Diagnosis of Neonatal Cerebral Arterial Infarction

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Clinical suspicion requires an initial neuroimaging study, a sequential brain ultrasound; although the test that confirms a suspected diagnosis is cerebral magnetic resonance imaging (MRI, DWI/ADC).

Tools such as brain function monitoring make it possible to detect whether clonic seizures have an electrical manifestation, while at the same time monitoring the response to antiepileptic treatment.

Biochemical tools, such as blood biomarkers and cerebrospinal fluid, also give an idea of the severity of the infarction and, therefore, have early prognostic value. Viral or bacteriological infections must be ruled out, and a study of prothrombotic factors performed, hereditary and acquired.

Performing a structured neurological assessment of asymmetries involving tone, posture and spontaneous motor activity.

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