# Symptoms of neonatal encephalopathy (NE) *No executive summary as currently short* Examples from the North West Neonatal Operational Delivery Network (NWNODN) Hypoxic Ischaemic Encephalopathy (HIE) Guideline: * Altered state of consciousness (reduced or no response to stimulation, need for respiratory support because of diminished respiratory drive) * Abnormal tone (focal or general hypotonia or flaccid) * Abnormal primitive reflexes (weak or absent suck or Moro response) * Seizures * An abnormal aEEG recording for a continuous period of at least 30min [[source]](https://www.neonatalnetwork.co.uk/nwnodn/wp-content/uploads/2020/03/GL-ODN-03-HIE-Cooling.pdf)