== Clinical Summary ==
This 67-year-old female was transferred to the hospital from a nursing home in a comatose state. Physical findings on examination were compatible with brain stem infarction. On the fourth hospital day, an electrocardiogram revealed changes compatible with anterior myocardial infarction. The patient remained comatose with quadriplegia and expired on the 16th hospital day.
This 67-year-old female was transferred to Examination of the hospital from a nursing home in a comatose state. Physical findings on examination were compatible with brain stem revealed extensive infarctioninvolving the midbrain and cerebellum with complete occlusion of the upper one-half of the basilar artery; there was also extensive coronary artery atherosclerosis. On A large aneurysm of the fourth hospital day, an electrocardiogram revealed changes compatible left ventricle was present; this was filled with anterior myocardial mural thrombus. Extensive infarction. The patient remained comatose with quadriplegia of the lateral and expired on posterior portions of the 16th hospital dayleft ventricular wall toward the base of the heart was also found.
== Autopsy Findings ==