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Neurocritical Care

Educational tools. Always interpret findings in clinical context and according to institutional guidelines.

🧠 CAM-ICU · Delirium

CAM-ICU is positive if: Step 1 + Step 2 and (Step 3 or Step 4).
If Step 1 is negative, delirium is ruled out.


🧠 NIHSS · Stroke Scale


🧠 Fisher Scale · Subarachnoid Hemorrhage

Grade Description
1 No blood detected on CT scan.
2 Diffuse subarachnoid blood < 1 mm thickness.
3 Localized clot and/or blood layer ≥ 1 mm.
4 Intraventricular hemorrhage (IVH) or intracerebral hemorrhage (ICH) present.

🧠 Hunt & Hess Scale · Subarachnoid Hemorrhage

Grade Description
I Asymptomatic or mild headache.
II Moderate to severe headache, nuchal rigidity.
III Drowsiness, confusion, or mild focal neurological deficit.
IV Stupor, moderate to severe hemiparesis.
V Deep coma, decerebrate posturing.

🧠 Marshall CT Classification · Traumatic Brain Injury

Category Description
I Normal CT scan.
II Diffuse injury with cisterns present and midline shift < 5 mm.
III Diffuse injury with compressed or absent basal cisterns.
IV Midline shift ≥ 5 mm.
V Evacuated mass lesion.
VI Non-evacuated mass lesion > 25 cm³.