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A 45-year-old man is brought to the emergency department after sustaining a traumatic head injury in a motor vehicle collision. The patient was found unresponsive and had several generalized tonic-clonic seizures during transport. Medical history includes hypertension as well as alcohol and cocaine misuse. Temperature is 36.7 C (98.1 F) , blood pressure is 170/96 mm Hg, pulse is 50/min, and respirations are 10/min. Pulse oximetry shows 98% on mechanical ventilation with 50% oxygen. On examination, the patient is comatose with midpositioned and fixed pupils and rigid extension of the upper and lower extremities. Noncontrast CT scan of the head is shown in the image below: Damage to which of the following structures is the most likely explanation for this patient's abnormal posturing?
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