{"id":45,"date":"2009-02-25T11:11:40","date_gmt":"2009-02-25T11:11:40","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neurofour\/"},"modified":"2025-05-14T21:02:16","modified_gmt":"2025-05-14T21:02:16","slug":"neurofour","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neurofour\/","title":{"rendered":"Escala FOUR para Pacientes Comatosos"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La puntuaci\u00f3n de Escala completa de falta de respuesta (Full Outline of UnResponsiveness &#8211; FOUR) proporciona mayor detalle neurol\u00f3gico que la Escala de coma de Glasgow (GCS), reconoce un s\u00edndrome de enclaustramiento y es superior a la GCS debido a la disponibilidad de reflejos del tronco encef\u00e1lico, patrones de respiraci\u00f3n y la capacidad de reconocer las diferentes etapas de la herniaci\u00f3n.<!--more--><\/p>\n<p><strong>Respuesta ocular<br \/>\n<\/strong>4 = ojos abiertos, rastreo, o parpadeo a la orden<br \/>\n3 = ojos abiertos pero no rastreo<br \/>\n2 = ojos cerrados pero abiertos a la voz alta<br \/>\n1 = ojos cerrados pero abiertos al dolor<br \/>\n0 = los ojos permanecen cerrados con dolor<\/p>\n<p><strong>Respuesta motora<br \/>\n<\/strong>4 = pulgar hacia arriba, pu\u00f1o, o signo de la paz<br \/>\n3 = localiza el dolor<br \/>\n2 = respuesta flexora al dolor<br \/>\n1 = respuesta en extensi\u00f3n al dolor<br \/>\n0 = sin respuesta al dolor o estado de miocl\u00f3nico generalizado<\/p>\n<p><strong>Reflejos del tronco cerebral<br \/>\n<\/strong>4 = reflejo pupilar y corneal presente<br \/>\n3 = una pupila dilatada y fija<br \/>\n2 = reflejo pupilar o corneal ausente<br \/>\n1 = reflejo pupilar y corneal ausente<br \/>\n0 = reflejo pupilar, corneal y tus\u00edgeno ausente<\/p>\n<p><strong>Respiraci\u00f3n<br \/>\n<\/strong>4 = no intubado, patr\u00f3n respiratorio<br \/>\n3 = no intubado, patr\u00f3n respiratorio de Cheyne\u2013Stokes<br \/>\n2 = no intubado,\u00a0respiraci\u00f3n irregular<br \/>\n1 = respiraci\u00f3n sobre la frecuencia del ventilador<br \/>\n0 = respiraci\u00f3n a la frecuencia del ventilador o apnea<\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Wijdicks EF, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: The FOUR score. Ann Neurol. 2005 Oct;58(4):585-93.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16178024\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Wijdicks EF. Clinical Scales for Comatose Patients: The Glasgow Coma Scale in Historical Context and the New FOUR Score. Rev Neurol Dis. 2006 Fall;3(3):109-17.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17047576\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Ene 29, 2007<\/p>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La puntuaci\u00f3n de Escala completa de falta de respuesta (Full Outline of UnResponsiveness &#8211; FOUR) proporciona mayor detalle neurol\u00f3gico que la Escala de coma de Glasgow (GCS), reconoce un s\u00edndrome de enclaustramiento y es superior a la GCS debido a la disponibilidad de reflejos del tronco encef\u00e1lico, patrones de respiraci\u00f3n y la capacidad de reconocer [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[1286,1285,1861,650,1300,990,973,450,1375],"class_list":["post-45","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-coma","tag-comatose","tag-comatosos","tag-four","tag-neurology","tag-pacientes","tag-patients","tag-score","tag-uti"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/45","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=45"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/45\/revisions"}],"predecessor-version":[{"id":9371,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/45\/revisions\/9371"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=45"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=45"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=45"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}