{"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\/neuhis\/","title":{"rendered":"Hachinski Ischemic Scale (HIS)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>The Hachinski ischemic score (HIS) is known to be a simple clinical tool, currently used for differentiating major types of dementia, such as primary degenerative, vascular or multi-infarct, and mixed type.<br \/>\n<!--more--><\/p>\n<p><b>Hachinski Ischemic Scale<\/b><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr valign=\"TOP\">\n<td width=\"450\"><b>Feature<\/b><\/td>\n<td style=\"text-align: center;\" width=\"100\"><b>Value<\/b><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Abrupt onset<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Stepwise deterioration<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Fluctuating course<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Nocturnal confusion<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Relative preservation of personality<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Depression<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Somatic complaints<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Emotional incontinence<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">History or presence of hypertension<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">History of strokes<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Evidence of atherosclerosis<\/td>\n<td style=\"text-align: center;\" width=\"100\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Focal neurological symptoms<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"450\">Focal neurological signs<\/td>\n<td style=\"text-align: center;\" width=\"100\">2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Patients scoring 7 or greater are classified as having &#8220;multi-infarct dementia&#8221;, and patients scoring &lt;\/= 4 are classified as having &#8220;primary degenerative dementia&#8221;.\u00a0A score of 5 or 6 is considered as an intermediate value and is usually designated as &#8220;mixed dementia&#8221;.<\/p>\n<p>&nbsp;<\/p>\n<p><b>References:<\/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>Created Sep 08, 2015.<br \/>\nUp-date 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>Sorry, this entry is only available in Espa\u00f1ol.<\/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\/wp-json\/wp\/v2\/posts\/2336","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2336"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2336\/revisions"}],"predecessor-version":[{"id":10714,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2336\/revisions\/10714"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2336"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2336"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2336"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}