KROK 1 2019 – Question 173 · KROK (Medicine) · Pathomorphology

A 60-year old man with a history of hypertension, diabetes and hyperlipidemia had a sudden onset of right-sided weakness. By the time the ambulance arrived, he had difficulty speaking. Unfortunately, the patient died within the next 2 hours and an autopsy was performed immediately. The gross examination of the cerebral left hemisphere showed brain swelling, widened gyri and poorly demarcated gray-white junction. Which of the following is the most likely cause of this patient’s death?

  1. A. Intracerebral hemorrhage
  2. B. Tumor
  3. C. Cyst
  4. D. Abscess
  5. E. Ischemic stroke
Hint

Link the abrupt focal deficits and vascular risk factors to what brain tissue looks like in the first hours after the insult, when swelling and blurred landmarks come before frank necrosis.

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