Level of Consciousness |
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Alert (0 points) |
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Not alert, but arousable with minimal stimulation (1 point) |
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Not alert, requires repeated stimulation to attend (2 points) |
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Coma (3 points) |
Patient Knows Month and Own Age |
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Answers both correctly (0 points) |
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Answers one correctly (1 point) |
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Both incorrect (2 points) |
Patient Opens and Close Eyes on Command |
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Obeys both correctly (0 points) |
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Obeys one correctly (1 point) |
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Both incorrect (2 points) |
Best Gaze (only horizontal eye movement) |
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Normal (0 points) |
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Partial gaze palsy (1 point) |
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Forced deviation (2 points) |
Visual Field testing |
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No visual field loss (0 points) |
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Partial hemianopia (1 point) |
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Complete hemianopia (2 points) |
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Bilateral hemianopia (blind including cortical blindness) (3 points) |
Facial Paresis (Ask patient to show teeth or raise eyebrows and close eye |
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Normal symmetrical movement (0 points) |
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Minor paralysis (1 point) |
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Partial paralysis (total or near total paralysis of lower face) (2 points) |
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Complete paralysis of one or both sides (3 points) |
Motor Function of Right Arm |
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Normal (0 points) |
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Drift (1 point) |
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Some effort against gravity (2 points) |
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No effort against gravity (3 points) |
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No movement (4 points) |
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Untestable* (0 points) |
Motor Function of Left Arm |
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Normal (0 points) |
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Drift (1 point) |
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Some effort against gravity (2 points) |
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No effort against gravity (3 points) |
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No movement (4 points) |
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Untestable* (0 points) |
Motor Function of Right Leg |
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Normal (0 points) |
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Drift (1 point) |
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Some effort against gravity (2 points) |
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No effort against gravity (3 points) |
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No movement (4 points) |
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Untestable* (0 points) |
Motor Function of Left Leg |
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Normal (0 points) |
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Drift (1 point) |
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Some effort against gravity (2 points) |
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No effort against gravity (3 points) |
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No movement (4 points) |
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Untestable* (0 points) |
Limb Ataxia |
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None (0 points) |
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One limb (1 point) |
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Two Limbs (2 points) |
Sensory by Pinprick |
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Normal (0 points) |
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Mild to moderate decrease in sensation (1 point) |
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Severe to total sensory loss (2 points) |
Language |
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No aphasia (0 points) |
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Mild - Moderate aphasia (1 point) |
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Severe aphasia (2 points) |
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No speech production (3 points) |
Dysarthria |
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None (0 points) |
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Mild - Moderate slurring (1 point) |
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Severe (2 points) |
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Intubated or other physical impediment to testing (0 points) |
Extinction and Inattention |
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Normal (0 points) |
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Inattention or extinction to bilateral simultaneous stimulation in one of the sensory modalities (1 point) |
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Severe hemi-inattention or hemi-inattention to more than one modality (2 points) |