1 |
| Moderate to severe headache, nuchal rigidity, no deficit other than cranial nerve palsy | +2 |
| Drowsy or confused, mild focal deficit | +3 |
| Stupor, moderate to severe hemiparesis | +4 |
| Coma, decerebrate posturing | +5 |