3/16/2023 0 Comments Natus minimuffs![]() ![]() ![]() A GCS score of 3 to 8 is indicative of severe head injury, with a mortality rate of 35% to 40%. 2 The GCS has proved to be accurate, capable of detecting clinically important changes in neurological status, and easy to use by a variety of health care professionals. Many classification schemes have been developed however, the Glasgow Coma Scale (GCS) ( Table 103-1), introduced by Teasdale and Jennett in 1974, is the most widely used. TBI care is provided by a wide range of physicians, nurses, and allied health personnel. An accurate baseline assessment is crucial, and serial assessments are also needed, because neurological status may change with time, sometimes rapidly. Glasgow Coma Scale and Glasgow Outcome ScaleĪ simple and reliable clinical assessment tool is needed for evaluating acute TBI. Both clinical examination and radiographic imaging are essential components of the optimal evaluation of these patients. TBI is a very common problem with a wide spectrum of severity. Gordon Deen, in Neurology and Clinical Neuroscience, 2007 TRAUMATIC BRAIN INJURY CLASSIFICATION These disease-specific signs are assessed by clinical examination, assessment of functional level, and quantitative performance measures. In contrast to other ataxia rating scales, the FARS does not aim to measure only ataxia, extracted from a more complex neurological syndrome, but instead includes all clinically meaningful neurological signs that reflect the neural substrates of Friedreich ataxia. Further, Friedreich ataxia patients often present with concomitant nonataxia (such as muscle weakness) and nonneurological manifestations (such as cardiac, endocrine, or skeletal abnormalities). The authors of the scale acknowledged the need for more sensitive outcome measures in this rare disorder with variable and slow progression. Therefore, the North-American Cooperative Ataxia Group (CAG) developed the FARS to evaluate both function and neurological deficits in Friedreich ataxia patients. Schmitz-Hübsch, in Encyclopedia of Movement Disorders, 2010 DevelopmentĪs no validated clinical assessment tool was available, previous trials in Friedreich ataxia often preferred surrogate markers of disease severity like echocardiography as outcome parameters. ![]()
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