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To determine the usefulness of video recordings for validating neonatal encephalopathy (NE) exams. Population-based prospective cohort study. NE was assessed and recorded at 1, 3 and 5 hours after birth by the attending physician. Recordings were reviewed blindly after the recruitment period by two specialists. Outcome was assessed at 36 months of age. Twelve intensive care units in Spain. Infants of ≥35 weeks' gestational age with perinatal asphyxia. Weighted kappa to measure disagreement between the two specialists and between the at