Neuropathology Associated with Hypoxic-Ischemic Injury in Sudden Unexpected Natural Death in Neonates and Infants

Author:

Welsh Cynthia T.1

Affiliation:

1. Medical University of South Carolina - Pathology and Lab Medicine

Abstract

Unexpected death in neonates and infants has no explanation in a larger percentage of cases than is true for adults. Sudden death in neonates/infants secondary to central nervous system (CNS) causes is relatively uncommon. Birth injury is typically but not always recognized. Even with a history of CNS injury, the death may still be unexpected. CNS pathology is fairly common at postmortem examination, but is often not causal. One of the most common critical neuropathologies is hypoxic-ischemic and may be hemorrhagic. In both the acute and chronic phases, the differentiation from nonaccidental trauma needs to be evaluated. Evaluation is best achieved in a well-fixed brain. Some pathology cannot be seen macroscopically and requires microscopic sections.

Publisher

SAGE Publications

Subject

Pathology and Forensic Medicine

Reference8 articles.

1. DawsonT.P. NealJ.W. LlewellynL. ThomasC. editors. Neuropathology techniques. New York; 2003, p 51–3.

2. Al-AdnaniM. The pediatric and perinatal autopsy manual. London: Cambridge University Press; c2014. Chapter 1, Perinatal autopsy techniques, and classifications; p. 1–16.

3. GrahamD.I. BellJ.E. IronsideJW editors. Color atlas and text of neuropathology. New York: Elsevier Health Sciences; 1995. p. 6–7.

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