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. Author manuscript; available in PMC: 2015 Oct 12.
Published in final edited form as: Pediatr Neonatol. 2015 Feb 7;56(5):307–316. doi: 10.1016/j.pedneo.2014.12.005
Moderate
encephalopathy		 Severe
encephalopathy
Level of
 consciousness		 Lethargic Stupor/coma
Spontaneous
 activity		 Decreased activity No activity
Posture Distal flexion
Full extension		 Decerebrate
Tone Hypotonia
Focal, general		 Flaccid
Primitive
 reflexes		 Weak suck
Incomplete moro		 Absent suck
Absent moro
Autonomic
 system		 Constricted pupils
Bradycardia
Periodic breathing		 Skew deviation,
dilated, nonreactive
to light pupils
Variable heart rate
Apnea