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However brain cells that are damaged are not beyond repair They can regenerate This process of creating new cells is called neurogenesis The most rapid recovery usually occurs during the first three to four months after a stroke.

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The score for each ability is a number between 0 and 4 0 being normal functioning and 4 being completely impaired The patient's NIHSS score is calculated by adding the number for each element of the scale 42 is the highest score possible In the NIHSS the higher the score the more impaired a stroke patient is.

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