4 Lethargic response to name spoken in normal tone
Mild slowing
Mild relaxation
Mild ptosis
3 Responds only after name is called loudly or repeatedly
Prominent slowing
Marked relaxation
Marked ptosis
2 Responds only after mild prodding or shaking Few recognizable word 1 Responds only after squeezing of the trapezius 0 Does not respond after squeezing of the trapezius