| 1.a.
Level of Consciousness |
|
0
|
Alert
|
|
1
|
Not
alert, but arousable with minimal stimulation |
|
2
|
Not
alert, requires repeated stimulation to attend |
|
3
|
Coma
|
| 1.b.
Ask patient the month and their age |
|
0
|
Answers
both correctly |
|
1
|
Answers
one correctly |
|
2
|
Both
incorrect
|
| 1.c.
Ask patient to open and close eyes |
|
0
|
Obeys
both correctly |
|
1
|
Obeys one correctly |
|
2
|
Both incorrect
|
| 2.
Best Gaze (only horizontal eye movement) |
|
0
|
Normal
|
|
1
|
Partial
gaze palsy |
|
2
|
Forced
deviation |
| 3.
Visual Field Testing |
|
0
|
No
visual field loss |
|
1
|
Partial
hemianopia |
|
2
|
Complete
hemianopia |
|
3
|
Bilateral
hemianopia (blind including cortical blindness)
|
4.
Facial Paresis (Ask patient to show symmetrical movement
 teeth
or raise eyebrows and close eyes tightly) |
|
0
|
Normal |
|
1
|
Minor
paralysis (flattened nasolabial fold, asymmetry on smiling)
|
|
2
|
Partial
paralysis (total or near total paralysis of lower face) |
|
3
|
Complete
paralysis of one or both sides (absence of facial movement
in the upper and lower face)
|
5.
Motor Function - Arm (right and left)
(extends
arms 90 (or 45) degrees for 10 seconds without drift) |
|
0
|
Normal
|
|
1
|
Drift |
|
2
|
Some
effort against gravity |
|
3
|
No
effort against gravity |
|
4
|
No
movement |
|
9
|
Untestable
(Joint fused or limb amputated)
|
6.
Motor Function - Leg (right and left) -
(hold
leg 30 degrees position for 5 seconds) |
|
0
|
Normal
|
|
1
|
Drift
|
|
2
|
Some
effort against gravity |
|
3
|
No
effort against gravity |
|
4
|
No
movement |
|
9
|
Untestable
(joint fused or limb amputated)
|
| 7.
Limb Ataxia |
|
0
|
No
ataxia |
|
1
|
Present
in one limb |
|
2
|
Present
in two limbs
|
8.
Sensory (Use pinprick to test arms, legs, trunk and face -
compare
side to side) |
|
0
|
Normal
|
|
1
|
Mild
to moderate decrease in sensation |
|
2
|
Severe
to total sensory loss
|
| 9.
Best Language (describe picture, name items, read sentences) |
|
0
|
No
aphasia |
|
1
|
Mild
to moderate aphasia |
|
2
|
Severe
aphasia |
|
3
|
Mute
|
| 10.
Dysarthria (read several words) |
|
0
|
Normal
articulation |
|
1
|
Mild
to moderate slurring of words |
|
2
|
Near
unintelligible or unable to speak |
|
9
|
Intubated
or other physical barrier
|
| 11.
Extinction and Inattention |
|
0
|
Normal
|
|
1
|
Inattention
or extinction to bilateral simultaneous stimulation in one
of the sensory modalities |
|
2
|
Severe
hemi-inattention or hemi-inattention to more than one modality |
