E65

BRAIN - Old infarction

Description
Coronal section taken in the anterior parietal area, showing on the right a cavity some 4cm. in maximum diameter lined by a pigmented membrane. The cavity occupies much of the right caudate area posteriorly. The right lateral ventricle is distorted, and there is blood clot in the third ventricle.
History
This woman, at the age of 63, was admitted to hospital unconscious, with a few hours history of discomfort, nausea and dizziness. She had a previous history of cardiovascular accidents. She is also described as having had severe hearing loss, beginning in childhood following an attack of diphtheria. Death was due to spontaneous intracerebellar haemorrhage, which ruptured into the fourth ventricle.