Pain as a Guide in Glasgow Coma Scale Status for Neurological Assessment.

GCS status assessment jaw margin pain pathway pain stimulus periungual sternal rub supraorbital

Journal

The Malaysian journal of medical sciences : MJMS
ISSN: 1394-195X
Titre abrégé: Malays J Med Sci
Pays: Malaysia
ID NLM: 101126308

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 23 12 2022
accepted: 14 05 2023
medline: 6 11 2023
pubmed: 6 11 2023
entrez: 6 11 2023
Statut: ppublish

Résumé

Neurological status is essential and often challenging for neurosurgical residents and also for neurosurgeons to determine surgical management. Pain as a component of the Glasgow Coma Scale (GCS) can be used as a tool in patients, especially an unconscious or comatose patient. In order to elicit this adequate noxious stimulus, a certain amount of pressure-pain threshold is required upon performing either as the central or peripheral technique. The scientific explanation behind each technique is required and needs to be well understood to aid the localisation of the defect in the neurological system. This paper will briefly review the aid of pain as a neurological guide in GCS status assessment.

Identifiants

pubmed: 37928790
doi: 10.21315/mjms2023.30.5.18
pii: 18mjms3005_bc
pmc: PMC10624430
doi:

Types de publication

Journal Article

Langues

eng

Pagination

221-235

Informations de copyright

© Penerbit Universiti Sains Malaysia, 2023.

Déclaration de conflit d'intérêts

Conflict of Interest None.

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Auteurs

Vasu Nallaluthan (V)

Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia.
Department of Neurosurgery, Hospital Sungai Buloh, Selangor, Malaysia.

Guan Yan Tan (GY)

Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia.
Department of Neurosurgery, Hospital Tengku Ampuan Afzan, Pahang, Malaysia.

Mohamed Fuad Murni (MF)

Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia.
Department of Neurosurgery, Hospital Sultanah Aminah, Johor, Malaysia.

Umaira Saleh (U)

Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia.
Department of Neurosurgery, Hospital Pulau Pinang, Pulau Pinang, Malaysia.

Sanihah Abdul Halim (S)

Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia.
Neurology Unit, Department of Internal Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Zamzuri Idris (Z)

Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia.
Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Abdul Rahman Izaini Ghani (ARI)

Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia.
Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Jafri Malin Abdullah (JM)

Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia.
Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Classifications MeSH