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Washington University Experience | VASCULAR | Infarct - Acute | 7A0 Case 7 History
Case 7 History ---- The patient was a 74 year old woman with a past medical history of hypertension, shortness of breath on exertion and a 50 year smoking history. In 5/98, she presented to the hospital with a recent history of hemoptysis, a large right hilar mass and mediastinal lymphadenopathy but workup revealed no evidence of malignancy. In the early morning of 3/28 the patient was found unresponsive and pulseless by EMS. She remained pulseless in the BJH ER. ---- The weight of the unfixed brain is 1250g. Coronal sections of the cerebral hemispheres revealed a large area of softening and tan-brown discoloration (arrow), involving the left parieto-occipital lobes in a MCA territory distribution. Microscopic examination in the pathology reported established edema and vacuolation, eosinophilic neuronal necrosis, PMN infiltration in the leptomeninges, marginated in parenchymal vessels and in extravascular parenchyma.
