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Related Experiment Video

Updated: Dec 17, 2025

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
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Central nervous system pathology in the amniotic rupture sequence.

Patrick Shannon

    Clinical Neuropathology
    |June 27, 2020
    PubMed
    Summary

    Amniotic rupture sequence (ARS) central nervous system (CNS) pathology is linked to craniofacial clefts. Specific brain anomalies like aqueductal stenosis and holoprosencephaly frequently occur with ARS.

    Area of Science:

    • Neuropathology
    • Developmental Biology
    • Fetal Medicine

    Background:

    • Amniotic rupture sequence (ARS) is a condition with diverse fetal malformations.
    • Understanding the central nervous system (CNS) involvement in ARS is crucial for diagnosis and management.

    Purpose of the Study:

    • To delineate and review the CNS pathology associated with ARS.
    • To identify extraneural associations of ARS-related CNS malformations.

    Main Methods:

    • A review of a 15-year fetal/neonatal autopsy series was conducted.
    • Cases of ARS were analyzed for CNS morphology and associated anomalies.

    Main Results:

    • Fifteen cases of ARS with complete CNS dissection were identified.

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  • CNS pathology was strongly associated with craniofacial clefts, including acalvaria and encephalocele.
  • Non-random associations were observed between aqueductal stenosis (AS), holoprosencephaly, and ARS, with specific brain malformations noted in cases with encephalocele.
  • Conclusions:

    • CNS pathology in ARS is significantly linked to craniofacial abnormalities.
    • The co-occurrence of AS, holoprosencephaly, and ARS suggests specific developmental pathways are involved.
    • Potential etiologies include abnormal induction, vascular instability, and mechanical factors from craniofacial maldevelopment.