We describe a case of a 19-year-old G1P0 woman with an unremarkable pr
enatal course who presented at term in labor Fetal bradycardia develop
ed and forceps were used to deliver a male infant, who was born with A
pgar scores of 0 and 0 and could not be resuscitated. Examination at a
utopsy revealed no gross evidence of trauma, but on microscopic examin
ation of the lungs and the placenta, multiple fetal vessels contained
emboli consisting of fragments of fetal cerebellar cortex. Previously
reported cases of this rare phenomenon are reviewed and the pathogenes
is is discussed.