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Hunt and Hess Stroke Scale

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

1Asymptomatic, mild headache, slight nuchal rigidity.
2Moderate to severe headache, nuchal rigidity, no neurologic deficit other than cranial nerve palsy.
3Drowsiness / confusion, mild focal neurologic deficit.
4Stupor, moderate-severe hemiparesis.
5Coma, decerebrate posturing.



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.

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