Hunt & Hess Classification of Subarachnoid Hemorrhage (SAH)
Classifies severity of SAH to predict mortality based on
signs and symptoms.
|
GRADE |
Signs
& Symptoms |
|
I |
Mild headache,
alert and oriented, minimal (if any) nuchal rigidity |
|
II |
Full nuchal
rigidity, moderate-severe headache, alert and oriented, no neurological
deficit (besides cranial nerve palsy) |
|
III |
Lethargy or
confusion, mild focal neurological deficits |
|
IV |
Stuporous, more
severe focal deficit |
|
V |
Comatose,
showing signs of severe neurological impairment (example: posturing) |
Patients with a Grade I bleed have an approximate 30%
mortality.
Patients with a Grade II bleed have an approximate
40% mortality.
Patients with a Grade III bleed have an approximate 50%
mortality.
Patients with a Grade IV bleed have an approximate 80%
mortality.
Patients with a Grade V bleed have an approximate 90%
mortality.
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