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Table 2 Scoring system for the WNV-N Index

From: Identifying risks for severity of neurological symptoms in Hungarian West Nile virus patients

Neurological symptom

 

assigned points

Localisation of muscle weakness

normal

0

lower body

0.5

upper body

0.25

lower body +upper body

1

Degree of muscle weaknessa

normal

0

25% weak

1

50% weak

2

75% weak

3

can just move against gravity

3.25

can just move with gravity eliminated

3.5

muscle contraction can be felt or seen but no visible movement

3.75

paralysis

4

Reflex involvement (decreased/absent)

yes

1

no

0

Sensory involvement (decreased/absent)

yes

1

no

0

Dizziness

yes

1

no

0

Gait uncertainty

yes

0.5

no

0

Tremor

yes

0.5

no

0

Photophobia

yes

0.5

no

0

Speech impairment

yes

0.5

no

0

Slow speech

yes

0.5

no

0

Confusion, altered mind state

yes

0.5

no

0

Diplopia

yes

0.5

no

0

Headache

yes

0.5

no

0

  1. a Based on the principles of the Neuropathy Impairment Score [20]