The document discusses using methylene blue (MB) to treat perinatal brain damage caused by hypoxic-ischemic events. In vitro cell culture studies showed MB has a protective effect on neuronal progenitor and oligodendrocyte cell lines by inhibiting reactive oxygen species production and restoring ATP levels. However, in vivo studies using an animal model of neonatal hypoxic-ischemic injury did not provide conclusive results due to time limitations. While cell culture studies showed promising results, further research is still needed to determine MB's exact mechanisms of action and effectiveness in treating different types of perinatal brain injuries.