1. “ The true measure of a man is how he treats someone who does him absolutely no good.” – Ann Landers

2. Pathology of Cerebro-vascular Disease (Stroke) Dr. Venkatesh M. Shashidhar Associate Professor of Pathology Fiji School of Medicine

13. Watershed/Boundary zone infarcts:

16. Embolism formation:

17. Local infarction: Cell death ~ 6min central infarct area or umbra , surrounded by a penumbra of ischemic tissue that may recover

18. Haemorrhagic - Arterial embolus

21. Cerebral edema

22. Edema, loss of demarcation:

23. Acute Infarction: Oedema

24. Cerebral Infarct : Red Neurons

25. Cerebral Infarct - 1 Week

26. Cerebral Infarct - 2 Weeks

27. Cerebral Infarction: Macrophages

28. Cerebral Infarct - Cyst formation

29. Infarct with Punctate hemorrhage

30. Cerebral Infarction - Late

31. C. Infarct - Cyst formation

32. ’ Smile’ at each other, smile at your friends, smile at your partner, smile at strangers - it doesn't matter who it is – This will help you to grow up in greater love for each other. Mother Teresa 1910-1997, Roman Catholic Missionary

37. Subarachnoid Hemorrhage:

38. Ruptured Berry Aneurism

40. Intraventricular Hemorrhage:

41. Cerebral Infarction  hemorrhage

42. Cerebral Infarction  hemorrhage

43. Lacunar Infarct in pons

45. Ischemic penumbra:

46. “ The ultimate measure of a man is not where he stands in moments of comfort, but where he stands in time of challenge and controversy” – Martin Luther King Jr.

47. Anatomy – Stroke.

53. “ We must all suffer from one of two pains: the pain of discipline or the pain of regret” The difference is Discipline weighs ounces.. while regret weighs ton’s..! Jim Rohn

54. Hypertensive Intracerebral Hem: Sites 1. Putamen-Claustrum 2. Cerebral white matter 3. Thalamus 4. Pons 5. Cerebellum 55% 15 10 10 10

55. Stroke types and incidence:

56. Anatomy – Stroke.