SYSTEMS ANALYSIS OF CLINICAL, BIOCHEMICAL, AND NEUROIMAGING PREDICTORS OF NEONATAL HYPOXIC-ISCHEMIC ENCEPHALOPATHY
Keywords:
hypoxic-ischemic encephalopathy, newborns, prognosis, biomarkers, neuroimaging, electroencephalography, neuroprotection, perinatal hypoxia, neonatal neurology, integrative diagnosticsAbstract
Perinatal hypoxic ischemia is caused by impaired cerebral blood supply and oxygenation during childbirth or in the first hours of life, which triggers a cascade of secondary energy failure, oxidative stress, and neuroinflammation. In recent years, significant attention has been devoted to improving methods for the early diagnosis and prognosis of hypoxic-ischemic injuries using clinical scales, neuromonitoring, biomarkers, and neuroimaging.
References
[1] A. T. Jurabekova and N. Sh. Akhmedova, “Clinical and neurosonographic features of perinatal CNS lesions in newborns,” Neurology and Neurosurgery of Uzbekistan, vol. 2, pp. 34–38, 2020.
[2] A. T. Jurabekova and D. M. Rakhimova, “Early diagnosis of hypoxic-ischemic brain lesions in newborns,” Journal of Theoretical and Clinical Medicine, no. 5, pp. 52–56, 2021.
[3] M. B. Jalolitdinova, “Clinical aspects of hypoxic-ischemic encephalopathy in newborns,” Science and Innovation, vol. 3, no. 1, pp. 112–117, 2024.
[4] U. K. Turakulov and A. T. Jurabekova, “Perinatal risk factors for the formation of neurological disorders in newborns,” Medical Journal of Uzbekistan, no. 4, pp. 41–45, 2022.
[5] Kh. Kh. Khamraev and A. T. Jurabekova, “Instrumental methods for assessing brain damage in newborns with perinatal hypoxia,” Pediatrics of Uzbekistan, no. 1, pp. 28–32, 2025.
[6] A. Abusalam and P. S. Shah, “Long-term neurodevelopmental outcomes after neonatal hypoxic-ischemic encephalopathy,” Cureus, vol. 16, no. 3, Art. no. e29811, 2024.
[7] E. Chakkarapani et al., “Precision medicine approaches in neonatal hypoxic-ischemic brain injury,” Pediatric Research, vol. 97, no. 1, pp. 15–23, 2025.
[8] J. J. Volpe, Neurology of the Newborn, 6th ed. Philadelphia, PA, USA: Elsevier, 2018.
[9] A. J. Barkovich, “MR and CT evaluation of profound neonatal and infantile asphyxia,” American Journal of Neuroradiology, vol. 13, no. 3, pp. 959–972, 1992.
[10] S. J. Miller et al., “Patterns of brain injury in term neonatal encephalopathy,” Journal of Pediatrics, vol. 146, no. 4, pp. 453–460, 2005.
[11] F. Groenendaal and L. S. de Vries, “Fifty years of brain imaging in neonatal encephalopathy following perinatal asphyxia,” Pediatric Research, vol. 81, no. 1, pp. 150–155, 2017.
[12] L. Hellström-Westas, I. Rosen, and N. W. Svenningsen, “Predictive value of early continuous amplitude integrated EEG recordings on outcome after severe birth asphyxia,” Pediatrics, vol. 95, no. 6, pp. 821–828, 1995.
[13] H. W. Azzopardi et al., “Moderate hypothermia to treat perinatal asphyxial encephalopathy,” New England Journal of Medicine, vol. 361, no. 14, pp. 1349–1358, 2009.
[14] D. M. Ferriero, “Neonatal brain injury,” New England Journal of Medicine, vol. 351, no. 19, pp. 1985–1995, 2004.
[15] F. Chalak et al., “Biomarkers for severity of neonatal hypoxic-ischemic encephalopathy and outcomes in newborns receiving hypothermia therapy,” Journal of Pediatrics, vol. 164, no. 3, pp. 468–474, 2014.