|
Tested item | Title | Response and score |
|
1A | Level of consciousness | 0 = alert |
1 = drowsy |
2 = obtunded |
3 = coma/unresponsive |
|
1B | Orientation questions (2) | 0 = answers both correctly |
1 = answers one correctly |
2 = answers neither correctly |
|
1C | Response to commands (2) | 0 = performs both tasks correctly |
1 = performs one task correctly |
2 = performs neither |
|
2 | Gaze | 0 = normal horizontal movements |
1 = partial gaze palsy |
2 = complete gaze palsy |
|
3 | Visual fields | 0 = no visual field defect |
1 = partial hemianopia |
2 = complete hemianopia |
3 = bilateral hemianopia |
|
4 | Facial movement | 0 = normal |
1 = minor facial weakness |
2 = partial facial weakness |
3 = complete unilateral palsy |
|
5 | Motor function (arm) (a) Left (b) Right | 0 = no drift |
1 = drift before 5 seconds |
2 = falls before 10 seconds |
3 = no effort against gravity |
4 = no movement |
|
6 | Motor function (leg) (a) Left (b) Right | 0 = no drift |
1 = drift before 5 seconds |
2 = falls before 5 seconds |
3 = no effort against gravity |
4 = no movement |
|
7 | Limb ataxia | 0 = no ataxia |
1 = ataxia in 1 limb |
2 = ataxia in 2 limbs |
|
8 |
Sensory | 0 = no sensory loss |
1 = mild sensory loss |
2 = severe sensory loss |
|
9 | Language | 0 = normal |
1 = mild aphasia |
2 = severe aphasia |
3 = mute or global aphasia |
|
| | 0 = normal |
10 | Articulation | 1 = mild dysarthria |
| | 2 = severe dysarthria |
|
11 | Extinction or inattention | 0 = absent |
1 = mild (loss 1 sensory modality) |
2 = severe (loss 2 modalities) |
|