What should be done about ischemic and hypoxic encephalopathy in children?

Patient's question:

CT MRI showed no abnormalities, Wechsler intelligence test scores were very low, mild cerebral palsy, currently 13 years old, symptoms include: low comprehension ability, delayed gross and fine motor function, slight speech clarity issues, low social skills, shy and afraid to communicate with others, signs of intellectual stagnation development, what to do

Doctor's answer:

Hypoxic-ischemic encephalopathy (HIE) in newborns refers to brain damage caused by hypoxia and ischemia during the perinatal period due to asphyxia. The clinical symptoms of HIE are most important in terms of consciousness, changes in muscle tone, and convulsions, serving as the main indicators for distinguishing the severity of encephalopathy and its sequelae. This condition not only severely threatens the life of newborns but is also one of the most common causes of disability in the post-neonatal period. Generally, mild hypoxic-ischemic encephalopathy does not leave sequelae. Based on your child's hospitalization of only 8 days, the absence of convulsions, hypotonia or hypertonia, and no changes in consciousness, it is highly likely that the condition is mild, so there is no need to worry too much.

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