Figure 2 Gross autopsy findings

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Figure 2 Gross autopsy findings Gross autopsy findings A full Autopsy was performed after the patient died on Day 5 and the brain weight was 1600 grams. There is evidence of a previous right frontal biopsy site. On external examination of the brain there was hemorrhagic necrosis and swelling noted along the right lateral edge of the frontal/temporal/parietal area (arrows, A, C–F, H) with evidence of flattening of the right olfactory tract secondary to increase intracranial pressure (arrow, B). There was subfalcine herniation to the left, with herniation of the cingulate gyrus underneath the edge of the falx cerebri (arrow, G). There was also transtentorial herniation on the right with early signs of Duret's hemorrhages in the pons (arrows, I, J). A normal pons is shown for comparison (I). There was also cerebellar tonsillar herniation noted on the right which was likely the fatal complication. Rick Magun et al. Neurol Neuroimmunol Neuroinflamm 2016;3:e187 © 2016 American Academy of Neurology