The Glasgow-Liege Scores combines the status of the brain stem reflexes and the Glasgow Coma Scale. From this score it is possible to estimate the probability of a comatose patient's outcome.
Brain Stem Reflex |
Finding |
Score |
fronto-orbicular reflex |
on one side |
5 |
vertical oculocephalic reflex |
in one eye |
4 |
papillary light reflex |
in one eye |
3 |
horizontal oculocephalic reflex |
in one eye |
2 |
oculocardiac reflex |
present |
1 |
oculocardiac reflex |
absent |
0 |
Glasgow-Liege Scale =
= (Glasgow Coma Scale) + (Brain Stem Reflex Score)
where:
• maximum score = maximum GCS + maximum BSRS = 15 + 5 = 30
• minimum score = minimum GCS + minimum BSRS = 3 + 0 = 3
probability of a good recovery or moderate disability =
= (1 / (1 + (e ^ (S1)) + (e ^ (S2))))
probability of severe disability or vegetative state =
= (e ^ (S2)) * (1 / (1 + (e ^ (S1)) + (e ^ (S2))))
probability of death =
= (e ^ (S1)) * (1 / (1 + (e ^ (S1)) + (e ^ (S2))))
where:
• S1 = 10.00 - (1.63 * (Glasgow-Liege Scale)) + (0.16 * (age in years))
• S2 = 6.30 - (1.00 * (Glasgow-Liege Scale)) + (0.08 * (age in years))
Purpose: To predict a comatose patient's probable clinical outcome.
Specialty: Sports Medicine & Rehabilitation, Neurology
Objective: severity, prognosis, stage
ICD-10: R40.2,