Developmental changes in the response of the neonatal rat brain to hyp
oxic/ischemic injury were examined. Hypoxic/ischemic injury was produc
ed by unilateral carotid ligation followed by exposure to hypoxia in 1
-(D1), 3-(D3), 5-(D5) and 7-day-old (D7) rats. Injury was produced in
most D7 animals exposed to greater than or equal to 120 min of 7.6 or
8% oxygen after carotid ligation. The extent of neuronal injury was va
riable, ranging from focal neuronal death to massive infarction. In D5
and D3 animals, there was a progressive decline in the extent of neur
onal injury in response to hypoxia/ischemia. In the younger animals, b
ilateral injury was occasionally seen. Sham-operated animals exposed t
o hypoxia alone had numbers of karyorrhectic neurons similar to normal
control animals in all age groups. The underlying developmental chang
es which account for these differences are not yet known but are likel
y to be multiple.