A comatose neonate lays motionless with eyes totally or partially closed. This appearance resembles and must be differentiated from sleep, death, severe generalized hypotonia with facial involvement, and status epilepticus.
DIFFERENTIATING COMA FROM SLEEP
neonate may not be aroused regardless of the intensity of the stimuli,
may require excessive stimuli to be aroused, or is unable to sustain a
normal arousal response. Normal sleeping neonates have a normal arousal