{"id":2336,"date":"2015-09-07T12:51:12","date_gmt":"2015-09-07T12:51:12","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neuhis\/"},"modified":"2026-03-18T19:14:00","modified_gmt":"2026-03-18T19:14:00","slug":"neuhis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neuhis\/","title":{"rendered":"Escala Isqu\u00e9mica de Hachinski"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La escala isqu\u00e9mica de Hachinski (HIS) es conocida por ser una herramienta cl\u00ednica simple, actualmente se utiliza para diferenciar los principales tipos de demencia, tales como degenerativa primaria, vascular o multi-infarto, y de tipo mixto.<br \/>\n<!--more--><br \/>\n<b>Escala de Isquemia de Hachinski<\/b><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr valign=\"TOP\">\n<td width=\"450\"><b>Caracter\u00edstica<\/b><\/td>\n<td style=\"text-align: center;\" width=\"100\"><b>Valor<\/b><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Comienzo s\u00fabito<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Deterioro escalonado<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Curso fluctuante<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Confusi\u00f3n nocturna<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Conservaci\u00f3n relativa de la personalidad<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Depresi\u00f3n<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">S\u00edntomas som\u00e1ticos<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Labilidad emocional<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Antecedente o presencia de hipertensi\u00f3n arterial sist\u00e9mica<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Antecedente de ictus o accidente cerebrovascular<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Signos de ateroesclerosis<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">S\u00edntomas neurol\u00f3gicos focales<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Signos neurol\u00f3gicos focales<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Los pacientes con un score de 7 o superior se clasifican como \u00abdemencia multi-infarto\u00bb, y los pacientes con un score de &lt;\/= 4 se clasifican como \u00abdemencia degenerativa primaria\u00bb. Una puntuaci\u00f3n de 5 o 6 se considera como un valor intermedio, y por lo general, se designa como \u00abdemencia mixta\u00bb.<\/p>\n<p>&nbsp;<\/p>\n<p><b>Bibliograf\u00eda:<\/b><\/p>\n<ol>\n<li>Hachinski V, Oveisgharan S, Romney AK, Shankle WR. Optimizing the Hachinski Ischemic Scale. Arch Neurol. 2012 Feb;69(2):169-75.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21987392\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Saposnik G, Raptis S, Kapral MK, Liu Y, Tu JV, Mamdani M, Austin PC; Investigators of the Registry of the Canadian Stroke Network and the Stroke Outcome Research Canada Working Group.\u00a0The iScore predicts poor functional outcomes early after hospitalization for an acute ischemic stroke. Stroke. 2011 Dec;42(12):3421-8.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21960583\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Hachinski VC, Iliff LD, Zilhka E, Du Boulay GH, McAllister VL, Marshall J, Russell RW, Symon L. Cerebral blood flow in dementia.\u00a0Arch Neurol. 1975 Sep;32(9):632-7.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1164215\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Campos-Guti\u00e9rrez JA, De Le\u00f3n-Gonz\u00e1lez ED, Guti\u00e9rrez Hermosillo H, Cerda RM, Rocha GMN, Zamarripa J, L\u00f3pez-Garc\u00eda R, Cano-Verdugo G, Mart\u00ednez-Hern\u00e1ndez R. Handgrip Strength, Depression, Dementia, Cognitive Function, and Their Predictive Effect on Functional Independence in Older Adults. Medicina (Kaunas). 2025 Jun 1;61(6):1030. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40572718\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Sep 08, 2015.<br \/>\nActualizado Mar 18, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La escala isqu\u00e9mica de Hachinski (HIS) es conocida por ser una herramienta cl\u00ednica simple, actualmente se utiliza para diferenciar los principales tipos de demencia, tales como degenerativa primaria, vascular o multi-infarto, y de tipo mixto.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[765,137,136,452,764,763,762,761,760,759,457,639],"class_list":["post-2336","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-acv","tag-demencia","tag-dementia","tag-escala","tag-hachinski","tag-his","tag-ischemic","tag-isquemia","tag-isquemica","tag-mixta","tag-scale","tag-vascular"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2336","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2336"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2336\/revisions"}],"predecessor-version":[{"id":10714,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2336\/revisions\/10714"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2336"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2336"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2336"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}