Neurology Medical News about Glasgow Coma Scale

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Outcome in patients with blunt head trauma and a Glasgow Coma Scale score of 3 at presentation
Journal of Neurosurgery, 10/06/09

Chamoun RB et al. – Overall, 50.8% of patients survived their injury and 13.2% achieved a good functional outcome after at 6 months of follow–up. Age, ICP on admission, and pupil status were found to be significant predictive factors of outcome. In particular, pupil size and reactivity appeared to be the most important prognostic factor since the mortality rate was 23.5% in the presence of bilateral reactive pupils and 79.7% in the case of bilateral fixed, dilated pupils. The authors believe that patients having suffered traumatic brain injury and present with a GCS score of 3 should still be treated aggressively initially since a good functional outcome can be obtained in some cases.

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