IPLab:Lab 3:Brain Infarction - Revision history

Peter Anderson: /* Images */

2020-06-23T22:54:08Z

‎Images

Peter Anderson: /* Images */

2020-06-23T22:48:50Z

‎Images

Peter Anderson: /* Images */

2020-06-23T22:34:37Z

‎Images

Peter Anderson: /* Images */

2020-06-23T22:32:31Z

‎Images

Peter Anderson: /* Images */

2020-06-23T22:30:37Z

‎Images

Peter Anderson: /* Images */

2020-06-23T22:29:46Z

‎Images

Peter Anderson: /* Images */

2020-06-23T22:26:02Z

‎Images

Peter Anderson: /* Autopsy Findings */

2020-06-23T21:19:39Z

‎Autopsy Findings

Peter Anderson: /* Clinical Summary */

2020-06-23T21:18:43Z

‎Clinical Summary

Seung Park: /* Images */

2013-08-30T01:27:42Z

‎Images

@@ Line 11: / Line 11: @@
 File:IPLab3BrainInfarction4b.JPG|This photomicrograph shows the area of healed/healing infarction (I) and more normal brain parenchyma (B).
 File:IPLab3BrainInfarction5b.JPG|This is a higher-power photomicrograph of the previous image showing the area of healed/healing infarction (I) and more normal brain parenchyma (B). In the infarcted area contains numerous microglia (brain macrophages) that have phagocytosed dead brain cell debris that are called "gitter cells".  In the more normal brain tissue there are several enlarged astrocytes.  These activated astrocytes are often seen in areas of healing and they are called "gemistocytic astrocytes".
-File:IPLab3BrainInfarction6b.JPG|This is a photomicrograph of infarcted brain tissue with numerous macrophages (microglia) that are full of brain tissue - gitter cells (arrows).
+File:IPLab3BrainInfarction6b.JPG|This is a higher-power photomicrograph of the brain tissue adjacent to the infarct. In this image there are numerous enlarged activated astrocytes that are often seen in areas of brain healing - gemistocytic astrocytes (arrows).
-File:IPLab3BrainInfarction7b.JPG|This is a photomicrograph of the brain tissue adjacent to the infarct. There are numerous enlarged activated astrocytes that are often seen in areas of healing - gemistocytic astrocytes (arrows).
+File:IPLab3BrainInfarction7b.JPG|This is a higher-power photomicrograph of infarcted brain tissue with numerous macrophages (microglia) that are full of brain tissue - gitter cells (arrows).
 File:IPLab3BrainInfarction10.jpg|This is a gross photograph of a brain from another patient with an old healed infarct. Note the meninges overlying the infarcted region (arrow).
 File:IPLab3BrainInfarction11.jpg|This is a closer view of the brain demonstrating an old healed infarct with the meninges containing blood vessels (arrow) overlying the infarcted region.

@@ Line 10: / Line 10: @@
 File:IPLab3BrainInfarction3b.JPG|This is a low-power photomicrograph of this brain with several areas of infarcted tissue. Note the pale areas which correspond to areas with loss of brain parenchyma (arrows).
 File:IPLab3BrainInfarction4b.JPG|This photomicrograph shows the area of healed/healing infarction (I) and more normal brain parenchyma (B).
-File:IPLab3BrainInfarction5b.JPG|This is a higher-power photomicrograph of the previous image showing that the inflammatory cells (arrows) are primarily macrophages and microglia which have phagocytosed the dead brain tissue.
+File:IPLab3BrainInfarction5b.JPG|This is a higher-power photomicrograph of the previous image showing the area of healed/healing infarction (I) and more normal brain parenchyma (B). In the infarcted area contains numerous microglia (brain macrophages) that have phagocytosed dead brain cell debris that are called "gitter cells".  In the more normal brain tissue there are several enlarged astrocytes.  These activated astrocytes are often seen in areas of healing and they are called "gemistocytic astrocytes".
-File:IPLab3BrainInfarction6b.JPG|This is a photomicrograph of brain tissue adjacent to the area of infarction. There are numerous activated gemistocytic astrocytes (arrows).
+File:IPLab3BrainInfarction6b.JPG|This is a photomicrograph of infarcted brain tissue with numerous macrophages (microglia) that are full of brain tissue - gitter cells (arrows).
-File:IPLab3BrainInfarction7b.JPG|This is a photomicrograph of the edge of the infarct. The macrophages that are full of brain tissue (“gitter cells”) are at the top of the image (arrows) and the brain parenchyma containing gemistocytic astrocytes is at the bottom.
+File:IPLab3BrainInfarction7b.JPG|This is a photomicrograph of the brain tissue adjacent to the infarct. There are numerous enlarged activated astrocytes that are often seen in areas of healing - gemistocytic astrocytes (arrows).
 File:IPLab3BrainInfarction10.jpg|This is a gross photograph of a brain from another patient with an old healed infarct. Note the meninges overlying the infarcted region (arrow).
 File:IPLab3BrainInfarction11.jpg|This is a closer view of the brain demonstrating an old healed infarct with the meninges containing blood vessels (arrow) overlying the infarcted region.

@@ Line 9: / Line 9: @@
 File:IPLab3BrainInfarction2.jpg|This is a gross photograph of a cross-section of brain demonstrating the areas of infarction (arrows).
 File:IPLab3BrainInfarction3b.JPG|This is a low-power photomicrograph of this brain with several areas of infarcted tissue. Note the pale areas which correspond to areas with loss of brain parenchyma (arrows).
-File:IPLab3BrainInfarction4b.JPG|This is a photomicrograph of the edge of the infarct. Note the numerous inflammatory cells in the brain parenchyma and adjacent to the remaining brain tissue (arrows).
+File:IPLab3BrainInfarction4b.JPG|This photomicrograph shows the area of healed/healing infarction (I) and more normal brain parenchyma (B).
 File:IPLab3BrainInfarction5b.JPG|This is a higher-power photomicrograph of the previous image showing that the inflammatory cells (arrows) are primarily macrophages and microglia which have phagocytosed the dead brain tissue.
 File:IPLab3BrainInfarction6b.JPG|This is a photomicrograph of brain tissue adjacent to the area of infarction. There are numerous activated gemistocytic astrocytes (arrows).

@@ Line 8: / Line 8: @@
 File:IPLab3BrainInfarction1.jpg|This is a gross photograph of the brain which contains two areas of infarction (arrows).
 File:IPLab3BrainInfarction2.jpg|This is a gross photograph of a cross-section of brain demonstrating the areas of infarction (arrows).
-File:IPLab3BrainInfarction3b.JPG|This is a low-power photomicrograph of brain at the edge of the infarct. Note the loss of brain parenchyma (arrows).
+File:IPLab3BrainInfarction3b.JPG|This is a low-power photomicrograph of this brain with several areas of infarcted tissue. Note the pale areas which correspond to areas with loss of brain parenchyma (arrows).
 File:IPLab3BrainInfarction4b.JPG|This is a photomicrograph of the edge of the infarct. Note the numerous inflammatory cells in the brain parenchyma and adjacent to the remaining brain tissue (arrows).
 File:IPLab3BrainInfarction5b.JPG|This is a higher-power photomicrograph of the previous image showing that the inflammatory cells (arrows) are primarily macrophages and microglia which have phagocytosed the dead brain tissue.

@@ Line 13: / Line 13: @@
 File:IPLab3BrainInfarction6b.JPG|This is a photomicrograph of brain tissue adjacent to the area of infarction. There are numerous activated gemistocytic astrocytes (arrows).
 File:IPLab3BrainInfarction7b.JPG|This is a photomicrograph of the edge of the infarct. The macrophages that are full of brain tissue (“gitter cells”) are at the top of the image (arrows) and the brain parenchyma containing gemistocytic astrocytes is at the bottom.
 File:IPLab3BrainInfarction10.jpg|This is a gross photograph of a brain from another patient with an old healed infarct. Note the meninges overlying the infarcted region (arrow).
 File:IPLab3BrainInfarction11.jpg|This is a closer view of the brain demonstrating an old healed infarct with the meninges containing blood vessels (arrow) overlying the infarcted region.

@@ Line 8: / Line 8: @@
 File:IPLab3BrainInfarction1.jpg|This is a gross photograph of the brain which contains two areas of infarction (arrows).
 File:IPLab3BrainInfarction2.jpg|This is a gross photograph of a cross-section of brain demonstrating the areas of infarction (arrows).
-File:IPLab3BrainInfarction3.jpg|This is a low-power photomicrograph of brain at the edge of the infarct. Note the loss of brain parenchyma (arrows).
+File:IPLab3BrainInfarction3b.jpg|This is a low-power photomicrograph of brain at the edge of the infarct. Note the loss of brain parenchyma (arrows).
-File:IPLab3BrainInfarction4.jpg|This is a photomicrograph of the edge of the infarct. Note the numerous inflammatory cells in the brain parenchyma and adjacent to the remaining brain tissue (arrows).
+File:IPLab3BrainInfarction4b.jpg|This is a photomicrograph of the edge of the infarct. Note the numerous inflammatory cells in the brain parenchyma and adjacent to the remaining brain tissue (arrows).
-File:IPLab3BrainInfarction5.jpg|This is a higher-power photomicrograph of the previous image showing that the inflammatory cells (arrows) are primarily macrophages and microglia which have phagocytosed the dead brain tissue.
+File:IPLab3BrainInfarction5b.jpg|This is a higher-power photomicrograph of the previous image showing that the inflammatory cells (arrows) are primarily macrophages and microglia which have phagocytosed the dead brain tissue.
-File:IPLab3BrainInfarction6.jpg|This is a photomicrograph of brain tissue adjacent to the area of infarction. There are numerous activated gemistocytic astrocytes (arrows).
+File:IPLab3BrainInfarction6b.jpg|This is a photomicrograph of brain tissue adjacent to the area of infarction. There are numerous activated gemistocytic astrocytes (arrows).
-File:IPLab3BrainInfarction7.jpg|This is a photomicrograph of the edge of the infarct. The macrophages that are full of brain tissue (“gitter cells”) are at the top of the image (arrows) and the brain parenchyma containing gemistocytic astrocytes is at the bottom.
+File:IPLab3BrainInfarction7b.jpg|This is a photomicrograph of the edge of the infarct. The macrophages that are full of brain tissue (“gitter cells”) are at the top of the image (arrows) and the brain parenchyma containing gemistocytic astrocytes is at the bottom.
 File:IPLab3BrainInfarction8.jpg|This is a high-power photomicrograph of gitter cells (arrows).
 File:IPLab3BrainInfarction9.jpg|This is a photomicrograph of the edge of the infarct. Note the gitter cells, gemistocytic astrocytes, and some hemosiderin-laden macrophages (arrows).

← Older revision		Revision as of 21:19, 23 June 2020
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	Autopsy showed the expected findings in the aorta and in a 760-gram heart. The mechanical valve showed some old thrombotic material adherent to the valve which was probably the source of the emboli which caused the patient's CVA. The patient's 1250-gram brain showed extensive old infarctions in at least three different areas, with the largest (12.5 x 5.5 cm) in the distribution of the right middle cerebral artery.		Autopsy showed the expected findings in the aorta and in a 760-gram heart. The mechanical valve showed some old thrombotic material adherent to the valve which was probably the source of the emboli which caused the patient's CVA. The patient's 1250-gram brain showed extensive old infarctions in at least three different areas, with the largest (12.5 x 5.5 cm) in the distribution of the right middle cerebral artery.
−
−	~~== Autopsy Findings ==~~
−	Autopsy showed the expected findings in the aorta and in a 760-gram heart. The mechanical valve showed some deterioration and there was old thrombotic material adherent to the valve, which was probably the source of the emboli which caused the patient's CVA. The patient's 1250-gram brain showed extensive old infarctions in at least three different areas, with the largest (12.5 x 5.5 cm) in the distribution of the right middle cerebral artery.

	== Images ==		== Images ==

@@ Line 1: / Line 1: @@
 == Clinical Summary ==
-Eight years prior to his demise, this 48-year-old black male had a dissecting aortic aneurysm. The first portion of the aortic arch was dilated with an associated aortic valve insufficiency. The defect was repaired and a mechanical prosthetic valve was implanted. One year prior to his terminal admission, the patient experienced a catastrophic cerebrovascular accident (CVA) with left hemiparesis and obtundation. The patient experienced severe neurologic sequelae from this CVA and was eventually transferred to a nursing home where he was bedbound and required an indwelling urinary catheter. The patient developed a urinary tract infection and was transferred to the hospital. The patient's condition deteriorated and he died 6 weeks after admission with a urinary tract infection and pneumonia.
+Eight years prior to his demise, this 48-year-old black male had a dissecting aortic aneurysm. The first portion of the aortic arch was dilated and he had associated aortic valve insufficiency. The defect was repaired and a mechanical prosthetic aortic valve was implanted. One year prior to his terminal admission, the patient experienced a catastrophic cerebrovascular accident (CVA) with left hemiparesis and obtundation. The patient experienced severe neurologic sequelae from this CVA and was eventually transferred to a nursing home where he was bedbound and required an indwelling urinary catheter. Four months later the patient developed a urinary tract infection and was transferred to the hospital. The patient's condition deteriorated with a urinary tract infection and pneumonia and he died of sepsis.
 == Autopsy Findings ==

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 === Images ===
-* [http://peir.path.uab.edu/library/index.php?/tags/55-brain/30-infarct PEIR Digital Library: Brain Infarct Images]
+* [{{SERVER}}/library/index.php?/tags/55-brain/30-infarct PEIR Digital Library: Brain Infarct Images]
 * [http://library.med.utah.edu/WebPath/CNSHTML/CNSIDX.html#4 WebPath: Brain Infarction]