Beyond hypoxic–ischemic encephalopathy: genetic insights and precision diagnosis in neonatal encephalopathies - Summary - MDSpire

Beyond hypoxic–ischemic encephalopathy: genetic insights and precision diagnosis in neonatal encephalopathies

  • By

  • Carla Cimino

  • Vincenzo Sortino

  • Annamaria Sapuppo

  • Marco Andrea Nicola Saporito

  • Federica Scarlata

  • Raffaele Falsaperla

  • June 15, 2026

  • 0 min

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Objective:

To review the clinical presentations and pathogenetic mechanisms of neonatal encephalopathies and introduce a structured diagnostic algorithm for early differential diagnosis and precision management.

Approach:
    Key Findings:
    • Neonatal encephalopathies are heterogeneous and may mimic hypoxic-ischemic encephalopathy (HIE).
    • Genetic factors increasingly contribute to neonatal encephalopathies.
    • Next-generation sequencing (NGS) is a first-line diagnostic tool for identifying genetic causes.
    Interpretation:

    Limitations:
    • The review is limited to studies published within a specific timeframe (2012-2025).
    • The diagnostic algorithm may not encompass all potential causes of neonatal encephalopathy.
    Conclusion:

    The article discusses the need for a multidimensional diagnostic framework to improve the recognition and management of genetic neonatal encephalopathies.

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