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Hunt and Hess scale

The first SAH scale of severity, described by Hunt and Hess in 1968:

  • Grade 1: Asymptomatic; or minimal headache and slight nuchal rigidity. Approximate survival rate 70%.
  • Grade 2: Moderate to severe headache; nuchal rigidity; no neurologic deficit except cranial nerve palsy. 60%.
  • Grade 3: Drowsy; minimal neurologic deficit. 50%.
  • Grade 4: Stuporous; moderate to severe hemiparesis; possibly early decerebrate rigidity and vegetative disturbances. 20%.
  • Grade 5: Deep coma; decerebrate rigidity; moribund. 10%.
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