Table 1

Sarnat score: clinical staging of posthypoxic encephalopathy

FactorStage 1Stage 2Stage 3
ConsciousnessAlertLethargicComa
ToneNormalHypotonicFlaccid
Tendon reflexesIncreasedIncreasedDepressed
MyoclonusYesYesNo
SuckActiveWeakAbsent
Moro responseIncreasedIncompleteAbsent
Grasp reflexNormalIncreasedAbsent
OculocephalicNormalIncreasedDepressed
PupilsDilatedConstrictedVariable/fixed
RespirationRegularPeriodic/variableApnoea
Heart rateIncreased/normalBradycardiaBradycardia
SeizuresNoCommonUncommon
EEGNormalPeriodic or paroxysmalPeriodic or isoelectric