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Bradycardia Hypotension Apnea Cyanosis Other Lateral Deviation Nystagmus Discordance Eyes Bicycling Rowling Lip smacking Fasciculations Chewing Sucking Duration Subtle Myoclinic* Multifocal Clonic* Focal Clonic* (part) Isolated Tonic* (part) Generalized Tonic* Seizure Type Skin Check* Extremity Strength Pupil Reactivity* (right/left) Pupil Size* (right/left) Neonatal Arousal Scale* TIME DATE NEUROLOGICAL ASSESSMENT / HYPOTHERMIA Comments * Definitions on back INITIALS S.

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