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The accompanying editorial by Papile4 concludes that brain cooling for neonates with hypoxicischemic encephalopathy should be considered an experimental technique and that widespread application would be premature. Papile suggests that longer-term follow-up will be needed to confirm the benefits in terms of neurologic performance. We feel strongly that this conservatism is misplaced. No other effective treatments for encephalopathy after hypoxia are available; with
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