A modified Glasgow Coma Scale can be used in preverbal children. It incorporates changed wording in the verbal and motor responses.
Patient selection: preverbal child
Parameters:
(1) eye opening
(2) verbal response
(3) motor response
Parameter |
Finding |
Points |
eye opening |
spontaneous |
4 |
|
to voice |
3 |
|
to pain |
2 |
|
none |
1 |
verbal response |
coos or babbles |
5 |
|
irritable or cries |
4 |
|
cries to pain |
3 |
|
moans |
2 |
|
none |
1 |
motor response |
spontaneous movement |
6 |
|
withdraws to touch |
5 |
|
wighdraws to pain |
4 |
|
abnormal flexure posturing |
3 |
|
abnormal extension posturing |
2 |
|
none |
1 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 3
• maximum score: 15
• A score of 15 is normal.
• Each of the subscores may be reported separately.
Specialty: Neurology, Pedatrics