The New Trauma Infant Neurologic Score IN 1999 new approach and scoring system was proposed and reported by Beni Adani et all (Ref 25), that is not necessarily a tailored or revised Glasgow Coma Scale but that uses a different concept in evaluating infants. Unlike different versions of the Glasgow Coma Scale, we include objective parameters such as the presence of lateralizing signs, pupillary abnormalities, and scalp injuries, all of which are easy to define. Being, in our opinion, more accurate in evaluating infants, this scale may help in the early diagnosis of intracranial disorders in apparently neurologically intact infants and may improve the estimation of prognosis in infants with apparently low CCS. We first presented the Trauma Infant Neurologic Score (TINS) at the International Neurotrauma Symposium in 1997 (Table ). In our opinion, TINS should include: (1) Mechanism of trauma (T); (2) whether or not the infant is intubated (I), because intubation makes proper neurologic assessment difficult; (3) three neurological (N) parameters (alertness vs. coma, lateralizing signs, and pupillary abnormalities); and (4) scalp injuries (S). The TINS suggested is simple to apply, short, and clear, scaling from 1 to 10 points. For each "bad" parameter, the infant earns one point. Because TINS is applied for trauma cases, the minimal score is 1 point (for minor trauma) (see Table 3). For severe mechanism of trauma (2 points), we include falls from more than 1 m, penetrating injuries, motor vehicle crashes, and severe blow injuries to the head. The maximal TINS, which is the worst possible, would be 10. Based on our preliminary experience from unpublished data , we assume that TINS < 4 is predictive of a good prognosis, TINS of 4 to 7 indicates moderate disability, and TINS > 8 would suggest poor prognosis. As for guidelines for CT in an infant with trauma, TINS of 2 or more would be the indication, in our opinion for CT. Of course, for patients at high risk (infants with hematologic or oncologic diseases), CT is performed in all cases. We think that TINS is more than another Glasgow Coma Scale score for children, because it emphasizes the unique aspect of clinical presentation and vulnerability of infants.