A patient reports a prior history of an isolated sixth nerve (abducens) palsy from an old injury unrelated to the current stroke. How should the examiner handle this during NIHSS Best Gaze scoring?
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A
Score as 0 since it is pre-existing
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B
Score as 2 since gaze is abnormal
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C
Score based only on findings attributable to the acute stroke
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D
The item cannot be scored