Anonymous
Not logged in
Talk
Contributions
Create account
Log in
Search
Editing
Bansal Score Chart for ME/CFS
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
Namespaces
Page
Discussion
More
More
Page actions
Read
Edit
Edit source
History
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
The '''Bansal Score Chart''' was developed in 2008, by Dr. [[Amolak Bansal]] of the UK, in order to improve the diagnostic certainty for primary and secondary care physicians.<ref>http://www.investinme.org/Documents/Education/Invest%20in%20ME%20BRMEC4%20and%20IIMEC9%20Report%202014.pdf</ref> <center>'''Bansal Score Chart'''</center> {| class="wikitable" style="width: 95%; margin-left: auto; margin-right: auto;" |- | Delayed prolonged [[Post-exertional malaise|PEM]] after Physical, Mental & Emotional [[Exertion|excess]] || align="center" | 3 || |- | [[Unrefreshing sleep|Non-restorative sleep]] with difficulty [[Insomnia|initiating and maintaining sleep]]|| align="center" | 2 || |- | [[Cognitive dysfunction|Impaired concentration]] that is reduced further by external stimuli || align="center" | 1 || |- | [[Memory problems|Reduced short term memory]] with [[Word-finding problems|word finding difficulty]] || align="center" | 1 || |- | New [[Headache|headaches]] (>2/mth & different in character from previous headaches) || align="center" | 1 || |- | [[Sore throat]] with cervical tenderness/recurrent [[Flu-like symptoms|flu-like episodes]] || align="center" | 1 || |- | [[Arthralgia]] affecting several joints (with stiffness >1 hr but no swelling) || align="center" | 1 || |- | [[Myalgia]] affecting multiple groups and exacerbated by mild [[exertion]] || align="center" | 1 || |- | Postural instability ([[Neurally mediated hypotension|NMH]]/[[Postural orthostatic tachycardia syndrome|POTS]]) - feeling unstable on standing/sitting || align="center" | 1 || |- | Hypersensitivity to [[Hyperacusis|sounds]] and [[Photophobia|lights]] ([[Odor sensitivities|smells]] as well with [[nausea]])|| align="center" | 1 || |} {| class="wikitable" style="width: 95%; margin-left: auto; margin-right: auto;" | Need 8 or more from 13 points to confirm CFS/ME with an absolute requirement for some form of PEM.|| |- | Delayed (>12 hours) prolonged (24hrs+) PEM gives 3 points while an immediate PEM (<3 hours) of >24 hours gives 2 points. Immediate PEM (<3Hours) lasting <24 hours gives 1 point. || |- | The [[fatigue]], neurocognitive problems, [[myalgia]], arthalgia, [[hypersensitivity]] issues must be significant and cause disability for >50% of the time. || |- | Non-restorative sleep with [[Hypersomnia|difficulty initiating and maintaining this at night time]] and present >5+ nights per week gives 2 points. | The non-restorative nature of the sleep disturbance must persist with hypnotics. || |- | Non-restorative sleep without difficulty initiating and or staying asleep gives 1 point. || |- | Sore throat and flu like sensations must be present 1+ week. || |- | Neurocognitive dysfunction with impaired [[Attention deficit|concentration]] and [[memory problems]] aggravated by overload from excessive visual and auditory stimuli. || |- | Great care when patients have a significant [[anxiety]] and/or [[depression]]. However, depression and anxiety can complicate [[Chronic fatigue syndrome|CFS]] and vice versa. | | |- | In our research studies all subjects have 10 or more points and we exclude those with significant [[depression]] and [[anxiety]]. The [[Hospital Anxiety and Depression Scale |HADS]] is partly helpful. || |- | [[Hypersensitivity|Hypersensitivity to medications]] is particularly frequent and especially to SSRIs, SNRIβs, TCA,s etc.|| |- | [[Alcohol intolerance]] is also frequent and tolerance of 4 units or more in a single sitting encourages a revaluation of the diagnosis. Fewer than 10% our patients continue regular alcohol ingestion. | | |- | ''From a clinical perspective, additional points that may help in suggesting the diagnosis in borderline cases include cold peripheries, alcohol intolerance, drug hypersensitivity, altered pupil reflexes and sighing respiration (3+ = 1 point)'' || |} ==References== {{Reflist}} [[Category:Symptom scales]]
Summary:
Please make sure your edits are consistent with
MEpedia's guidelines
.
By saving changes, you agree to the
Terms of use
, and you irrevocably agree to release your contribution under the
CC BY-SA 3.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)
Templates used on this page:
Template:Main other
(
edit
)
Template:Reflist
(
edit
)
Module:Check for unknown parameters
(
edit
)
Navigation
Navigation
Skip to content
Main page
Browse
Become an editor
Random page
Popular pages
Abbreviations
Glossary
About MEpedia
Links for editors
Contents
Guidelines
Recent changes
Pages in need
Search
Help
Wiki tools
Wiki tools
Special pages
Page tools
Page tools
User page tools
More
What links here
Related changes
Page information
Page logs