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Title: Determining Limb Ataxia in the Weak Patient

Category: Neurology

Keywords: ataxia, nih stroke scale, weakness, cerebellar function, stroke (PubMed Search)

Posted: 4/8/2009 by Aisha Liferidge, MD (Updated: 7/21/2026)

  • One may wonder how to determine whether a patient has limb ataxia in the setting of limb weakness when scoring the NIH Stroke Scale (NIHSS).
  • The component of the NIHSS that tests for limb ataxia asks that the patient perform finger to nose and shin to heel testing.
  • A patient who does not exhibit any ataxia would receive a score of 0 (zero), which is the best score.
  • If the patient does not exhibit any ataxia because he/she has neuromuscular weakness and therefore can't perform the tasks at all, they would also receive a score of 0 (zero) on this component of the NIHSS.

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