An infant with intrauterine brain death accompanied by pulmonary hypoplasia
is reported. The fetus was delivered after 36 weeks gestation, 5 weeks aft
er fetal movements ceased. The child died 4 h after birth. Pulmonary hypopl
asia and remote brainstem necrosis associated with multicystic encephalomal
acia were found at autopsy. Conclusion: these findings suggest that damage
to brainstem respiratory centres had led to pulmonary hypoplasia through th
e absence of fetal respiratory movement.