Level of consciousness
Alert (0 points)
Not alert, but arousable with minimal stimulation (1 point)
Not alert, requires repeated stimulation to attend (2 points)
Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, and areflexic (3 points)
Patient knows month and own age
Answers both correctly (0 points)
Answers one correctly (1 point)
Both incorrect (2 points)
Patient opens and closes eyes and grips and releases the nonparetic hand on command
Obeys both correctly (0 points)
Obeys one correctly (1 point)
Both incorrect (2 points)
Best gaze (only horizontal eye movement)
Normal (0 points)
Partial gaze palsy (1 point)
Forced deviation (2 points)
Visual field testing
No visual loss (0 points)
Partial hemianopia (1 point)
Complete hemianopia (2 points)
Bilateral hemianopia (blind including cortical blindness) (3 points)
Facial paresis (ask patient to show teeth or raise eyebrows and close eye)
Normal symmetrical movement (0 points)
Minor paralysis (flattened nasolabial fold, asymmetry on smiling) (1 point)
Partial paralysis (total or near total paralysis of lower face) (2 points)
Complete paralysis of one or both sides (3 points)
Motor function of right arm
No drift (0 points)
Drift (1 point)
Some effort against gravity (2 points)
No effort against gravity (3 points)
No movement (4 points)
Untestable (amputation or joint fusion at the shoulder) (0 points)
Motor function of left arm
No drift (0 points)
Drift (1 point)
Some effort against gravity (2 points)
No effort against gravity (3 points)
No movement (4 points)
Untestable (amputation or joint fusion at the shoulder) (0 points)
Motor function of right leg
No drift (0 points)
Drift (1 point)
Some effort against gravity (2 points)
No effort against gravity (3 points)
No movement (4 points)
Untestable (amputation or joint fusion at the hip) (0 points)
Motor function of left leg
No drift (0 points)
Drift (1 point)
Some effort against gravity (2 points)
No effort against gravity (3 points)
No movement (4 points)
Untestable (amputation or joint fusion at the hip) (0 points)
Limb ataxia
Absent (0 points)
Present in one limb (1 point)
Present in two limbs (2 points)
Untestable (amputation or joint fusion) (0 points)
Sensory to pinprick or withdrawal from noxious stimulus
Normal (0 points)
Mild to moderate sensory loss (1 point)
Severe to total sensory loss (2 points)
Language
No aphasia (0 points)
Mild to moderate aphasia (1 point)
Severe aphasia (2 points)
Mute, global aphasia (3 points)
Dysarthria
None (0 points)
Mild to moderate dysarthria (1 point)
Severe dysarthria (2 points)
Intubated or other physical barrier to producing speech (0 points)
Extinction and inattention
No abnormality (0 points)
Visual, tactile, auditory, spatial, or personal inattention or extinction to bilateral simultaneous stimulation in one of the sensory modalities (1 point)
Profound hemi-inattention or extinction to more than one modality (2 points)