Acta Neurochirurgica

, Volume 34, Issue 1–4, pp 45–55 | Cite as

Assessment and prognosis of coma after head injury

  • G. Teasdale
  • B. Jennett
Assessment and Classification of Coma in Acute Stage


The Glasgow Coma Scale, based upon eye opening, verbal and motor responses has proved a practical and consistent means of monitoring the state of head injured patients. Observations made in the early stages after injury define the depth and duration of coma and, when combined with clinical features such as a patient's age and brain stem function, have been used to predict outcome. Series of cases in comparable depths of coma in Glasgow and the Netherlands showed remarkably similar outcomes at 3 months. Based upon observations made in the first 24 hours of coma after injury, data from 255 previous cases reliably predicted outcome in the majority of 92 new patients. The exceptions were patients with potential to recover who later developed complications: no patient did significantly better than predicted.


Public Health Interventional Radiology Head Injury Brain Stem Glasgow Coma Scale 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 1976

Authors and Affiliations

  • G. Teasdale
    • 1
  • B. Jennett
    • 1
  1. 1.Department of NeurosurgeryInstitute of Neurological SciencesGlasgowScotland

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