There is only limited morphologic information on long-term alterations and neurotransmitter changes after perinatal asphyxia, and no long-term study showing neurodegeneration has been reported so far. We used an animal model for perinatal asphyxia well documented in the rat to investigate the guinea pig as a species highly mature at birth. Cesarean section was performed on full-term pregnant guinea pigs, and pups, still in membranes, were placed into a water bath at 37°C for asphyxia periods from 2 to 4 min. Thereafter pups were given to surrogate mothers and examined at 3 mo of age. We studied brain areas reported to be hypoxia-sensitive. Neurodegeneration was evaluated by fluorojade, neuronal loss by Nissl, reactive gliosis by glial fibrillary acidic protein staining, and differentiation by neuroendocrinespecific protein C immunoreactivity. We tested tyrosine hydroxylase, the vesicular monoamine transporter, and dopamine -hydroxylase, representing the monoaminergic system; the vesicular acetylcholine transporter; and the excitatory amino acid carrier 1. Neurodegeneration was evident in cerebellum, hippocampal area CA1, and hypothalamus, and neuronal loss could be observed in cerebellum and hypothalamus; gliosis was observed in cerebellum, hippocampus, hypothalamus, and parietal cortex; dedifferentiation was found in hypothalamus and striatum; and monoaminergic, cholinergic, and amino acidergic deficits were shown in several brain regions. The major finding of the present study was that neurodegeneration and dedifferentiation evolved in the guinea pig, a species highly mature at birth. The relevance of this contribution is that a simple animal model of perinatal asphyxia resembling the clinical situation of intrauterine hypoxia-ischemia and presenting with neurodegeneration was characterized. PA continues to be a major cause of neurologic injury in the newborn, leading to reversible and irreversible brain damage ranging from minimal brain dysfunction to death (1-3). After a hypoxic-ischemic insult certain neuron subpopulations are known to die whereas others survive (4 -6). This phenomenon, referred to as selective vulnerability, occurs in adult and neonatal brain. Neurons in the hippocampus, cerebellum, striatum, thalamus, and neocortex have been identified to be vulnerable to hypoxic-ischemic insults.Apart from acute cell death the question arises whether PA can provoke detrimental effects on the CNS later in life, e.g. as induction of neurodegeneration. There are no long-term studies available reporting on neurodegeneration after PA, and therefore we included a marker for the detection of degenerating cells. Because only subtle morphologic differences between normal and degenerating cells may exist and thus degenerating neurons could be missed easily, we performed FJ staining as the staining pattern of this dye corresponds to the pattern of argyrophilia, staining cell bodies, dendrites, and axon terminals of degenerating neurons but not healthy neurons, myelin, vascular elements, or neuropil (7).In addition...