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Updated: Jun 28, 2026

The Hypoxic Ischemic Encephalopathy Model of Perinatal Ischemia
Published on: November 19, 2008
Delayed substantia nigra damage and leukoencephalopathy after hypoxic-ischemic injury
Min Lou1, Chao-Hui Jing, Magdy H Selim
1Department of neurology, The 2nd Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, 310009, China.
Abstract:
Delayed post-anoxic encephalopathy has rarely been reported, and has most commonly been associated with carbon monoxide poisoning. The underlying pathophysiological mechanism is unknown. We describe a patient with a delayed neurologic decline after a good initial recovery from a hypoxic-ischemic event precipitated by acute blood loss. MRI revealed early globus pallidus necrosis followed by delayed substantia nigra damage and leukoencephalopathy. We suggest that anemia might play a role in this pattern of hypoxic-ischemic brain injury.
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