Glasgow Coma Scale

Area Assessed

Response

Score*

Eye opening

Open spontaneously

4

Open to verbal command

3

Open in response to pain applied to the limbs or sternum

2

None

1

Verbal

Oriented

5

Disoriented, but able to answer questions

4

Inappropriate answers to questions; words discernible

3

Incomprehensible speech

2

None

1

Motor

Obeys commands

6

Responds to pain with purposeful movement

5

Withdraws from pain stimuli

4

Responds to pain with abnormal flexion (decorticate posture)

3

Responds to pain with abnormal (rigid) extension (decerebrate posture)

2

None

1

* Combined scores < 8 are typically regarded as coma.

Adapted from Teasdale G, Jennett B: Assessment of coma and impaired consciousness. A practical scale. Lancet 2:81-84; 1974. doi: 10.1016/s0140-6736(74)91639-0