Description
The brain is mounted to display the cerebellar tonsils which have been compressed alongside the
medulla and show a ring of compression corresponding to the foramen magnum. There is no
bruising apparent.
History
This child had severe diffuse supravalvular aortic stenosis, associated with mild
pulmonary stenosis affecting the right and left branches of the pulmonary artery together with
mitral incompetence. Surgical repair was carried out but the child suffered a cardiac arrest
towards the end of the procedure. At autopsy cerebral oedema was demonstrated.