Kernicterus is damage to the brain centers of infants caused by elevated levels of
bilirubin. This may be due to several underlying pathologic processes. Newborn babies are often
polycythemic, meaning they have too many
red blood cells. When they break down the cells, one of the byproducts is
bilirubin, which circulates in the blood, and causes
jaundice. Alternately, Rh incompatibility between mother and fetus may cause
hemolysis of fetal red blood cells, thereby releasing unconjugated bilirubin into the fetal blood. Since the fetal
blood brain barrier is not fully formed, some of this released bilirubin enters the brain and interferes with normal neuronal development.
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Disorder due to jaundice in a newborn baby with high blood levels of the pigment bilirubin that is deposited in the brain resulting in damage. The level of bilirubin is monitored in newborns to determine whether treatment is needed to prevent kernicterus. With brain affected, it is also called bilirubin encephalopathy.