The Pediatric Cerebral Performance Category Scale was described by Fiser and can be used to summarize the level of neurologic function seen in a pediatric patient.


Clinical Features



• normal at age appropriate level

• school age child attends regular school classroom



• conscious, alert and able to interact at an age appropriate level

• school age child attending regular school classroom but grade perhaps not appropriate for age

• may have a mild neurologic deficit

mild disability


• conscious

• sufficient cerebral function for age-appropriate independent activities of daily life

• school age child attending special education classroom

• may have learning deficit

moderate disability


• conscious

• dependent on others for daily support because of impaired brain function

severe disability


• any degree of coma without any of the criteria for brain death

• unawareness, even if awake in appearance, without interaction with the environment

• cerebral unresponsiveness

• no evidence of cortical function and not aroused by verbal stimuli

• possibly some reflexive responses, spontaneous eye opening and/or sleep-wake cycles

coma or vegetative state


• apnea, OR

• areflexia, OR

• electroencephalographic (EEG) silence

brain death




NOTE: This is reminiscent of the performance grades for polyneuropathy of Hughes et al.


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