Question
A 4-year-old comatose child is assessed by the Modified Glasgow Coma Scale. Which of the following is the correct interpretation of the score given as E2V3M2 for the best eye-opening response, best verbal response, and best motor response respectively?
| A. |
Eye opening to speech, makes incomprehensible sounds and abnormal flexion
|
| B. |
Eye opening to speech, inappropriate words and abnormal flexion
|
| C. |
Eye opening to pain, moans to pain and abnormal flexion
|
| D. |
Eye opening to pain, cries to pain and extension to pain
|
Show Answer
|
Correct Answer » D
Explanation
|
|
Standard Modified Pediatric Glasgow Coma Scale
Eye Opening (E)
| Score |
Response |
| E4 |
Spontaneous |
| E3 |
To speech |
| E2 |
To pain |
| E1 |
None |
Thus, E2 = Eye opening to pain
Verbal Response (V) (>2 years)
| Score |
Response |
| V5 |
Oriented/appropriate words |
| V4 |
Confused conversation |
| V3 |
Inappropriate words / persistent cries or moans |
| V2 |
Incomprehensible sounds |
| V1 |
None |
Thus, V3 = Inappropriate words / moans
Motor Response (M)
| Score |
Response |
| M6 |
Obeys commands |
| M5 |
Localizes pain |
| M4 |
Withdraws from pain |
| M3 |
Abnormal flexion (decorticate) |
| M2 |
Extension to pain (decerebrate) |
| M1 |
None |
Thus, M2 = Extension to pain
Interpretation of E2V3M2
- E2 = Eye opening to pain
- V3 = Moans/inappropriate verbal response
- M2 = Extension to pain
Therefore:
E2V3M2 = Eye opening to pain + moans/cries to pain + extension to pain
