Orgogozo stroke scale

Last revised by Rohit Sharma on 26 Feb 2024

The Orgogozo stroke scale was designed to assess middle cerebral artery stroke 1-3. This scale's use has become rarer in contemporary literature due to the widespread adoption of the NIH Stroke Scale, however basic knowledge may assist interpretation of older literature 4,5.

Classification

  • consciousness: 0 (coma), 5 (stupor), 10 (drowsiness), 15 (normal)

  • verbal communication: 0 (impossible), 5 (difficult), 10 (normal)

  • eyes and head shift: 0 (forced), 5 (gaze failure), 10 (none)

  • facial movements: 0 (paralysis), 5 (normal)

  • arm raising: 0 (impossible), 5 (incomplete), 10 (possible)

  • hand movements: 0 (useless), 5 (useful), 10 (skilled), 15 (normal)

  • upper limb tone: 0 (increased or decreased), 5 (normal

  • leg raising: 0 (impossible), 5 (gravity), 10 (resistance), 15 (normal)

  • foot dorsiflexion: 0 (foot drop), 5 (gravity), 10 (resistance or normal)

  • lower limb tone: 0 (increased or decreased), 5 (normal)

Interpretation

The scale ranges from 0-100, with a lower value indicating greater impairment.

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