Neurological Examination

Conscious level: This assessment is of major importance. It not only serves as an immediate prognostic guide, but also provides a baseline with which future examinations may be compared. Assess conscious level as described previously (page 5) in terms of:

Eye opening

Verbal response

Motor response

Spontaneous

4

Orientated

5

Obeying commands

5

To speech

3

Confused

4

Localising

4

To pain

2

Words

3

Flexing

3

None

1

Sounds

2

Extending

2

None

1

None

1

A score may be applied to each category of the grading system and the total summed to give an overall value ranging from 3-14, e.g. no eye opening, no verbal response and extending to pain = 4.

A score may be applied to each category of the grading system and the total summed to give an overall value ranging from 3-14, e.g. no eye opening, no verbal response and extending to pain = 4.

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