One reason why application of CCS may be inaccurate and problematic for infants is that most suggested Children's Coma Scales include parameters that are difficult to interpret and score. Examples are infants' interaction with the examiner, restlessness or consolability, and the difficult evaluation of sound and cry. The problem is greater than in older children because infants' psychomotor development is variable (each infant has a different speed and level) and verbal communication is incomplete-considerations that may influence the CCS applied. We think that in this age group, therefore, objective parameters, which are clear and evident to any examiner, should be used.