Which area of the brain is least likely to be affected by kernicterus?

Kernicterus is a form of brain damage caused by excessive levels of bilirubin, which can occur in newborns due to conditions like hemolytic disease. The areas most commonly affected by kernicterus are those that are high in vulnerable neurons, such as the basal ganglia, thalamus, and brain stem. These regions are particularly susceptible because they contain neurons that are more sensitive to elevated bilirubin levels.

In contrast, the cortex is less likely to be impacted by kernicterus because it does not possess the same vulnerability as the subcortical structures. The cerebral cortex has a more robust blood-brain barrier and is involved in higher cognitive functions, which may provide some protection against the neurotoxic effects of bilirubin, particularly in the early stages of the condition.

Overall, when considering the areas of the brain affected by kernicterus, the cortex stands out as being the least susceptible, making it the correct answer. Understanding this distinction helps underscore the protective mechanisms inherent in different brain regions in response to toxic agents like bilirubin.