PMC6878774_01
Peripheral hemorrhage in the cerebellar folia with associated areas of hypodensity (a), along with hypodensity and hemorrhage within the brainstem (b), both consistent with ischemia.
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fig1
There was also marked compression of the brainstem and effacement of the fourth ventricle with lucency of the brainstem compatible with ischemia (Figure 1) and associated upward herniation of the cerebellum (Figure 2).
Marked areas of hemorrhage and upward herniation of cerebellum.
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fig2
There was also marked compression of the brainstem and effacement of the fourth ventricle with lucency of the brainstem compatible with ischemia (Figure 1) and associated upward herniation of the cerebellum (Figure 2).
40x right frontal lobe specimen with Gomori methenamine-silver (GMS) staining showing large, nonseptate hyphae with 90 degree angle branching and nonparallel walls consistent with mucormycosis.
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fig3
On fungal stain of the right frontal lobe, it was noted she had Mucor spp. as can be seen in Figure 3.
40x pons specimen with H&E staining showing multiple small intraparenchymal pontine hemorrhages consistent with duret hemorrhages.
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fig4
No fungi were found in the brainstem as can be seen in the cross-sectional imaging of the pons in Figure 4.