Cerebral Vascular Territories

The cerebral hemispheres are supplied with blood via three major arteries: the anterior, middle, and posterior cerebral arteries.  This coronal section through the frontal lobes shows hemorrhage involving the vascular territory of which of these three major cerebral arteries? Answer:  The cerebral hemispheres are supplied with blood via three major arteries: the anterior, middle, and posterior... Continue Reading →

Stroke: Resolving Infarction

Brain infarction, or stroke, refers to brain tissue death due to a lack of life-sustaining blood flow to this area.  This brain, which belonged to a person with extensive cardiovascular disease, shows a resolving infarction involving the cerebral cortex of the occipital lobe.  Microscopically this yellow-brown discolored area is infiltrated by an army of macrophages that slowly removes the dead brain tissue until,... Continue Reading →

Intraparenchymal Hemorrhage

The massive intraparenchymal hemorrhage depicted in the autopsy specimen of a 60-year-old male patient is the result of hypertensive vasculopathy. Bleeding originated in penetrating vessels of the basal ganglia and extended into adjacent cerebral structures. The blood acts as a space-occupying lesion, resulting in uncal and subfalcine herniation with associated tissue destruction.

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