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A 69-year-old male patient with severe headache, multiple episodes of vomiting, and altered sensorium with right-sided weakness diagnosed as left parietal intraaxial sol , underwent tumor excision, and was able to walk the next day after surgery

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EVERY ONE SHOULD KNOW

 The Glasgow Coma Scale (GCS) is a neurological assessment tool used to gauge a person's level of consciousness after a brain injury. It's a standardized scoring system that assesses eye opening, verbal response, and motor response, assigning points for each. The total GCS score ranges from 3 (lowest) to 15 (highest), with higher scores indicating better neurological function. Here's a breakdown of the GCS scoring:

• Eye Opening (E):
  • 4: Spontaneous
  • 3: To verbal command
  • 2: To pain
  • 1: No response
• Verbal Response (V):
  • 5: Oriented and converses
  • 4: Disoriented and converses
  • 3: Inappropriate words or cries
  • 2: Incomprehensible sounds
  • 1: No response
• Motor Response (M):
  • 6: Obeys command
  • 5: Localizes pain
  • 4: Flexion withdrawal
  • 3: Flexion abnormal (decorticate)
  • 2: Extension (decerebrate)
  • 1: No response 

Interpreting the GCS score: 

• 3-8: Severe traumatic brain injury (TBI)
• 9-12: Moderate TBI
• 13-15: Mild TBI 

Important Considerations:

• The GCS is most commonly used in the context of TBI to assess the severity of the injury. 
• A GCS score of 8 or less is often associated with a coma. 
• The GCS can be a useful tool in predicting the outcome of a TBI, but it's not a perfect predictor and should be considered in conjunction with other clinical information. 
• The GCS can be challenging to assess accurately in patients who are intubated.