BRAIN - Injury

On the left side of the parietal and temporal lobes there is extensive subarachnoid bruising with punctate cortical bruising. There is further bruising on the right side in the temporal lobe but this is rather less marked. The narrowness of the lateral ventricles suggests some brain swelling.
This man, aged 48, fell down a companionway at sea (blood alcohol 285 mg/100 ml 2 hours after the accident). There was a fracture of the skull in the left parietal area. There was haemorrhage in the brain stem and the cerebellar tonsils were coned.