Hunt-Hess Grade — JoyShine Medical

Hunt-Hess Grade (Subarachnoid Hemorrhage)

Records and interprets the clinician’s Hunt-Hess grade (I–V) for non-traumatic aneurysmal subarachnoid hemorrhage — an ordinal bedside severity stratifier based on level of consciousness, headache/meningismus, and focal deficit — to gauge surgical risk and prognosis.

Clinical grade (select the grade whose descriptor matches the worst feature present)

I — Asymptomatic, or minimal headache and slight nuchal rigidity II — Moderate-to-severe headache, nuchal rigidity, no deficit other than cranial nerve palsy III — Drowsiness, confusion, or mild focal deficit IV — Stupor, moderate-to-severe hemiparesis, possibly early decerebrate rigidity V — Deep coma, decerebrate rigidity, moribund

Serious systemic disease (hypertension, diabetes mellitus, severe arteriosclerosis, or chronic pulmonary disease)?

No Yes (advances one grade)

Severe angiographic vasospasm?

No Yes (advances one grade)