CORRELATION BETWEEN GLASGOW COMA SCALE SCORE AND INTRACRANIAL PRESSURE IN PATIENTS WITH

SUMMARY • Patients sustaining severe head injury require use of standardized treatment proto-cols, most of them focused on the maintenance of cerebral perfusion pressure. Among other goals, neurologic recovery can be expected if a satisfactory level of cerebral perfusion pressure has been achieved. The aim of the study was to assess the correlation between neurologic findings expressed as Glasgow Coma Scale (GCS) score, and intracranial cerebral perfusion and mean arterial pressure. Results obtained in 24 study patients pointed to negative correlation between GCS score and intrac-ranial pressure (p=0.006), and positive correlation between GCS score and cerebral perfusion pres-sure (p=0.016). There was no statistically significant correlation between GCS score and mean arte-rial pressure, which could be explained by use of iatrogenic procedures for the maintenance of mean arterial pressure. In conclusion, the intracranial and cerebral perfusion pressures appear to correlate well with GCS score, thus monitoring of these pressures may be highly useful in the follow-up of patients with severe brain injury