Numerous neuroimaging studies describe the presence of brain lesions in the preterm infant, using cranial ultrasound (cUS) and/or term equivalent age MRI (TEA-MRI). These studies however focus on germinal matrix-intraventricular hemorrhage (GMH-IVH) and white matter injury. Studies regarding perinatal arterial ischemic stroke (PAIS) or cerebral sinovenous thrombosis (CSVT) in the preterm infant are very limited. Several large cohort studies on neuro-imaging in preterm infants do not mention neonatal stroke. The majority of the studies about PAIS exclude preterm infants. Thus a recent study provides an update on neonatal stroke in the preterm infant, with a focus on neuroimaging findings.Perinatal arterial ischemic stroke-These centrally located infarcts become apparent after the first postnatal week. They are typically wedge-shaped and mostly do not involve the posterior limb of the internal capsule (PLIC). ‘Cortical sparing’ can be seen in the preterm infant either partial or complete, with complete sparing seen only in infants with a GA