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Modified Glasgow Coma Scale (MGCS) Calculator

Score motor activity, brainstem reflexes and level of consciousness to grade neurological status and estimate 48-hour prognosis after head trauma.

Veterinary head-trauma assessment · Dogs & Cats

Motor activity

Score motor activity

Assess gait, posture and limb tone in the recumbent patient.

Motor activity
Brainstem reflexes

Score brainstem reflexes

Assess pupil size, pupillary light reflex (PLR) and oculocephalic (doll's-eye) reflex.

Brainstem reflexes
Level of consciousness

Score level of consciousness

Assess responsiveness to the environment and to stimuli.

Level of consciousness
Result

MGCS score

The total, the prognosis band and the 48-hour survival estimate update as you score.

Your MGCS score will appear here

Score one option in each of the three categories and the total, prognosis band and 48-hour survival estimate appear here.

MGCS total
– / 18
3 · GraveGood · 18
Select one option in each category to calculate the score.

Clinical use only. The MGCS (Shores; validated in dogs by Platt et al., 2001) is a decision-support aid for veterinary professionals, not a substitute for hands-on clinical judgement. A score of 8 correlated with roughly a 50% probability of survival in the first 48 hours in the validation study. Re-score serially — the trend over time is more informative than a single value. This tool does not diagnose, treat, or replace an in-person emergency exam.

How this tool works

How to interpret the total (3–18)

Total scorePrognosisWhat it tends to mean
15–18GoodMild neurological impairment; favourable outlook with prompt care.
9–14GuardedModerate impairment; outcome uncertain, needs close monitoring and treatment.
3–8GraveSevere impairment; low probability of survival, aggressive intervention required.
Dr Duncan Houston
About the author

Dr Duncan Houston · BVSc, Veterinarian

Emergency careGeneral practiceMobile vet careFounder, ASK A VET™

Dr Duncan Houston is an Australian veterinarian with experience in emergency, general-practice and mobile veterinary care. He is the founder of ASK A VET™. This guide is educational and is not a substitute for hands-on veterinary care.