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. 2019 Sep 7;87(4):697–702. doi: 10.1038/s41390-019-0562-x

Table 1.

The modified Sarnat neurologic examination form utilized for the neurological assessment of all study participants

Category Signs of HIE in each level
Normal/mild HIE Moderate HIE Severe HIE
Level of consciousness 1 2 = Lethargic 3 = Stupor/coma
Spontaneous activity 1 2 = Decreased activity 3 = No activity
Posture 1 2 = Distal flexion, complete extension 3 = Decerebrate
Tone 1 2 = Hypotonia (focal or general) 3 = Flaccid
3 = Rigid
Primitive reflexes
  Suck 1 2 = Weak or has bite 3 = Absent
  Moro 1 2 = Incomplete 3 = Absent
Autonomic system
  Pupils 1 2 = Constricted 3 = Deviation/dilated/nonreactive
  Heart rate 1 2 = Bradycardia 3 = Variable HR
  Respiration 1 2 = Periodic breathing 3 = Apnea or requires ventilator

HIE hypoxic–ischemic encephalopathy, HR heart rate