Quantitation of Medullary Astrogliosis in Sudden Infant Death Syndrome
- 1 January 1991
- journal article
- research article
- Published by S. Karger AG in Pediatric Neurosurgery
- Vol. 17 (2) , 74-79
- https://doi.org/10.1159/000120571
Abstract
One of the few relatively consistent pathologic observations in sudden infant death syndrome (SIDS) is astrogliosis of the brain stem. Astrogliosis is a nonspecific reactive process and its cause in SIDS, although still uncertain, is postulated to be hypoxia-ischemia. In this study, the distribution of reactive astrocytes throughout the rostralcaudal extent of the medulla has been determined. Although astrogliosis was present throughout the length of the medulla, it reached a maximum at levels 50–75% of total length, with 0% at the pontomedullary junction. Counting every reactive astrocyte through serial sections of the medulla seems unwarranted in view of the nonspecificity of the astro-cytic response. This report proposes a practical approach to the quantitation of reactive astrocytes in SIDS by examining a representative sample of medulla midway through its length.Keywords
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