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. |