Small Animal Coma Scale
Motor activity Time: Time: Time: Time: Time: Time:
Normal gait, normal spinal reflexes 6
Hemiparesis, tetraparesis, or decerebrate activity 5
Recumbent, intermittent extensor rigidity 4
Recumbent, intermittent extensor rigidity with opisthotonus 3
Recumbent, constant extensor rigidity with opisthotonus 2
Recumbent, hypotonia of muscles, depressed or absent spinal reflexes 1
Brain stem reflexes
Normal pupillary light reflexes and oculocephalic reflexes 6
Slow pupillary light reflexes and normal to reduced oculocephalic reflexes 5
Bilateral unresponsive miosis with normal to reduced oculocephalic reflexes 4
Pinpoint pupils with reduced or absent oculocephalic reflexes 3
Unilateral, unresponsive mydriasis with reduced or absent oculocephalic reflexes 2
Bilateral, unresponsive mydriasis with reduced or absent oculocephalic reflexes 1
Level of consciousness
Occasional periods of alertness and responsive to environment 6
Depression or delirium, capable of responding to environment but response may be inappropriate
5
Stupor, responsive to visual stimuli 4
Stupor, responsive to auditory stimuli 3
Stupor, responsive only to repeated noxious stimuli 2
Coma, unresponsive to repeated noxious stimuli 1
TOTAL SCORE
List current medications that may affect examination
(e.g., opioids, sedatives, antidepressants, etc)
Score interpretation: 3-8 Grave 9-14 Guarded 15-18 Good