learn about Modified Glasgow coma scale (MGCS) which is important for the assessment of traumatic brain injury (TBI) in the Emergency and critical care section.
Introduction to MGCS.
It’s a modification of The Glasgow Coma Scale (GCS).
GCS which was created in 1974 by Graham Teasdale and Bryan Jennett as an objective way to assess the level of consciousness in humans (especially children) with traumatic brain injury (TBI) and coma at initial and subsequent evaluations.
Veterinary MGCS .
In 1983, this scale was modified for veterinary use by Andy Shores, Chief of Neurosurgery and Neurology at the Mississippi State University College of Veterinary Medicine.
Along with the Small Animal Coma Scale (SACS), the Modified Glasgow Coma Scale (MGCS) was proposed as a means of objectively evaluating the neurological status of dogs after traumatic brain injury. The score is a useful way to monitor progression of neurologic deficits, effects of therapeutic measures and to assess the overall prognosis .
The evaluation.
prognosis.
- 3-8 : Grave
- 9-14 : Guarded
- 15-18 : Good
Conclusion.
MGCS is useful in assessing the degree or severity of brain injury based on a combination of clinical signs.
The scoring system allows objective evaluation of the patient and provides prognostic information
MGCS is determined by evaluation of motor activity, brainstem reflexes, and level of consciousness.
References.
- 2016 Bush Veterinary Neurology Service .
- 1Platt, SR, Radaelli, ST and McDonnell, JJ. (2001). The prognostic value of the modified Glasgow Coma Scale in head trauma in dogs. Journal of Veterinary Internal Medicine, 15(6), 581-584.
- Sharma, D and Holowaychuk, M. (2015). Retrospective evaluation of prognostic indicators in dogs with head trauma: 72 cases (January-March 2011).
Journal of Veterinary Emergency and Critical Care, 25(5).
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