PICTURES

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=22 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="041000d2egerdp.gif"> <div> </div> </td> </tr><tr> <td valign="top" width=145 BGCOLOR="#333399" TEXT="#080000" background="040a2c00erkjzj.gif"> <div> <IMG SRC="11fafe30.jpg" border=0 width="175" height="227" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <img src="HTMLobj-288/aniGif.gif" border="0" align="bottom" width="56" height="88">  </div> </td> <td valign="top" height=458 BGCOLOR="#FFFFFF" TEXT="#080000" background="12180803.jpg"> <div> <FONT SIZE="5" COLOR="#336600" FACE="Times New Roman" ><I>NEUROPATHOLOGY</I></FONT><FONT SIZE="1" COLOR="#663399" FACE="Times New Roman" >    </FONT> |    <B> </B><FONT SIZE="2" COLOR="#0000BF" FACE="Times New Roman" ><A HREF="index.htm" TARGET="_top" TITLE="NEUROPATHOLOGY"><U><B>home</B></U></A></FONT></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="HISTOLOGY REVIEW"><U>HISTOLOGY REVIEW</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="PHYSIOLOGY REVIEW"><U>PHYSIOLOGY REVIEW</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="PATHOLOGY part1"><U>PATHOLOGY part1</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="pathology part2"><U>pathology part2</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="PATHOLOGY3"><U>PATHOLOGY3</U></A>   |   <A HREF="id27.htm" TARGET="_top" TITLE="PATHOLOGY 4"><U>PATHOLOGY 4</U></A>   |   <B>PICTURES</B>   |   <A HREF="id31.htm" TARGET="_top" TITLE="tumor gn"><U>tumor gn</U></A>   |   <A HREF="id30.htm" TARGET="_top" TITLE="multiple sclerosis"><U>multiple sclerosis</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="quiz"><U>quiz</U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="quizanswer"><U>quizanswer</U></A>   |   <A HREF="id17.htm" TARGET="_top" TITLE="Contact Me and links"><U>Contact Me and links</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="info and news"><U>info and news</U></A></div> <div> <IMG SRC="04207040.gif" border=0 width="263" height="4" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <B>PICTURES</B></div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="0621f820.jpg" border=0 width="543" height="386" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Left lateral aspect of the cerebral hemisphere showing significant subarachnoid hemorrhage in the region of the Sylvian fissure. This pattern of hemorrhage is suggestive of an aneurysm in the middle cerebral artery distribution on the left. </FONT></div> <div> <IMG SRC="06427530.jpg" border=0 width="551" height="339" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="501" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 96 WIDTH="497"><div> The dissected circle of Willis in this patient as shown from below. The probe on the right side shows a ruptured aneurysm in the left middle cerebral artery. There is a second aneurysm in the anterior communicating artery which is not ruptured and is also indicated by a probe. </div> </tD> </tR> </TABLE></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="066587b0.jpg" border=0 width="600" height="379" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Coronal section of the frontal lobe anterior to the Sylvian fissure showing a large hematoma in that region. Note the extensive swelling of the left hemisphere compared to the right. </FONT></div> <div> <IMG SRC="068586b0.jpg" border=0 width="600" height="363" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Slightly further back again with hemorrhage in the subarachnoid space, significant softening of the insular cortex with brain swelling and some left to right shift. </FONT></div> <div> <IMG SRC="06a0c800.jpg" border=0 width="524" height="384" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Transverse sections of the cerebellum and brain stem with a large hematoma in the dorsal aspect of the midpons. </FONT></div> <div> <IMG SRC="0a4f4780.gif" border=0 width="500" height="376" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >. LSD. Neuronal ballooning due to lysosomal storage</FONT></div> <div> <IMG SRC="0d7f4300.gif" border=0 width="500" height="304" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Creutzfeldt-Jacob disease. Spongiform encephalopathy. The patient also had Alzheimer Disease. One Alzheimer plaque is seen in the upper left quadrant</FONT></div> <div> <IMG SRC="0d8f4470.gif" border=0 width="500" height="327" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="System" >Creutzfeldt-Jacob disease. Severe cortical atrophy.</FONT><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <div> <IMG SRC="112f4720.gif" border=0 width="500" height="370" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Lobar hemorrhage from cerebral amyloid angiopathy</FONT></div> <div> <IMG SRC="114f4fe0.gif" border=0 width="500" height="254" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Arteriovenous malformation</FONT></div> <div> <IMG SRC="1162b760.gif" border=0 width="299" height="374" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Subarachnoid hemorrhage from a ruptured anterior cerebral artery aneurysm</FONT></div> <div> <IMG SRC="118cdf80.gif" border=0 width="461" height="248" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Large saccular aneurysm masquerading as a cerebellopontine angle tumor</FONT></div> <div> <IMG SRC="11ab5bc0.gif" border=0 width="437" height="444" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="System" >Saccular (Berry) aneurysm of the MCA.</FONT><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <div> <IMG SRC="11bf41b0.gif" border=0 width="500" height="283" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" >Spontaneous dissecting aneurysm of the MCA. Elastic stain. Note intramural hematoma collapsing the vessel lumen</FONT></div> <div> <IMG SRC="11df2780.gif" border=0 width="242" height="376" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="System" >Severe atherosclerosis of the circle of Willis in a patient with hypercholesterolemia.</FONT><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <bR> </td> </tr></table></body>