Table 1 Japan Coma Scale for grading of impaired consciousness.

From: Intraoperative hand strength as an indicator of consciousness during awake craniotomy: a prospective, observational study

Grade

Consciousness Level

0

Fully conscious

1-digit code

The patient is awake without any stimuli, and is:

1

Almost fully conscious

2

Unable to recognize time, place, and person

3

Unable to recall name or date of birth

2-digit code

The patient can be aroused (then reverts to previous state after cessation of stimulation):

10

Easily by being spoken to (or is responsive with purposeful movements, phrases, or words)*

20

With loud voice or shaking of shoulders (or is almost always responsive to very simple words like yes or no, or to movement)*

30

Only by repeated mechanical stimuli

3-digit code

The patient cannot be aroused with any forceful mechanical stimuli, and:

100

Responds with movements to avoid the stimulus

200

Responds with slight movements including decerebrate and decorticate posture

300

Does not respond at all except for change in respiratory rhythm

  1. *Criteria in parentheses are used in patients who cannot open their eyes for any reason. This table was quoted with modification from Ohta et al.3.