Markwalder Classification

The Markwalder Classification is used for the clinical classification of patients with chronic subdural hematomas into five different grades and was published in 1981[^1].

Grade

Description

0

Patient neurologically intact

1

Patient awake and oriented, with mild symptoms such as headache. No or mild neurological signs, such as reflex asymmetry.

2

Patient drowsy and disoriented, with variable neurological deficits such as Hemiparesis.

3

Patient stuporous but responsive to painful stimuli. Severe focal neurological deficits such as Hemiplegia.

4

Patient comatose. No motor response to painful stimuli. Decerebrate or decorticate posturing.

Figure

Markwalder classification
Original illustration of the Markwalder classification.

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  • Text changed: “The Markwalder classification is used for the clinical classification into five different grades of patients with chronic subdural hematomas and was published in 1981[^1].”“The Markwalder classification is used for the clinical categorization of patients with chronic subdural hematomas into five different grades and was published in 1981[^1].”

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