Pediatric Glasgow Coma Scale for a Preverbal Child

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.

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