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Hypoplasia and neuronal immaturity of the hypoglossal nucleus in sudden infant death Ottaviani G; Matturri L; Mingrone R; Lavezzi AMJ Clin Pathol 2006[May]; 59 (5): 497-500OBJECTIVE: To report the case of five month old female baby with a history of episodes of gastro-oesophageal reflux and pneumonia. Her sudden death offered a unique insight into the possible role of delayed neuronal maturation and hypoplasia of the hypoglossal nucleus in representing a likely morphological substrate of sudden death. METHODS: Morphometric analysis was carried out with an Image-Pro Plus Image analyser (Media Cybernetics) on both sides of the brain stem. RESULTS: Hypoplasia and neuronal immaturity of the hypoglossal nucleus were demonstrated, accompanied by hypoplasia of the arcuate nucleus. CONCLUSIONS: Much attention should be paid to the possible role of the hypoglossal nucleus in determining a lethal outcome in infancy through impairment of deglutition and subsequent recurrent episodes of pneumonia, and as a necropsy finding.|Adult[MESH]|Apnea/complications/pathology[MESH]|Arcuate Nucleus of Hypothalamus/pathology[MESH]|Female[MESH]|Gastroesophageal Reflux/complications/pathology[MESH]|Humans[MESH]|Hypoglossal Nerve/*pathology[MESH]|Infant[MESH]|Neuroglia/*pathology[MESH]|Smoking/adverse effects[MESH]|Sudden Infant Death/*pathology[MESH] |
