35-year-old female. Cardiac arrest (8 mins) with successful reanimation during general anaesthesia. Subsequent 2-week loss of consciousness. Death after lung embolus.
Areas of pseudolaminar necrosis extend across wide sections of cortex and are accentuated in parietal areas, resulting in apallic syndrome (permanent coma).
– Pseudolaminar necrosis in cortex: cystic necrosis in middle layers of cortex with vessel proliferation
- The molecular layer is intact but astrocytes shows severe reactive swelling. The white matter is unremarkable.