Abstract

THAT incompatibility of the Rh factor between mother and child may result in brain damage in children who survive the acute phase of the disease in the neonatal period is a well established fact. The clinical picture of this sequela is essentially one of mental deficiency, choreoathetosis and extrapyramidal spasticity.1Pathologically, there is evidence of brain damage, usually most pronounced in regions which are affected in kernicterus, i. e., the subthalamic nuclei and the lenticular bodies.2More recently, the possibility has been considered that in the absence of Rh incompatibility, erythroblastosis fetalis, jaundice and kernicterus may result occasionally from maternal isoimmunization during pregnancy by the A or B factor.3Possible neurologic sequelae of this condition have been the object of a few reports,4but as yet no pathologic description of the brain damage underlying these sequelae is available. It is the purpose of this report

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