WorldWideScience

Sample records for caverns

  1. Limestone Caverns

    Science.gov (United States)

    Powell, Richard L.

    1970-01-01

    Describes the origin of limestone caverns, using Mammoth Cave as an example, with particular reference to the importance of groundwater information of caverns, the present condition of groundwater, and how caverns develop within fluctuating groundwater zones. (BR)

  2. ATLAS Cavern baseplate

    CERN Multimedia

    2002-01-01

    This video shows the incredible amounth of iron used for ATLAS cavern. Please look at the related links and also videos that are concerning the civil engineering where you can see even more detailed cavern excavation work.

  3. Bilateral orbital cavernous haemangiomas.

    OpenAIRE

    Fries, P D; Char, D. H.

    1988-01-01

    Simultaneous bilateral orbital lesions are rare. The differential diagnosis includes orbital pseudotumour, metastasis, leukaemia, lymphoma, Wegener's granulomatosis, and neurofibromatosis. We report what we believe to be the first case of bilateral orbital cavernous haemangiomas.

  4. Brainstem Cavernous Angioma

    Science.gov (United States)

    ... Elmaci I, Lee RR, Breiter SN, Rigamonti D. Dynamic nature of cavernous malformations: a prospective magnetic resonance ... intended for medical diagnostic use of any kind. | Website by Teramark MENU

  5. Surveying the ATLAS cavern

    CERN Multimedia

    Laurent Guiraud

    2000-01-01

    The cathedral-like cavern into which the ATLAS experiment will be lowered and installed forms a vital part of the engineering work at CERN in preparation for the new LHC accelerator. This cavern, being measured by surveyors in these images, will have one of the largest spans of any man-made underground structure. The massive 46X25X25 cubic metre detector will be the largest of its type in the world when it is completed for the LHC start-up in 2008.

  6. Penile cavernous hemangioma

    Directory of Open Access Journals (Sweden)

    Abdelmoughit ECHCHAOUI

    2015-06-01

    Full Text Available Hemangiomas are benign lesions that occur in any part of the body in newborns or in young patients, they are typically capillary or cavernous. Cavernous hemangioma of the penis is extremely rare; and its etiology is not completely understood. Treatment options (surgical excision, laser therapy or sclerotherapy… are controversial and are required if pain, cosmetic defect and/or bleeding during intercourse.                                                  We report a case of a 26 years old man presented with a five years history of a painless lesion on his penis. Physical examination showed an ovoid, solid, 1 x 2 mm in size on the dorsum of penis (Panel A and two elevated irregular lesions on the ventral side (Panel B. The lesions were compressive, nonpulsatile and bluish-red in color with strawberry like appearance. Biopsy and histopathological examination of the lesion revealed a gaping and communicating vessels proliferated in the superficial and medium dermis which is pathognomonic for cavernous hemangioma (Panel C and D. Given the small size, the large number of the lesions, the young age, and the ulceration risk during intercourse if skin graft after excision, Neodymium: YAG laser coagulation was recommended to get a good cosmetic results and sexual function satisfaction.

  7. Ceremony for ATLAS cavern

    CERN Multimedia

    2003-01-01

    Wednesday 4 June will be a special day for CERN. The President of the Swiss Confederation, Pascal Couchepin, will officially inaugurate the huge ATLAS cavern now that the civil engineering works have ended. The inauguration ceremony will be held in the ATLAS surface building, with speeches by Pascal Couchepin and CERN, ATLAS and civil engineering personalities. This ceremony will be Webcast live. To access the Webcast on 4 June at 18h00 go to CERN Intranet home page or the following address : http://webcast.cern.ch/live.php

  8. The huge ATLAS cavern now fully excavated

    CERN Multimedia

    2002-01-01

    Excavation of the ATLAS cavern is now complete! At the end of two years' work involving a tremendous technical challenge, the civil engineering contractors have succeeded in digging out one of the biggest experimental caverns in the world. Bravo!

  9. ATLAS Cavern - Sainte-Barbe evening

    CERN Multimedia

    2002-01-01

    The December at cavern of ATLAS was full of surprises, while during the iron mounting and concrete work the cavern got its new purpose for being the restaurant under little while -Live music and happy people.

  10. Carotid cavernous fistula: Ophthalmological implications

    Directory of Open Access Journals (Sweden)

    Chaudhry Imtiaz

    2009-01-01

    Full Text Available Carotid cavernous fistula (CCF is an abnormal communication between the cavernous sinus and the carotid arterial system. A CCF can be due to a direct connection between the cavernous segment of the internal carotid artery and the cavernous sinus, or a communication between the cavernous sinus, and one or more meningeal branches of the internal carotid artery, external carotid artery or both. These fistulas may be divided into spontaneous or traumatic in relation to cause and direct or dural in relation to angiographic findings. The dural fistulas usually have low rates of arterial blood flow and may be difficult to diagnose without angiography. Patients with CCF may initially present to an ophthalmologist with decreased vision, conjunctival chemosis, external ophthalmoplegia and proptosis. Patients with CCF may have predisposing causes, which need to be elicited. Radiological features may be helpful in confirming the diagnosis and determining possible intervention. Patients with any associated visual impairment or ocular conditions, such as glaucoma, need to be identified and treated. Based on patient′s signs and symptoms, timely intervention is mandatory to prevent morbidity or mortality. The conventional treatments include carotid ligation and embolization, with minimal significant morbidity or mortality. Ophthalmologist may be the first physician to encounter a patient with clinical manifestations of CCF, and this review article should help in understanding the clinical features of CCF, current diagnostic approach, usefulness of the available imaging modalities, possible modes of treatment and expected outcome.

  11. Cavernous sinus cavernous hemangioma largely extending into the sella turcica and mimicking pituitary adenoma: case report.

    Science.gov (United States)

    Hori, Satoshi; Hayashi, Nakamasa; Nomoto, Kazuhiro; Sato, Hikari; Hayashi, Tomohide; Nagai, Shoichi; Nishikata, Manabu; Endo, Shunro

    2010-01-01

    A 77-year-old female presented with a rare cavernous sinus cavernous hemangioma with extension to the sella turcica, neuroradiologically mimicking nonfunctioning pituitary macroadenoma. The lesion was partially removed via transsphenoidal surgery, and the histological diagnosis was cavernous hemangioma. After stereotactic radiosurgery using a cyber knife, the lesion decreased in size. Stereotactic radiosurgery may be a good option for cavernous sinus cavernous hemangioma with high risk of surgical bleeding.

  12. Digging the CMS experimental cavern

    CERN Multimedia

    Laurent Guiraud

    2001-01-01

    The huge CMS experimental cavern is located 100 m underground and has two access shafts through which the experiment's components will be lowered. Initially assembled on the surface, each part of the 12 500 tonne machine must be lowered individually with very little clearance.

  13. Cavernous Sinus Thrombosis in Children

    Directory of Open Access Journals (Sweden)

    Rochelle Sweis

    2016-03-01

    Full Text Available Investigators from the Children’s Hospital of Philadelphia analyzed the clinical and radiographic findings in 12 cases of cavernous sinus thrombosis (CST seen between 2000 and 2013, and conducted a literature search and review of the pooled data.

  14. Reinforcement of the concrete base slab of the ATLAS cavern

    CERN Multimedia

    Maximilien Brice

    2002-01-01

    Photo 02: UX15 cavern, preparation for concreting of base slab first lift. Photo 05: UX15 cavern, placing of reinforcement for base slab first lift. Photo 07: UX15 cavern, preparation for concreting of base slab first lift. Photo 09: UX15 cavern, placing of reinforcement for base slab first lift. Photo 10: UX15 cavern, view into PX14 shaft above. Photo 12: UX15 cavern, temporary access platform of RB16 tunnel. Photo 15: UJ17 chamber, invert excavation.

  15. Civil engineering in the ATLAS cavern

    CERN Multimedia

    Laurent Guiraud

    2000-01-01

    Work continues in the cathedral-like cavern that will soon contain ATLAS, the largest particle detector of its type in the world. For such a huge detector, an equally giant cavern must be excavated 100 m underground. The roof must be held without any normal rests at the base; instead it will be supported by huge anchors embedded in concrete that will stop the roof from caving in, located in galleries above the cavern.

  16. Spontaneous Resolution of Direct Carotid Cavernous Fistula

    NARCIS (Netherlands)

    Ishaq, Mazhar; Arain, Muhammad Aamir; Ahmed, Saadullah; Niazi, Muhammad Khizar; Khan, Muhammad Dawood; Iqbal, Zamir

    2010-01-01

    Proptosis due to carotid cavernous fistula is rare sequelae of head injury. We report a case of post-traumatic, direct high flow carotid cavernous fistula that resolved spontaneously 06 weeks after carotid angiography. It however, resulted in loss of vision due to delay in early treatment. In the ca

  17. A 12-year cavern abandonment test

    Directory of Open Access Journals (Sweden)

    Brouard B.

    2010-06-01

    Full Text Available In 1997-1998, an abandonment test was performed in a 950-m deep, 8000-m3 salt cavern operated by GDF SUEZ at Etrez, France. In this relatively small brine-filled cavern, which had been kept idle for 15 years before the test, thermal equilibrium was reached. A special system was designed to monitor leaks, which proved to be exceedingly small. In these conditions, brine permeation and cavern creep closure are the only factors to play significant roles in pressure evolution. This test strongly suggested that obtaining an equilibrium pressure such that the effects of these two factors were exactly equal would be reached in the long term. Four years later, pressure monitoring in the closed cavern resumed. Pressure evolution during the 2002-2009 period confirmed that cavern brine pressure will remain constant and significantly smaller than geostatic pressure in the long term, precluding any risk of fracturing and brine seepage to the overburden layers.

  18. Noncavernous arteriovenous shunts mimicking carotid cavernous fistulae

    Science.gov (United States)

    Kobkitsuksakul, Chai; Jiarakongmun, Pakorn; Chanthanaphak, Ekachat; Singhara Na Ayudya, Sirintara (Pongpech)

    2016-01-01

    PURPOSE The classic symptoms and signs of carotid cavernous sinus fistula or cavernous sinus dural arteriovenous fistula (AVF) consist of eye redness, exophthalmos, and gaze abnormality. The angiography findings typically consist of arteriovenous shunt at cavernous sinus with ophthalmic venous drainage with or without cortical venous reflux. In rare circumstances, the shunts are localized outside the cavernous sinus, but mimic symptoms and radiography of the cavernous shunt. We would like to present the other locations of the arteriovenous shunt, which mimic the clinical presentation of carotid cavernous fistulae, and analyze venous drainages. METHODS We retrospectively examined the records of 350 patients who were given provisional diagnoses of carotid cavernous sinus fistulae or cavernous sinus dural AVF in the division of Interventional Neuroradiology, Ramathibodi Hospital, Bangkok between 2008 and 2014. Any patient with cavernous arteriovenous shunt was excluded. RESULTS Of those 350 patients, 10 patients (2.85%) were identified as having noncavernous sinus AVF. The angiographic diagnoses consisted of three anterior condylar (hypoglossal) dural AVF, two traumatic middle meningeal AVF, one lesser sphenoid wing dural AVF, one vertebro-vertebral fistula (VVF), one intraorbital AVF, one direct dural artery to cortical vein dural AVF, and one transverse-sigmoid dural AVF. Six cases (60%) were found to have venous efferent obstruction. CONCLUSION Arteriovenous shunts mimicking the cavernous AVF are rare, with a prevalence of only 2.85% in this series. The clinical presentation mainly depends on venous outflow. The venous outlet of the arteriovenous shunts is influenced by venous afferent-efferent patterns according to the venous anatomy of the central nervous system and the skull base, as well as by architectural disturbance, specifically, obstruction of the venous outflow. PMID:27767958

  19. EVOKED CAVERNOUS ACTIVITY: NEUROANATOMIC IMPLICATIONS

    Science.gov (United States)

    Yilmaz, Ugur; Vicars, Brenda; Yang, Claire C.

    2013-01-01

    We investigated the autonomic innervation of the penis by using evoked cavernous activity (ECA). We recruited 7 males with thoracic spinal cord injury (SCI) and sexual dysfunction and 6 males who were scheduled to have pelvic surgery (PS), specifically non-nerve-sparing radical cystoprostatectomy. In the PS subjects, ECA was performed both pre- and postoperatively. The left median nerve was electrically stimulated and ECA was recorded with two concentric electromyography needles placed into the right and left cavernous bodies. We simultaneously recorded hand and foot sympathetic skin responses (SSRs) as controls. In the SCI group, all but one subject had reproducible hand SSRs. None of these subjects had ECA or foot SSRs. All the PS subjects had reproducible ECA and SSRs, both preoperatively and postoperatively. There was no difference in the latency and amplitude measurements of ECA and SSRs in the postoperative compared to the preoperative period (p>0.05). In conclusion, ECA is absent in men with SCI above the sympathetic outflow to the genitalia. In men following radical pelvic surgery, ECA is preserved, indicating the preservation of sympathetic fibers. PMID:19609298

  20. Rock cavern storage of spent fuel

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Won Jin; Kim, Kyung Soo [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Kwon, Sang Ki [Inha University, Incheon (Korea, Republic of)

    2015-12-15

    The rock cavern storage for spent fuel has been assessed to apply in Korea with reviewing the state of the art of the technologies for surface storage and rock cavern storage of spent fuel. The technical feasibility and economic aspects of the rock cavern storage of spent fuel were also analyzed. A considerable area of flat land isolated from the exterior are needed to meet the requirement for the site of the surface storage facilities. It may, however, not be easy to secure such areas in the mountainous region of Korea. Instead, the spent fuel storage facilities constructed in the rock cavern moderate their demands for the suitable site. As a result, the rock cavern storage is a promising alternative for the storage of spent fuel in the aspect of natural and social environments. The rock cavern storage of spent fuel has several advantages compared with the surface storage, and there is no significant difference on the viewpoint of economy between the two alternatives. In addition, no great technical difficulties are present to apply the rock cavern storage technologies to the storage of domestic spent fuel.

  1. Civil Engineering in the ATLAS cavern

    CERN Multimedia

    Laurent Guiraud

    2000-01-01

    Ghostly figures can be seen wandering the cavern that will eventually house the ATLAS experiment, part of the LHC at CERN. Quite fitting since the detector will hunt the illusive 'ghostly' particles, such as the Higgs boson and dark matter. These engineers are excavating the huge cavern that has to be anchored from above as the detector will fill so much space that there is no room for support pillars.

  2. Extraosseous, Epidural Cavernous Hemangioma with Back Pain

    Science.gov (United States)

    Ozkal, Birol; Yaldiz, Can; Yaman, Onur; Ozdemır, Nail; Dalbayrak, Sedat

    2015-01-01

    Summary Background Cavernous malformations are characterized by enlarged vascular structures located in benign neural tissues within the cerebellum and spinal cord of the central nervous system. Cavernous hemangiomas (CHs) account for 5% to 12% of all spinal vascular malformations. Case Report We removed a hemorrhagic thoracic mass in a 40-year-old male patient who presented with progressive neurological deficits. Conclusions We found it appropriate to present this case due to its rarity. PMID:25960818

  3. End of construction of the CMS cavern

    CERN Multimedia

    Maximilien Brice

    2005-01-01

    View of the CMS cavern with its impressive dimensions: 53 m long, 27 m wide and 24 m high. The construction of this underground complex has been a spectacular feat of engineering. This second of the new caverns for the LHC experiments is the result of six-and-a-half years of work, and its completion marks the end of the large-scale engineering work for the LHC.

  4. Digging a cavern for a titan

    CERN Multimedia

    Patrice Loiez

    1999-01-01

    Civil engineers work 100 m underground near the France-Swiss border on the cavern that will soon house ATLAS, one of the experiments on CERN's new LHC accelerator. All personnel and equipment must be lowered by crane down the access shaft. When completed this cavern will have one of the largest spans constructed at 35 m, which required the roof to be supported by large steel anchors buried in concrete.

  5. Pulmonary cavernous hemangioma:a case report

    Institute of Scientific and Technical Information of China (English)

    Chunyi Jia; Shaolin Sun; Xiaokai Zhang; Lixin Zhang

    2014-01-01

    We report a rare case of pulmonary cavernous hemangioma in a 51-year-old female. A computed tomographic scan of the chest showed an il-defined mass measuring 2.3 cm × 2.2 cm in the right lower lobe. Surgical resection was per-formed and postoperative histological examination revealed cavernous hemangioma. We reviewed the clinical features and therapeutic methods of hemangioma.

  6. Analysis of cavern stability at the West Hackberry SPR site.

    Energy Technology Data Exchange (ETDEWEB)

    Ehgartner, Brian L.; Sobolik, Steven Ronald

    2009-05-01

    This report presents computational analyses that simulate the structural response of caverns at the Strategic Petroleum Reserve (SPR) West Hackberry site. The cavern field comprises 22 caverns. Five caverns (6, 7, 8, 9, 11) were acquired from industry and have unusual shapes and a history dating back to 1946. The other 17 caverns (101-117) were leached according to SPR standards in the mid-1980s and have tall cylindrical shapes. The history of the caverns and their shapes are simulated in a three-dimensional geomechanics model of the site that predicts deformations, strains, and stresses. Future leaching scenarios corresponding to oil drawdowns using fresh water are also simulated by increasing the volume of the caverns. Cavern pressures are varied in the model to capture operational practices in the field. The results of the finite element model are interpreted to provide information on the current and future status of subsidence, well integrity, and cavern stability. The most significant results in this report are relevant to Cavern 6. The cavern is shaped like a bowl with a large ceiling span and is in close proximity to Cavern 9. The analyses predict tensile stresses at the edge of the ceiling during repressuization of Cavern 6 following workover conditions. During a workover the cavern is at low pressure to service a well. The wellhead pressures are atmospheric. When the workover is complete, the cavern is repressurized. The resulting elastic stresses are sufficient to cause tension around the edge of the large ceiling span. With time, these stresses relax to a compressive state because of salt creep. However, the potential for salt fracture and propagation exists, particularly towards Cavern 9. With only 200 ft of salt between the caverns, the operational consequences must be examined if the two caverns become connected. A critical time may be during a workover of Cavern 9 in part because of the operational vulnerabilities, but also because dilatant damage is

  7. Analysis of cavern stability at the Bryan Mound SPR site.

    Energy Technology Data Exchange (ETDEWEB)

    Ehgartner, Brian L.; Sobolik, Steven Ronald

    2009-04-01

    This report presents computational analyses that simulate the structural response of caverns at the Strategic Petroleum Reserve Bryan Mound site. The cavern field comprises 20 caverns. Five caverns (1, 2, 4, and 5; 3 was later plugged and abandoned) were acquired from industry and have unusual shapes and a history dating back to 1946. The other 16 caverns (101-116) were leached according to SPR standards in the mid-1980s and have tall cylindrical shapes. The history of the caverns and their shapes are simulated in a 3-D geomechanics model of the site that predicts deformations, strains, and stresses. Future leaching scenarios due to oil drawdowns using fresh water are also simulated by increasing the volume of the caverns. Cavern pressures are varied in the model to capture operational practices in the field. The results of the finite element model are interpreted to provide information on the current and future status of subsidence, well integrity, and cavern stability. The most significant result in this report is relevant to caverns 1, 2, and 5. The caverns have non-cylindrical shapes and have potential regions where the surrounding salt may be damaged during workover procedures. During a workover the normal cavern operating pressure is lowered to service a well. At this point the wellhead pressures are atmospheric. When the workover is complete, the cavern is repressurized. The resulting elastic stresses are sufficient to cause tension and large deviatoric stresses at several locations. With time, these stresses relax to a compressive state due to salt creep. However, the potential for salt damage and fracturing exists. The analyses predict tensile stresses at locations with sharp-edges in the wall geometry, or in the case of cavern 5, in the neck region between the upper and lower lobes of the cavern. The effects do not appear to be large-scale, however, so the only major impact is the potential for stress-induced salt falls in cavern 5, potentially leading to

  8. Cavernous haemangioma mimicking as clitoral hypertrophy

    Directory of Open Access Journals (Sweden)

    Sajid Nayyar

    2014-01-01

    Full Text Available Haemangioma is the most common benign neoplasm of infantile age. It is most commonly located in head and neck region, trunk and extremities but very rarely it can be located at clitoris. However, it is very important to differentiate clitoral haemangioma from enlargement of the clitoris secondary to androgen excess. Only four cases of clitoromegaly caused by cavernous haemangioma have been reported in the literature so far. Herein, we report our experience with a 10-year-old girl who presented with clitoromegaly and normal hormonal assay that turned out to be clitoral cavernous haemangioma after histopathological examination of the clitoral mass.

  9. Imaging diagnosis of dural and direct cavernous carotid fistulae

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Daniela dos; Monsignore, Lucas Moretti; Nakiri, Guilherme Seizem; Cruz, Antonio Augusto Velasco e; Colli, Benedicto Oscar; Abud, Daniel Giansante, E-mail: danisantos2404@gmail.com [Universidade de Sao Paulo (HCFMRP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Medicina. Hospital das Clinicas

    2014-07-15

    Arteriovenous fistulae of the cavernous sinus are rare and difficult to diagnose. They are classified into dural cavernous sinus fistulae or direct carotid-cavernous fistulae. Despite the similarity of symptoms between both types, a precise diagnosis is essential since the treatment is specific for each type of fistula. Imaging findings are remarkably similar in both dural cavernous sinus fistulae and carotid-cavernous fistulae, but it is possible to differentiate one type from the other. Amongst the available imaging methods (Doppler ultrasonography, computed tomography, magnetic resonance imaging and digital subtraction angiography), angiography is considered the gold standard for the diagnosis and classification of cavernous sinus arteriovenous fistulae. The present essay is aimed at didactically presenting the classification and imaging findings of cavernous sinus arteriovenous fistulae. (author)

  10. Numerical Simulation of Gas Storage Caverns in Qom Region

    CERN Document Server

    Sharifzadeh, Mostafa

    2009-01-01

    The rock mechanical design of gas storage cavern in salt requires the analysis of the stability and the usability of the cavern over the planned operating time period. The design includes the build up of a rock mass model and a numerical model taking into account the geological situation, load condition, geometrical condition, and material parameters. In this paper multiple caverns in salt formation with geological and geomechanical situation in Qom (central part of Iran) was investigated a using creep model. Minimum safe center to center distances (CTCD) of multiple horizontal caverns also were studied. CTCD of caverns interact at less than two times of cavern diameter. With increasing the CTCD to 2.5 times cavern diameters, diminish most interaction.

  11. Cavernous hemangioma of Meckel's cave. Case report.

    Science.gov (United States)

    Fehlings, M G; Tucker, W S

    1988-04-01

    A case of a cavernous hemangioma located within Meckel's cave and involving the gasserian ganglion is described in a patient presenting with facial pain and a trigeminal nerve deficit. Although these lesions have been reported to occur in the middle fossa, this is believed to be the first case of such a vascular malformation arising solely from within Meckel's cave.

  12. Cavernous Hemangioma of the Bony Orbit

    Institute of Scientific and Technical Information of China (English)

    Jianhua Yan; Yu Cai; Zhongyao Wu; Ji Han; Youjian Pang

    2005-01-01

    Purpose: To study the clinical features, diagnosis and management of intraosseous cavernous hemangioma of the orbit.Methods: Five cases of intraosseous cavernous hemangioma seen in our hospital from Jan 1, 1986 to Dec 31, 2000 were reviewed.Results: Among all five cases, two were male and three were female. The mean age was 47.6 years old, ranging from 39.0 to 55.0 years. The left orbit was affected in 4 cases and the right one in 1 case. The bony involvement occurred in frontal bone (two cases),zygomatic bone (two cases) and sphenoid bone (one case). A painless, slowly enlarging hard bony mass fixed to the bone with no pulsations was the main clinical sign. The x-ray and CT appearance of intraosseous cavernous hemangioma of the orbit were characteristic and usually diagnostic. The differential diagnosis of it included fibrous dysplasia,eosinophilic granuloma, multiple myeloma and metastatic carcinoma. Treatment is local removal of the bone containing the tumor.Conclusions: Intraosseous cavernous hemangioma is a rare tumor of the orbit and usually has good surgical result.

  13. Special people visit the ATLAS cavern

    CERN Multimedia

    Muriel

    ATLAS has been host to many important visitors lately. Here are a selected few: Professor Stephen Hawking visits the ATLAS cavern On Tuesday 26 September 2006 the ATLAS Collaboration was honoured by a very special visit to the detector in the underground cavern. We were pleased to guide Professor Stephen Hawking, the famous cosmologist holding the post of Lucasian Professor of Mathematics at Cambridge University (position held by Isaac Newton in the 17th century), on a tour of the ATLAS pit and the LHC tunnel. The visit was accompanied by a few colleagues from the CERN Theory group, and was only possible thanks to the professional assistance of Olga Beltramello and Bernard Lebegue, who had also taken care of all the necessary preparatory work in the cavern. Professor Hawking was very keen to check for himself the status of the detector installation, and he admired, in particular, the spectacular TGC big wheel on side C. (left) Stephen Hawking in the ATLAS cavern side-C (right) and in the LHC tunnel...

  14. The ATLAS cavern in the spotlight

    CERN Multimedia

    On Wednesday, 4th June, the President of the Swiss Confederation, Pascal Couchepin, inaugurated the world's largest experimental cavern, which is to house the ATLAS detector in 2007, and announced Switzerland's gift to CERN of the "Palais de l'Equilibre".

  15. The association of carotid cavernous fistula with Graves′ ophthalmopathy

    Directory of Open Access Journals (Sweden)

    Ozlem Celik

    2013-01-01

    Full Text Available Graves′ ophthalmopathy (GO is one of the frequent manifestations of the disorder which is an inflammatory process due to fibroblast infiltration, fibroblast proliferation and accumulation of glycosaminoglycans. Eye irritation, dryness, excessive tearing, visual blurring, diplopia, pain, visual loss, retroorbital discomfort are the symptoms and they can mimic carotid cavernous fistulas. Carotid cavernous fistulas are abnormal communications between the carotid arterial system and the cavernous sinus. The clinical manifestations of GO can mimic the signs of carotid cavernous fistulas. Carotid cavernous fistulas should be considered in the differential diagnosis of the GO patients especially who are not responding to the standard treatment and when there is a unilateral or asymmetric eye involvement. Here we report the second case report with concurrent occurrence of GO and carotid cavernous fistula in the literature.

  16. Nasopharyngeal carcinoma presented as cavernous sinus tumour.

    Science.gov (United States)

    Moona, Mohammad Shafi; Mehdi, Itrat

    2011-12-01

    A 32 year Libyan male presented with the complaints of headache and diplopia. He was diagnosed with a cavernous sinus meningioma on the basis of MRI findings but no initial biopsy was taken. Depending on the radiologic diagnosis the patient was treated with gamma knife surgery twice, abroad. During follow up he developed left ear deafness and left cervical lymph adenopathy. An ENT evaluation with biopsy from the nasopharynx and cervical lymph node was taken. The histopathologic diagnosis of the resected tumour showed a nasopharyngeal carcinoma with cervical lymph node metastasis (poorly differentiated lympho-epithelial carcinoma). The cavernous sinus tumour which was initially treated as a meningioma was in fact metastasis from the nasopharyngeal carcinoma, making this an interesting and rare occurrence.

  17. Thoracic Cavernous Lymphangioma Provoking Massive Chyloptysis

    Directory of Open Access Journals (Sweden)

    Robert Ferguson MD

    2013-09-01

    Full Text Available Chyloptysis is a relatively rare embodiment of disease that encompasses a lengthy differential and provides many diagnostic and therapeutic challenges. Presented here is the case of a young woman with massive chyloptysis due to a thoracic cavernous lymphangioma arising in the peripartum period. The severity of her condition mandated the use of cardiopulmonary bypass to resect her lymphangioma. We believe that the extent of her symptoms, etiology of disease, and surgical management represent a unique scenario in the literature.

  18. Inauguration of the ATLAS cavern, June 2003.

    CERN Multimedia

    Maximilien Brice

    2003-01-01

    Before the inauguration, Pascal Couchepin visited the ATLAS cavern. From left to right: Peter Jenni, ATLAS spokesman; Maurice Bourquin, President of the CERN Council; Carlo Lamprecht, State councillor, Canton of Geneva; Pascal Couchepin, President of the Swiss Confederation; Luciano Maiani, CERN Director-General; Marzio Nessi, ATLAS technical coordinator; Arturo Henniger, ZSCHOKKE-LOCHER AG Director; Benno Baettig, personal advisor of President Couchepin; Jean-Luc Baldy, head of CERN Civil Engineering Group.

  19. Necrotizing Fasciitis of the Nose Complicated with Cavernous Sinus Thrombosis

    Directory of Open Access Journals (Sweden)

    D. Swaminath

    2014-01-01

    Full Text Available Necrotizing fasciitis is a rapidly progressive life threatening bacterial infection of the skin, the subcutaneous tissue, and the fascia. We present a case of necrotizing fasciitis involving the nose complicated by cavernous sinus thrombosis. Few cases of septic cavernous sinus thrombosis have been reported to be caused by cellulitis of the face but necrotizing fasciitis of the nose is rare. It is very important to recognize the early signs of cavernous thrombosis. Treatment for septic cavernous sinus thrombosis is controversial but early use of empirical antibiotics is imperative.

  20. Transvenous injection of Onyx for casting of the cavernous sinus for the treatment of a carotid-cavernous fistula.

    Science.gov (United States)

    Arat, Anil; Cekirge, Saruhan; Saatci, Isil; Ozgen, Burce

    2004-12-01

    A complex case of carotid-cavernous fistula was treated transvenously by injection of ethyl vinyl alcohol co-polymer into the cavernous sinus after an unsuccessful embolization attempt with detachable coils and liquid adhesive agents. There were no complications. At 3 months the patient's symptoms had resolved completely, and a control angiogram revealed persistent occlusion. The physical properties of ethyl vinyl alcohol polymer justify further investigation of this agent for the treatment of carotid-cavernous fistula.

  1. Clinical study on CyberKnife for treating giant cavernous hemangioma in cavernous sinus region

    Directory of Open Access Journals (Sweden)

    Lu SUN

    2015-10-01

    Full Text Available Objective To investigate the efficacy and safety of CyberKnife for giant cavernous hemangioma in cavernous sinus. Methods The data of 7 cases of giant cavernous hemangioma in cavernous sinus region confirmed by imaging examination and treated with CyberKnife were collected. The tumor volume was 11.86-70.12 cm3 (median 23.30 cm3. CT and MRI were acquired and fused by MIM 6.5.4 software. The acquired data sets were imported into a CyberKnife Robotic Radiosurgery System (Multiplan 4.0.2 and used to delineate the target organs at risk. The irradiation doses received by the lesions were 21 Gy/3 times in 5 cases, 25 Gy/5 times in one case and 30 Gy/3 times in one case. The exposure field was 109-155, and target volume reached over 95%. Patients maintained at supine positionduring treatment and utilized a 6D-skull trace mode specific to CyberKnife. Changes of clinical symptoms and imaging immediately after treatment and during follow-up period were observed to evaluate the efficacy and safety of this therapeutic method. Results Patients were followed-up for 6-18 months, and the meanfollow-up period was 9.37 months. Volumes of lesions were calculated after operation. All of these patients showed decrease in tumor volume (35.48% to 84.03% and improvement in symptoms (including visual impairment, visual field defect and headaches after therapy. Postoperative MRI revealed the tumor volume was 6.75-28.35 cm3 (median 10.50 cm3, which were significantly lower than that of before treatment [11.86-70.12 cm3 (median 23.30 cm3; Z = -2.366, P = 0.018]. Only one case presented radioactive cerebral edema, and the symptom was disappeared after 5-day treatment with mannitol and dexamethasone. Conclusions CyberKnife is an effective treatment method for giant cavernous hemangioma in cavernous sinus region. It is suggested to be the first selection for patients with giant cavernous hemangioma in cavernous sinus, who are not suitable for traditional surgeries and general

  2. 36 CFR 7.47 - Carlsbad Caverns National Park.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Carlsbad Caverns National Park. 7.47 Section 7.47 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR SPECIAL REGULATIONS, AREAS OF THE NATIONAL PARK SYSTEM § 7.47 Carlsbad Caverns National Park....

  3. Recovery of opthalmoplegia associated with cavernous sinus dural arteriovenous fistulas after transvenous cavernous sinus packing

    Energy Technology Data Exchange (ETDEWEB)

    Lv Xianli; Jiang Chuhan; Li Youxiang; Yang Xinjian [Beijing Neurosurgical institute, Beijing Tiantan Hospital, Capital Medical University, 6, Tiantan Xili, Chongwen, Beijing (China); Wu Zhongxue, E-mail: ttyyzjb@sina.co [Beijing Neurosurgical institute, Beijing Tiantan Hospital, Capital Medical University, 6, Tiantan Xili, Chongwen, Beijing (China)

    2010-08-15

    Background: We report the recovery of ophthalmoplegia in 11 patients with cavernous sinus dural arteriovenous fistula (CSDAVF) after sinus packing at follow-up. Methods: Of 18 patients with CSDAVF treated with transvenous cavernous sinus packing between August 2002 and December 2007 at Beijing Tiantan Hospital, there were 9 patients with initial CNIII or CNVI dysfunction and 2 patients with CNVI dysfunction immediately after cavernous sinus packing selected and reevaluated. Results: Of 11 patients with CNIII or CNVI palsy, recovery was complete in 10. In 1 patient, complete CNVI palsy was unchanged because the CSDAVF was not cured. There were 6 men and 5 women with a mean age of 52.9 years. In 5 patients, CNVI palsy was associated with chemosis, proptosis and pulsatile tinnitus. Timing of treatment after onset of symptoms was from 4 to 35 days in 9 patients. All CSDAVFs were Barrow type D. Mean follow-up after treatment was 17.7 months (range, 2-54 months). Conclusion: CSDAVF-induced CNIII or CNVI palsies can be cured after cavernous sinus packing transvenously in most patients.

  4. Optical coherence tomography of the rat cavernous nerves

    Science.gov (United States)

    Fried, Nathaniel M.; Rais-Bahrami, Soroush; Lagoda, Gwen A.; Chuang, Ying; Burnett, Arthur L.; Su, Li-Ming

    2007-02-01

    Improvements in identification, imaging, and visualization of the cavernous nerves during radical prostatectomy, which are responsible for erectile function, may improve nerve preservation and postoperative potency. Optical coherence tomography (OCT) is capable of real-time, high-resolution, cross-sectional, in vivo tissue imaging. The rat prostate serves as an excellent model for studying the use of OCT for imaging the cavernous nerves, as the rat cavernous nerve is a large, visible, and distinct bundle allowing for easy identification with OCT in addition to histologic confirmation. Imaging was performed with the Niris OCT system and a handheld 8 Fr probe, capable of acquiring real-time images with 11-μm axial and 25-μm lateral resolution in tissue. Open surgical exposure of the prostate was performed on a total of 6 male rats, and OCT images of the prostate, cavernous nerve, pelvic plexus ganglion, seminal vesicle, blood vessels, and periprostatic fat were acquired. Cavernous nerve electrical stimulation with simultaneous intracorporeal pressure measurements was performed to confirm proper identification of the cavernous nerves. The prostate and cavernous nerves were also processed for histologic analysis and further confirmation. Cross-sectional and longitudinal OCT images of the cavernous nerves were acquired and compared with histologic sections. The cavernous nerve and ganglion could be differentiated from the surrounding prostate gland, seminal vesicle, blood vessels, bladder, and fatty tissue. We report preliminary results of OCT images of the rat cavernous nerves with histologic correlation and erectile stimulation measurements, thus providing interpretation of prostate structures as they appear in OCT images.

  5. CAVERNOUS HEMANGIOMA OF THE INTERNAL AUDITORY CANAL

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Hekmatara

    1993-06-01

    Full Text Available Cavernous hemangioma is a rare benign tumor of the internal auditory canal (IAC of which fourteen cases have been reported so far."nTinnitus and progressive sensorineural hearing loss (SNHL are the chief complaints of the patients. Audiological and radiological planes, CTScan, and magnetic resonance image (MRI studies are helpful in diagnosis. The only choice of treatment is surgery with elective transmastoid trans¬labyrinthine approach. And if tumor is very large, the method of choice will be retrosigmoid approach.

  6. Beta adrenergic receptors in human cavernous tissue

    Energy Technology Data Exchange (ETDEWEB)

    Dhabuwala, C.B.; Ramakrishna, C.V.; Anderson, G.F.

    1985-04-01

    Beta adrenergic receptor binding was performed with /sup 125/I iodocyanopindolol on human cavernous tissue membrane fractions from normal tissue and transsexual procedures obtained postoperatively, as well as from postmortem sources. Isotherm binding studies on normal fresh tissues indicated that the receptor density was 9.1 fmoles/mg. with a KD of 23 pM. Tissue stored at room temperature for 4 to 6 hours, then at 4C in saline solution for 19 to 20 hours before freezing showed no significant changes in receptor density or affinity, and provided evidence for the stability of postmortem tissue obtained within the same time period. Beta receptor density of 2 cavernous preparations from transsexual procedures was not significantly different from normal control tissues, and showed that high concentrations of estrogen received by these patients had no effect on beta adrenergic receptor density. Displacement of /sup 125/iodocyanopindolol by 5 beta adrenergic agents demonstrated that 1-propranolol had the greatest affinity followed by ICI 118,551, zinterol, metoprolol and practolol. When the results of these displacement studies were subjected to Scatfit, non- linear regression line analysis, a single binding site was described. Based on the relative potency of the selective beta adrenergic agents it appears that these receptors were of the beta 2 subtype.

  7. Vascular permeability in cerebral cavernous malformations

    DEFF Research Database (Denmark)

    Mikati, Abdul G; Khanna, Omaditya; Zhang, Lingjiao;

    2015-01-01

    Patients with the familial form of cerebral cavernous malformations (CCMs) are haploinsufficient for the CCM1, CCM2, or CCM3 gene. Loss of corresponding CCM proteins increases RhoA kinase-mediated endothelial permeability in vitro, and in mouse brains in vivo. A prospective case-controlled observ......Patients with the familial form of cerebral cavernous malformations (CCMs) are haploinsufficient for the CCM1, CCM2, or CCM3 gene. Loss of corresponding CCM proteins increases RhoA kinase-mediated endothelial permeability in vitro, and in mouse brains in vivo. A prospective case......-controlled observational study investigated whether the brains of human subjects with familial CCM show vascular hyperpermeability by dynamic contrast-enhanced quantitative perfusion magnetic resonance imaging, in comparison with CCM cases without familial disease, and whether lesional or brain vascular permeability...... correlates with CCM disease activity. Permeability in white matter far (WMF) from lesions was significantly greater in familial than in sporadic cases, but was similar in CCM lesions. Permeability in WMF increased with age in sporadic patients, but not in familial cases. Patients with more aggressive...

  8. Endovascular management of carotid-cavernous fistulas

    Institute of Scientific and Technical Information of China (English)

    GAO Bu-lang; LI Ming-hua; LI Yong-dong; FANG Chun; WANG Jue; DU Zhuo-ying

    2007-01-01

    Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas (CCF) and their complications such as pseudoaneurysms. Methods: Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coil embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stent management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% (4/22). A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% (8/22). Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.

  9. CaveMan Version 3.0: A Software System for SPR Cavern Pressure Analysis

    Energy Technology Data Exchange (ETDEWEB)

    BALLARD,SANFORD; EHGARTNER,BRIAN L.

    2000-07-01

    The U. S. Department of Energy Strategic Petroleum Reserve currently has approximately 500 million barrels of crude oil stored in 62 caverns solution-mined in salt domes along the Gulf Coast of Louisiana and Texas. One of the challenges of operating these caverns is ensuring that none of the fluids in the caverns are leaking into the environment. The current approach is to test the mechanical integrity of all the wells entering each cavern approximately once every five years. An alternative approach to detecting cavern leaks is to monitor the cavern pressure, since leaking fluid would act to reduce cavern pressure. Leak detection by pressure monitoring is complicated by other factors that influence cavern pressure, the most important of which are thermal expansion and contraction of the fluids in the cavern as they come into thermal equilibrium with the host salt, and cavern volume reduction due to salt creep. Cavern pressure is also influenced by cavern enlargement resulting from salt dissolution following introduction of raw water or unsaturated brine into the cavern. However, this effect only lasts for a month or two following a fluid injection. In order to implement a cavern pressure monitoring program, a software program called CaveMan has been developed. It includes thermal, creep and salt dissolution models and is able to predict the cavern pressurization rate based on the operational history of the cavern. Many of the numerous thermal and mechanical parameters in the model have been optimized to produce the best match between the historical data and the model predictions. Future measurements of cavern pressure are compared to the model predictions, and significant differences in cavern pressure set program flags that notify cavern operators of a potential problem. Measured cavern pressures that are significantly less than those predicted by the model may indicate the existence of a leak.

  10. Strategic petroleum reserve caverns casing damage update 1997

    Energy Technology Data Exchange (ETDEWEB)

    Munson, D.E.; Molecke, M.A.; Neal, J.T. [and others

    1998-01-01

    Hanging casing strings are used for oil and brine transfer in the domal salt storage caverns of the Strategic Petroleum Reserve (SPR). Damage to these casings is of concern because hanging string replacement is costly and because of implications on cavern stability. Although the causes of casing damage are not always well defined, many events leading to damage are assumed to be the result of salt falls impacting the hanging strings. However, in some cases, operational aspects may be suspected. The history of damage to hanging strings is updated in this study to include the most recent events. Potential general domal and local operational and material factors that could influence the tendency for caverns to have salt falls are examined in detail. As a result of this examination, general factors, such as salt dome anomalies and crude type, and most of the operational factors, such as geometry, location and depressurizations, are not believed to be primary causes of casing damage. Further analysis is presented of the accumulation of insolubles during cavern solutioning and accumulation of salt fall material on the cavern floor. Inaccuracies in sump geometry probably make relative cavern insolubles contents uncertain. However, determination of the salt fall accumulations, which are more accurate, suggest that the caverns with the largest salt fall accumulations show the greatest number of hanging string events. There is good correlation between the accumulation rate and the number of events when the event numbers are corrected to an equivalent number for a single hanging string in a quiescent, operating cavern. The principal factor that determines the propensity for a cavern to exhibit this behavior is thought to be the effect of impurity content on the fracture behavior of salt.

  11. [Giant cavernous hemangioma of the orbit (case report)].

    Science.gov (United States)

    Grusha, Ia O; Ismailova, D S; Eksarenko, O V; Fedorov, A A; Kharlap, S I

    2014-01-01

    The following case demonstrates a successful en bloc removal of a massive cavernous hemangioma of the orbit via vertical transpalpebral approach with postoperative improvement of optic nerve condition and optimal cosmetic result.

  12. ATLAS - End-Cap calorimeter lowered in to the cavern

    CERN Multimedia

    2006-01-01

    The End-cap calorimeter was lowered into the ATLAS cavern at POINT1. This calorimeter will measure the energy of particles close to the beam axis when protons collide. Cooling is important for maximum detector efficiency.

  13. Cavernous hemangioma of the dura mater mimicking meningioma

    Directory of Open Access Journals (Sweden)

    Hambra Di Vitantonio

    2015-01-01

    Conclusions: Dural-based cavernous hemangiomas of the convexity are uncommon lesions. Up to now, only 13 cases have been described in the literature. The authors have discussed clinical aspects, radiological features, surgical treatment, and operative findings.

  14. Oil field waste disposal in salt caverns: An information website

    Energy Technology Data Exchange (ETDEWEB)

    Tomasko, D.; Veil, J. A.

    1999-12-10

    Argonne National Laboratory has completed the construction of a Website for the US Department of Energy (DOE) that provides detailed information on salt caverns and their use for disposing of nonhazardous oil field wastes (NOW) and naturally occurring radioactive materials (NORM). Specific topics in the Website include the following: descriptions of salt deposits and salt caverns within the US, salt cavern construction methods, potential types of wastes, waste emplacement, regulatory issues, costs, carcinogenic and noncarcinogenic human health risks associated with postulated cavern release scenarios, new information on cavern disposal (e.g., upcoming meetings, regulatory issues, etc.), other studies supported by the National Petroleum Technology Office (NPTO) (e.g., considerations of site location, cavern stability, development issues, and bedded salt characterization in the Midland Basin), and links to other associated Web sites. In addition, the Website allows downloadable access to reports prepared on the topic that were funded by DOE. Because of the large quantities of NOW and NORM wastes generated annually by the oil industry, information presented on this Website is particularly interesting and valuable to project managers, regulators, and concerned citizens.

  15. ADVANCED UNDERGROUND GAS STORAGE CONCEPTS REFRIGERATED-MINED CAVERN STORAGE

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    Limited demand and high cost has prevented the construction of hard rock caverns in this country for a number of years. The storage of natural gas in mined caverns may prove technically feasible if the geology of the targeted market area is suitable; and economically feasible if the cost and convenience of service is competitive with alternative available storage methods for peak supply requirements. It is believed that mined cavern storage can provide the advantages of high delivery rates and multiple fill-withdrawal cycles in areas where salt cavern storage is not possible. In this research project, PB-KBB merged advanced mining technologies and gas refrigeration techniques to develop conceptual designs and cost estimates to demonstrate the commercialization potential of the storage of refrigerated natural gas in hard rock caverns. Five regions of the U.S.A. were studied for underground storage development and PB-KBB reviewed the literature to determine if the geology of these regions was suitable for siting hard rock storage caverns. Area gas market conditions in these regions were also studied to determine the need for such storage. Based on an analysis of many factors, a possible site was determined to be in Howard and Montgomery Counties, Maryland. The area has compatible geology and a gas industry infrastructure for the nearby market populous of Baltimore and Washington D.C.. As Gas temperature is lowered, the compressibility of the gas reaches an optimum value. The compressibility of the gas, and the resultant gas density, is a function of temperature and pressure. This relationship can be used to commercial advantage by reducing the size of a storage cavern for a given working volume of natural gas. This study looks at this relationship and and the potential for commercialization of the process in a storage application. A conceptual process design, and cavern design were developed for various operating conditions. Potential site locations were considered

  16. Evidence for remotely triggered microearthquakes during salt cavern collapse

    Science.gov (United States)

    Jousset, Philippe; Rohmer, Jérémy

    2016-04-01

    Microseismicity is a good indicator of spatio-temporal evolution of physical properties of rocks prior to catastrophic events like volcanic eruptions or landslides and may be triggered by a number of causes including dynamic characteristics of processes in play or/and external forces. We show evidence of triggered microseismicity observed in the vicinity of an underground salt cavern prone to collapse by a remote M ˜ 7.2 earthquake, which occurred ˜12 000 km away. High-dynamic range broad-band records reveal the strong time-correlation between a dramatic change in the rate of local high-frequency microseismicity and the passage of low-frequency seismic waves, including body, Love and Rayleigh surface waves. Pressure was lowered in the cavern by pumping operations of brine out of the cavern. We demonstrate the near critical state of the cavern before the collapse by means of 2-D axisymmetric elastic finite-element simulations. On this basis, we show that the increment of stress necessary for the failure of the Dolomite layer, which ensures the stability of the whole system, is of the same order of magnitude as the maximum dynamic stress magnitude observed during the passage of the earthquakes waves. This suggests that the stress oscillations due to the seismic waves correlated with the recorded microearthquakes induced damage of the overburden, which eventually led to the collapse of the salt cavern. We show that the contribution of Rayleigh waves is the most efficient to trigger microseismicity at periods close to the natural fundamental frequency of the cavern system found at about 10-20 s by investigating the impulse response of the cavern + overburden + brine system.

  17. Hemiparesis in carotid cavernous fistulas (CCFs):a case report and review of the literature

    Institute of Scientific and Technical Information of China (English)

    王慧晓; 白如林; 黄承光; 卢亦成; 张光霁

    2004-01-01

    @@ Carotid-cavernous fistulas (CCFs) are abnormal arteriovenous anastamoses between the carotid artery and the cavernous sinus. These fistulas may be classified by cause (spontaneous or traumatic), flow velocity (high or low ), or pathogenesis (direct or indirect).

  18. Lunar Holes and Their Associating Subsurface Caverns: From SELENE (Kaguya) to UZUME

    Science.gov (United States)

    Haruyama, J.; Kawano, I.; Nishibori, T.; Iwata, T.; Yamamoto, Y.; Shimada, K.; Yamamoto, K.; Hasenaka, T.; Morota, T.; Nishino, M. N.; Hashizume, K.; Shirao, M.; Komatsu, G.; Hasebe, N.; Shimizu, H.; Kobayashi, K.; Yokobori, S.; Miyake, Y.; Michikawa, Y.; Tsuji, T.; Shinoda, R.

    2016-05-01

    We present a summary of lunar holes and associated caverns. Furthermore, we also introduce the project Unprecedented Zipangu Underworld of the Moon/Mars Exploration (UZUME) to explore the holes and caverns.

  19. Vascular permeability in cerebral cavernous malformations.

    Science.gov (United States)

    Mikati, Abdul G; Khanna, Omaditya; Zhang, Lingjiao; Girard, Romuald; Shenkar, Robert; Guo, Xiaodong; Shah, Akash; Larsson, Henrik B W; Tan, Huan; Li, Luying; Wishnoff, Matthew S; Shi, Changbin; Christoforidis, Gregory A; Awad, Issam A

    2015-10-01

    Patients with the familial form of cerebral cavernous malformations (CCMs) are haploinsufficient for the CCM1, CCM2, or CCM3 gene. Loss of corresponding CCM proteins increases RhoA kinase-mediated endothelial permeability in vitro, and in mouse brains in vivo. A prospective case-controlled observational study investigated whether the brains of human subjects with familial CCM show vascular hyperpermeability by dynamic contrast-enhanced quantitative perfusion magnetic resonance imaging, in comparison with CCM cases without familial disease, and whether lesional or brain vascular permeability correlates with CCM disease activity. Permeability in white matter far (WMF) from lesions was significantly greater in familial than in sporadic cases, but was similar in CCM lesions. Permeability in WMF increased with age in sporadic patients, but not in familial cases. Patients with more aggressive familial CCM disease had greater WMF permeability compared to those with milder disease phenotype, but similar lesion permeability. Subjects receiving statin medications for routine cardiovascular indications had a trend of lower WMF, but not lesion, permeability. This is the first demonstration of brain vascular hyperpermeability in humans with an autosomal dominant disease, as predicted mechanistically. Brain permeability, more than lesion permeability, may serve as a biomarker of CCM disease activity, and help calibrate potential drug therapy.

  20. Underground hydrogen storage. Final report. [Salt caverns, excavated caverns, aquifers and depleted fields

    Energy Technology Data Exchange (ETDEWEB)

    Foh, S.; Novil, M.; Rockar, E.; Randolph, P.

    1979-12-01

    The technical and economic feasibility of storing hydrogen in underground storage reservoirs is evaluated. The past and present technology of storing gases, primarily natural gas is reviewed. Four types of reservoirs are examined: salt caverns, excavated caverns, aquifers, and depleted fields. A technical investigation of hydrogen properties reveals that only hydrogen embrittlement places a limit on the underground storage by hydrogen. This constraint will limit reservoir pressures to 1200 psi or less. A model was developed to determine economic feasibility. After making reasonable assumptions that a utility might make in determining whether to proceed with a new storage operation, the model was tested and verified on natural gas storage. A parameteric analysis was made on some of the input parameters of the model to determine the sensitivity of the cost of service to them. Once the model was verified it was used to compute the cost of service of storing hydrogen in the four reservoir types. The costs of service for hydrogen storage ranged from 26 to 150% of the cost of the gas stored. The study concludes that it is now both safe and economic to store hydrogen in underground reservoirs.

  1. CAVERN ROOF STABILITY FOR NATURAL GAS STORAGE IN BEDDED SALT

    Energy Technology Data Exchange (ETDEWEB)

    DeVries, Kerry L; Mellegard, Kirby D; Callahan, Gary D; Goodman, William M

    2005-06-01

    This report documents research performed to develop a new stress-based criterion for predicting the onset of damage in salt formations surrounding natural gas storage caverns. Laboratory tests were conducted to investigate the effects of shear stress, mean stress, pore pressure, temperature, and Lode angle on the strength and creep characteristics of salt. The laboratory test data were used in the development of the new criterion. The laboratory results indicate that the strength of salt strongly depends on the mean stress and Lode angle. The strength of the salt does not appear to be sensitive to temperature. Pore pressure effects were not readily apparent until a significant level of damage was induced and the permeability was increased to allow penetration of the liquid permeant. Utilizing the new criterion, numerical simulations were used to estimate the minimum allowable gas pressure for hypothetical storage caverns located in a bedded salt formation. The simulations performed illustrate the influence that cavern roof span, depth, roof salt thickness, shale thickness, and shale stiffness have on the allowable operating pressure range. Interestingly, comparison of predictions using the new criterion with that of a commonly used criterion indicate that lower minimum gas pressures may be allowed for caverns at shallow depths. However, as cavern depth is increased, less conservative estimates for minimum gas pressure were determined by the new criterion.

  2. Gallium scintigraphy in a case of septic cavernous sinus thrombosis

    Energy Technology Data Exchange (ETDEWEB)

    Palestro, C.J.; Malat, J.; Gladstone, A.G.; Richman, A.H.

    1986-09-01

    Septic cavernous sinus thrombosis, a relatively uncommon disease entity, frequently can be fatal. Early diagnosis is imperative in order that appropriate treatment be instituted. A 59-year-old woman who was admitted to our institution with complaints of diplopia, blurred vision and fevers that developed following a tooth extraction is presented. Initial CT and lumbar puncture on the day of admission were totally normal. A repeat CT performed 48 hours after admission, on the same day as gallium imaging, demonstrated findings consistent with cavernous sinus thrombosis. Gallium imaging demonstrated intense uptake in the left cavernous sinus and left orbit as well as moderately increased activity in the right cavernous sinus and orbit, confirming infection. The patient was treated with antibiotics, and repeat CT and gallium imaging were performed ten days later, both of which demonstrated near total resolution of the disease process. Conceivably, if gallium imaging had been initiated on the day of admission it may have been the first study to demonstrate an infectious process in the cavernous sinus. Gallium imaging should be considered as a diagnostic tool in the noninvasive workup of this entity.

  3. Logging Geology Study of the Caverned Paleokarst Reservoir Distribution

    Institute of Scientific and Technical Information of China (English)

    WuXinsong; YangLei; PanWenqing; GuQiaoyuan

    2005-01-01

    In recent years, many carbonate rock oilfields such as Lunnan and Tahe have been found in the Tarim Basin, and the main reservoir space of the stable high yield wells in these oilfields consists mainly of the caverns formed by the paleo-karstification and the dissolution pores and fractures connected with them. Nevertheless, it is difficult to predict effectively the distribution of the cavern reservoir because of its extremely serious heterogeneity. In this paper, a case study of the Lunxi Oilfield in the north uplift of the Tarim Basin is conducted to introduce the logging geology method for predicting the distribution of the caverned paleokarst, reservoir. By means of building up the logging recognition style of different caverns and differentiating and correlating the karst zones with logging curves, and through an analysis of the paleokarst topography background, the favorable karst zones and distribution areas of the high quality cavern reservoir have been located, which lays a new basis for further exploration in this area.

  4. Endoscopic transsphenoidal approach to pituitary adenomas invading the cavernous sinus

    Institute of Scientific and Technical Information of China (English)

    TAO Yu-xin; QU Qiu-yi; WANG Zhen-lin; ZHANG Qiu-hang

    2010-01-01

    Background Surgery of pituitary adenomas invading cavernous sinus has always been thought as a challenge due to the complex anatomical structures and high risk of complications. The purpose of this study was to evaluate endoscopic trarssphenoidal approach to pituitary adenomas invading cavernous sinus.Methods The clinical data of 22 patients who admitted to Xuanwu Hospital with pituitary adenomas invading cavernous sinus were analyzed retrospectively. All patients underwent endoscopic transsphenoidal surgery. To expose the surgical field sufficiently, the opening of sellar floor was exceeded the bone overlying the invaded cavernous sinus, and synthetic dura was used to repair and strengthen the sella floor for preventing the leak of cerebrospinal fluid.Results Among 22 patients, total resection was achieved in 14, subtotal resection in 5, and partial resection in 3; no patient underwent insufficient resection. Visual symptoms improved in 7 of 9 patients. In one patient diplopia disappeared.Headache was relieved to various extents in all patients. No serious complications were found. Patient's hospital stay ranged from 7 to 20 days.Conclusion These data suggest that the endoscopic transsphenoid approach is a safe, minimally invasive, and efficient surgical technique, which might be an important therapeutic strategy for the pituitary adenoms invading cavernous sinus.

  5. Radiological features of childhood giant cavernous malformations

    Energy Technology Data Exchange (ETDEWEB)

    Ozgen, Burce; Senocak, Efsun; Oguz, Kader K. [Hacettepe University, Department of Radiology, Faculty of Medicine, Ankara (Turkey); Soylemezoglu, Figen [Hacettepe University, Department of Pathology, School of Medicine, Ankara (Turkey); Akalan, Nejat [Hacettepe University, Department of Neurosurgery, School of Medicine, Ankara (Turkey)

    2011-04-15

    Giant cavernous malformations (GCM) are very large, low-flow vascular malformations, which usually have atypical imaging features and are commonly misdiagnosed preoperatively as neoplasms or vascular malformations. These lesions have mostly been reported in children. As cavernomas show different features in children compared to adults, we evaluated the imaging features of pediatric GCMs in order to help in the preoperative diagnosis of these malformations. Brain MR studies of nine children (mean age of 4 years; 8 months-9 years) with biopsy-proven GCM were retrospectively evaluated. We defined GCMs as cavernomas of {>=}4 cm. Lesions were evaluated regarding their size, location, signal characteristics, general appearance (uni/multilocular) as well as regarding the presence of mass effect, edema, and fluid-fluid levels and were classified according to the Mottolese classification of pediatric cavernomas. Lesion locations were parietal (n = 5), frontal (n = 2), temporal, and intraventricular. Seven lesions were in the periventricular region (with five in the periatrial region). Six patients had T1 hyperintense multilobulated lesions with ''bubbles of blood'' appearance and three patients had heterogeneous lesions with reticular core. All lesions had mass effect, edema (marked in four cases), and peripheral hemosiderin rim. Fluid-fluid levels were also common (n = 7). Most of our lesions (six of nine) were classified as type IIIA, two as type IIIC, and one as type IA. In children, a GCM should be considered in case of very large hemorrhagic intra-axial mass with ''bubbles of blood'' multicystic appearance, surrounding hemosiderin ring, fluid-fluid levels, and accompanying edema-mass effect, especially in the periatrial location. (orig.)

  6. CAVERNOUS HAEMANGIOMA WITH RETIFORM HAEMANGIOENDOTHELIOMA - A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Mamina

    2013-10-01

    Full Text Available ABSTRACT: INTRODUCTION : Retiform hemangioendothelioma is a rare variant of lo w - grade angiosarcoma with an indolent clinical behaviour, with predilection for young adults. Mostly is seen in the extremities, especially the distal lower limbs. CASE REPORT: An eighty year old lady, presented with complaints of a solitary, well defined swelling below the nape of the neck since two years. The swelling was clinically diagnosed as cavernous haemangioma. However the colour of the lesion s was looking like a melanocytic naevus. Excision was done under local anaesthesia and was sent for histopa tho lo gical examination. Histopathological diagnosis was confirmed as “Cavernous haemangioma with Retiform Haemangioendothelioma”

  7. Endovascular treatment of traumatic carotid cavernous fistula with trapping technique

    Directory of Open Access Journals (Sweden)

    Benny Young

    2013-08-01

    Full Text Available Conventional endovascular treatment for carotid cavernous fistula (CCF involves a direct delivery of either coils, detachable balloon or both to the fistula with end point of CCF resolution and carotid artery preservation. But in few cases with severe laceration of carotid artery, the feasible endovascular technique applicable is by blocking the filling of fistula from cerebral circulation. This method known as trapping technique which implicates carotid artery occlusion, was performed in our present case with good result. (Med J Indones. 2013;22:178-82. doi: 10.13181/mji.v22i3.588Keywords: Carotid cavernous fistula (CCF, carotid occlusion, trapping technique

  8. Heuber Maneuver in Evaluation of Direct Carotid-Cavernous Fistula

    Science.gov (United States)

    Rajagopal, Rengarajan; Mehta, Neeraj; Saran, Sonal; Khera, Pushpinder S.

    2016-01-01

    Summary Carotid-cavernous fistulas are abnormal communications between the carotid system and the cavernous sinus. Elevated venous pressure produces congestion in the orbit with resultant transudation of fluid and increased intraocular pressure, thereby leading to secondary glaucoma which may result in visual loss. Immediate treatment is hence, warranted in these cases. The planning of endovascular management is dependent on many parameters, the most important of which are the size and location of the fistula. Since these are high-flow fistulas, assessment requires certain manoeuvers. Heuber manoeuver is one of the manoeuvers used to demonstrate the size of the fistula.

  9. Cavernous sinus thrombosis and air embolism following surgery for acoustic neurinoma : a case report.

    Directory of Open Access Journals (Sweden)

    Nadkarni T

    2002-04-01

    Full Text Available A 55 year old male patient was operated on for a massive and vascular acoustic neurinoma in a sitting position. The tumor was completely excised. Post-operatively, the patient developed irritability and clinical features suggestive of contralateral cavernous sinus thrombosis. CT scan showed air within the dural walls of the cavernous sinus on the side of surgery. However, there was no radiological evidence of cavernous sinus thrombosis on the contralateral side. Cavernous sinus thrombosis as a post-surgery complication has not been reported. Air within the dural confines of the cavernous sinus has also not been observed or radiologically recorded in the literature.

  10. Transvenous treatment of a complex cavernous sinus dural arteriovenous fistula secondary to balloon embolization of a traumatic carotid-cavernous fistula

    Institute of Scientific and Technical Information of China (English)

    HAI Jian; CHEN Zuo-quan; DENG Dong-feng; PAN Qing-gang; LING Feng

    2006-01-01

    @@ AIthough recurrent traumatic carotid-cavernous fistula (CCF) and its treatment have been reported sporadically,1 a complex cavernous sinus dural arteriovenous fistula (DAVF) secondary to balloon embolization of a direct traumatic CCF is rare. In 2005, we treated such a case via transvenous approach using coils and N-buty-2-cyanoacrylate (NBCA). The causes of recurrent cavernous sinus DAVF and its endovascular approach are discussed.

  11. Fat deposition in the cavernous sinus in Cushing disease

    Energy Technology Data Exchange (ETDEWEB)

    Bachow, T.B.; Hesselink, J.R.; Aaron, J.O.; Davis, K.R.; Taveras, J.M.

    1984-10-01

    Fat density in the cavernous sinus on computed tomography (CT) is described in 6 out of 16 (37.5%) patients with Cushing disease. This finding may aid in making a specific diagnosis in patients with a pituitary mass. It was not seen in 30 random CT studies of the sella; however, supra seller fat was incidentally noted in the patient with acromegaly.

  12. Carotid-cavernous fistula after functional endoscopic sinus surgery.

    Science.gov (United States)

    Karaman, Emin; Isildak, Huseyin; Haciyev, Yusuf; Kaytaz, Asim; Enver, Ozgun

    2009-03-01

    Carotid-cavernous fistulas (CCFs) are anomalous communications between the carotid arterial system and the venous cavernous sinus. They can arise because of spontaneous or trauma causes. Most caroticocavernous fistulas are of spontaneous origin and unknown etiology. Spontaneous CCF may also be associated with cavernous sinus pathology such as arteriosclerotic changes of the arterial wall, fibromuscular dysplasia, or Ehler-Danlos syndrome. Traumatic CCFs may occur after either blunt or penetrating head trauma. Their clinical presentation is related to their size and to the type of venous drainage, which can lead to a variety of symptoms, such as visual loss, proptosis, bruit, chemosis, cranial nerve impairment, intracranial hemorrhage (rare), and so on. Treatment by endovascular transarterial embolization with electrolytically detachable coils is a very effective method for CCF with good outcomes. Carotid-cavernous fistulas have been rarely reported after craniofacial surgery and are uncommon pathologies in otolaryngology practice. In this study, we report a 40-year-old woman with CCF secondary to blunt trauma of functional endoscopic sinus surgery.

  13. Sensitivity analysis of influencing parameters in cavern stability

    Institute of Scientific and Technical Information of China (English)

    Abolfazl Abdollahipour; Reza Rahmannejad

    2012-01-01

    In order to analyze the stability of the underground rock structures,knowing the sensitivity of geomechanical parameters is important.To investigate the priority of these geomechanical properties in the stability of cavern,a sensitivity analysis has been performed on a single cavern in various rock mass qualities according to RMR using Phase 2.The stability of cavern has been studied by investigating the side wall deformation.Results showed that most sensitive properties are coefficient of lateral stress and modulus of deformation.Also parameters of Hoek-Brown criterion and σc have no sensitivity when cavern is in a perfect elastic state.But in an elasto-plastic state,parameters of Hoek-Brown criterion and σc affect the deformability; such effect becomes more remarkable with increasing plastic area.Other parameters have different sensitivities concerning rock mass quality (RMR).Results have been used to propose the best set of parameters for study on prediction of sidewall displacement.

  14. Cavernous hemangioma of the dura mater mimicking meningioma

    Science.gov (United States)

    Di Vitantonio, Hambra; De Paulis, Danilo; Ricci, Alessandro; Marzi, Sara; Dehcordi, Soheila Raysi; Galzio, Renato Juan

    2015-01-01

    Background: Cavernomas are benign lesions that most commonly occur intra-parenchymally, but occasionally they have been described as arising from the dura mater. Extra-axial cavernous angiomas (or hemangiomas) account for 0.4–2% of all intracranial vascular malformations, and they usually occur in the middle cranial fossa, associated with the cavernous sinus. Other possible localizations (e.g. tentorium, convexity, anterior cranial fossa, cerebellopontine angle, Meckel's cave, sella turcica and internal auditory meatus) are rare, and they account only for 0.2–0.5%. Case Description: We report a case of a 30-year-old female presenting with a 2 years history of headache unresponsive to drug therapy. The magnetic resonance imaging showed a dural-based lesion in the left frontal region; the lesion size was: 1.5 cm × 3.5 cm. The appearance suggested a convexity meningioma. A left frontal craniotomy was performed, and the histopathological diagnosis deposed for a cavernous hemangioma of the dura mater. The follow-up at 1-year was good without any neurologic deficit. Conclusions: Dural-based cavernous hemangiomas of the convexity are uncommon lesions. Up to now, only 13 cases have been described in the literature. The authors have discussed clinical aspects, radiological features, surgical treatment, and operative findings. PMID:26421218

  15. A Case of Brainstem Cavernous Angioma Presenting with Persistent Hiccups

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Arami

    2010-07-01

    Full Text Available "nIntractable hiccup most be considered as a symptom of underlying serious pathologies. We report a case of medulla oblongata cavernous angima presented with persistant hiccup and without any improvement during routine nonpharmacologic and pharmacologic treatment regimns. The patient is under our follow up visits and surgery is very high risk for this young girl.

  16. Valuation of gas stored in salt cavern facilities

    Energy Technology Data Exchange (ETDEWEB)

    Bond, Michael A. [St. Mary' s University, TX (United States); Grant, Floyd H. [Purdue University, IN (United States)

    2008-07-01

    Since natural gas production is relatively inelastic towards demand in the short term, underground storage is used as a buffer against periods of high demand. Of the three most common storage facility types, depleted reservoirs, aquifers and manmade salt caverns, the latter is the most costly to develop. The challenge then is to maximize profits through efficient operation, well-timed injection and withdrawal of gas. The valuation of a commodity in storage is a challenging problem and has been the subject of study for decades. We investigate selected existing valuation approaches and look for ways to leverage salt-cavern-specific physical characteristics for financial advantage. The basis for our valuation is the Black-Scholes model for pricing options. Then, applying Monte-Carlo methods and simulation, we model combinations of characteristics in multi-cavern facilities and their impact on profitability. We describe the theory behind our work and our analytical framework and provide numerical results of our analysis. Our approach offers increased efficiency in salt-cavern gas storage facility operations. (author)

  17. Lowering End-cap YE-1 in the CMS cavern

    CERN Multimedia

    2008-01-01

    On Tuesday 22 January, the dance of the CMS end-caps came to an end with the lowering of YE-1, the heaviest of them all. After a spectacular lowering operation lsting ten hours, this mammoth component completed the 100-metre descent and was gently placed on the floor of the CMS cavern to the applause of the many onlookers.

  18. Orbital cavernous hemangiomas: ultrasound and magnetic resonance imaging evaluation.

    Science.gov (United States)

    Diamantopoulou, A; Damianidis, Ch; Kyriakou, V; Kotziamani, N; Emmanouilidou, M; Goutsaridou, F; Tsitouridis, I

    2010-03-01

    Cavernous hemangioma is the most common intraorbital lesion in adults. The aim of our study was to evaluate the magnetic resonance imaging (MRI) and ultrasound (US) characteristics of cavernous hemangioma and their role in the differential diagnosis of orbital tumors. Eight patients with orbital cavernous hemangiomas, five women and three men with a mean age of 48 years were examined in a period of six years. All patients underwent MRI examination and four patients were also evaluated by US. In all cases MRI depicted a well-defined intraconal tumor. The lesions were homogeneous, isointense to muscle on T1-weighted sequence and hyperintense to muscle on T2-weighted sequence in six patients. In one patient the mass was isointense on T1WI with heterogeneous signal intensity on T2WI and in one patient the lesion had heterogeneous signal intensity on both T1- and T2-weighted sequences. After intravenous contrast medium administration, the tumors showed initial inhomogeneous enhancement with progressive accumulation of contrast material on delayed images in seven patients and initial homogeneous enhancement in one patient. On ultrasonography, the orbital masses appeared slightly hyperechoic, heterogeneous with small areas of slow blood flow. The analysis of imaging characteristics of a well-defined intraconal lesion in an adult patient with painless progressive proptosis can be highly suggestive of the diagnosis of cavernous hemangioma.

  19. Traumatic basilar pseudoaneurysm with a basilar-cavernous arteriovenous fistula

    Energy Technology Data Exchange (ETDEWEB)

    Connor, S.E.J.; Deasy, N.P.; Jeffree, M.A. [Dept. of Neuroradiology, King' s Coll. Hospital, London (United Kingdom); Martin, A.J.; Strong, A.J. [Dept. of Neurosurgery, King' s Coll. Hospital, London (United Kingdom)

    2001-03-01

    A traumatic pseudoaneurysm of the basilar artery with a basilar-cavernous sinus arteriovenous fistula was diagnosed in a 12-year-old girl using CT, MRI and angiography. It was successfully treated by coil embolisation. We speculate on the mode of formation of this rare traumatic lesion. (orig.)

  20. Fracture and Healing of Rock Salt Related to Salt Caverns

    Energy Technology Data Exchange (ETDEWEB)

    Chan, K.S.; Fossum, A.F.; Munson, D.E.

    1999-03-01

    In recent years, serious investigations of potential extension of the useful life of older caverns or of the use of abandoned caverns for waste disposal have been of interest to the technical community. All of the potential applications depend upon understanding the reamer in which older caverns and sealing systems can fail. Such an understanding will require a more detailed knowledge of the fracture of salt than has been necessary to date. Fortunately, the knowledge of the fracture and healing of salt has made significant advances in the last decade, and is in a position to yield meaningful insights to older cavern behavior. In particular, micromechanical mechanisms of fracture and the concept of a fracture mechanism map have been essential guides, as has the utilization of continuum damage mechanics. The Multimechanism Deformation Coupled Fracture (MDCF) model, which is summarized extensively in this work was developed specifically to treat both the creep and fracture of salt, and was later extended to incorporate the fracture healing process known to occur in rock salt. Fracture in salt is based on the formation and evolution of microfractures, which may take the form of wing tip cracks, either in the body or the boundary of the grain. This type of crack deforms under shear to produce a strain, and furthermore, the opening of the wing cracks produce volume strain or dilatancy. In the presence of a confining pressure, microcrack formation may be suppressed, as is often the case for triaxial compression tests or natural underground stress situations. However, if the confining pressure is insufficient to suppress fracture, then the fractures will evolve with time to give the characteristic tertiary creep response. Two first order kinetics processes, closure of cracks and healing of cracks, control the healing process. Significantly, volume strain produced by microfractures may lead to changes in the permeability of the salt, which can become a major concern in

  1. A measurement of creep and permeability of a salt cavern; Une mesure de la permeabilite et du fluage d`une caverne dans le sel

    Energy Technology Data Exchange (ETDEWEB)

    Berest, P.; Bergues, J.; Brouard, B. [Ecole Polytechnique, (LMS), 91 - Palaiseau (France); Durup, G.; Guerber, B. [Gaz de France (GDF), 93 - La-Plaine-Saint-Denis (France)

    1999-07-01

    Rock mass properties differ significantly from those measured on samples in the laboratory. A test has been performed on a deep brine-filled cavern, with the objective of measuring the equilibrium pressure reached when the cavern was closed. Such an equilibrium is reached when salt mass creep, which leads to cavern shrinkage, balances brine permeation through the cavern wall. A K = 2.10{sup -19} m{sup 2} value of the average in situ intrinsic permeability has been deduced from the test; it is significantly higher than the intrinsic permeability measured in a well or in the laboratory. This result supports cavern abandonment scenarios in which the risk of natural fracturing due to high brine pressures is alleviated. (authors) 14 refs.

  2. Sensitivity of storage field performance to geologic and cavern design parameters in salt domes.

    Energy Technology Data Exchange (ETDEWEB)

    Ehgartner, Brian L. (Sandia National Laboratories, Albuquerque, NM); Park, Byoung Yoon

    2009-03-01

    A sensitivity study was performed utilizing a three dimensional finite element model to assess allowable cavern field sizes for strategic petroleum reserve salt domes. A potential exists for tensile fracturing and dilatancy damage to salt that can compromise the integrity of a cavern field in situations where high extraction ratios exist. The effects of salt creep rate, depth of salt dome top, dome size, caprock thickness, elastic moduli of caprock and surrounding rock, lateral stress ratio of surrounding rock, cavern size, depth of cavern, and number of caverns are examined numerically. As a result, a correlation table between the parameters and the impact on the performance of storage field was established. In general, slower salt creep rates, deeper depth of salt dome top, larger elastic moduli of caprock and surrounding rock, and a smaller radius of cavern are better for structural performance of the salt dome.

  3. Abducens Nerve Palsy and Ipsilateral Horner Syndrome in a Patient With Carotid-Cavernous Fistula.

    Science.gov (United States)

    Kal, Ali; Ercan, Zeynep E; Duman, Enes; Arpaci, Enver

    2015-10-01

    The combination of abducens nerve palsy and ipsilateral Horner syndrome was first described by Parkinson and considered as a localizing sign of posterior cavernous sinus lesions. The authors present a case with right abducens nerve palsy with ipsilateral Horner syndrome in a patient with carotid-cavernous fistula because of head trauma. The patient was referred to the ophthalmology clinic with diplopia complaint after suffering a head trauma during a motorcycle accident. Cerebral angiography showed low-flow carotid-cavernous fistula.

  4. Cluster Headache Secondary to Macroprolactinoma with Ipsilateral Cavernous Sinus Invasion

    Directory of Open Access Journals (Sweden)

    M. J. Levy

    2012-01-01

    Full Text Available We present a 25 year-old man with episodic cluster headache that was refractory to all standard pharmacological prophylactic and abortive treatments. Because of the lack of response, an MRI brain was performed which showed a large pituitary tumour with ipsilateral cavernous sinus invasion. The serum prolactin was significantly elevated at 54,700 miU/L (50–400 confirming a macro-prolactinoma. Within a few days of cabergoline therapy the headache resolved. He continues to be headache free several years after starting the dopamine agonist. This case highlights the importance of imaging the pituitary fossa in patients with refractory cluster headache, It also raises the potential anatomical importance of the cavernous sinus in pituitary-associated headache.

  5. A giant frontal cavernous malformation with review of literature

    Science.gov (United States)

    Sharma, Arvind; Mittal, Radhey Shyam

    2016-01-01

    Cavernous malformations (CMs) are vascular anomalies with dilated spaces called caverns. These spaces are lined by endothelial cells and collage and devoid of smooth muscle or intervening neural tissue, and filled with blood at various stages of stasis, thrombosis, organization, and calcification. Most CMs are relatively small in size but when they are large enough they can produce sing of mass effect and may simulate neoplastic, vascular, inflammatory pathology. Giant CM (size >6 cm) are very rare lesions and very few cases are reported in world literature. We are reporting such a rare case of a 16 year male. Our case is also unique in the sense that it is the largest reported CM in Indian population. PMID:27114662

  6. Cavernous Hemangioma of the Rib: A Rare Diagnosis

    Directory of Open Access Journals (Sweden)

    Stavros Gourgiotis

    2010-01-01

    Full Text Available Hemangioma of the rib is an uncommon benign vascular tumour. A case of rib hemangioma in a 29-year-old woman is presented. Chest roentgenogram and computed tomography revealed a mass along the inner surface of the 7th left rib with bone destruction. She underwent resection of the 7th rib. The pathologic diagnosis was cavernous hemangioma. Hemangiomas of the rib are rare tumours but should be kept in mind in the differential diagnosis of rib tumours.

  7. [Condition of cavernous tissue of the penis after unilateral incomplete proximal intracavernous falloprosthesis].

    Science.gov (United States)

    Taurashvili, G I; Medvedev, V L; Chilov, S A; Kochov, V N; Taruashvili, I G

    2011-01-01

    Unilateral incomplete proximal intracavernous falloprosthesis (UIPIF) was followed by US-dopplerography of the intact penis and penis in medical erection induced by E1 prostoglandin introduction into the intact cavernous body. UIPIF preserves 89-90% of functionally active cavernous tissue with effective blood flow. Investigation 2 months and more after operation demonstrated that systolic blood flow rate in the cavernous artery of the cavernous tissue around the endoprosthersis can reach values registered in normal erection. The conclusion is made that after UIPIF quality of sexual life of the patient improves due to creation of additional density and axial stability of the trunk of the penis.

  8. Isolated oculomotor nerve palsy caused by cavernous sinus dural arteriovenous fistula: Case report

    Energy Technology Data Exchange (ETDEWEB)

    Ihn, Yon Kwon; Jung, Won Sang [The Catholic Univ. of Korea, Suwon (Korea, Republic of); Kim, Bum Soo [The Catholic Univ. of Korea, Seoul (Korea, Republic of)

    2012-10-15

    Cavernous dural arteriovenous fistula (DAVF), which usually presents with conjunctival injection, proptosis, loss of visual acuity, and ophthalmoplegia, is a rare cause of ophthalmoplegia. Thus, it may be overlooked when the typical symptoms are lacking. There have been some cavernous DAVF case reports presenting with isolated oculomotor, abducens and trochlear nerve palsy. We report a patient presenting with isolated oculomotor palsy, caused by cavernous DAVF, which was treated by transvenous coil embolization. This case suggests that cavernous DAVF should be considered in the differential diagnosis of isolated oculomotor nerve palsy and for which case - selective angiography and embolization may be helpful in reaching a diagnosis and providing a guide for optimal treatment.

  9. Geotechnical issues and guidelines for storage of compressed air in excavated hard rock caverns

    Energy Technology Data Exchange (ETDEWEB)

    Allen, R.D.; Doherty, T.J.; Fossum, A.F.

    1982-04-01

    The results of a literature survey on the stability of excavated hard rock caverns are presented. The objective of the study was to develop geotechnical criteria for the design of compressed air energy storage (CAES) caverns in hard rock formations. These criteria involve geologic, hydrological, geochemical, geothermal, and in situ stress state characteristics of generic rock masses. Their relevance to CAES caverns, and the identification of required research areas, are identified throughout the text. This literature survey and analysis strongly suggests that the chief geotechnical issues for the development and operation of CAES caverns in hard rock are impermeability for containment, stability for sound openings, and hydrostatic balance.

  10. Post-traumatic carotid cavernous fistula of late manifestation report

    Directory of Open Access Journals (Sweden)

    Joanna Roskal-Wałek

    2015-01-01

    Full Text Available Carotid cavernous fistula (CCF is an abnormal connection between the carotid artery and the cavernous sinus. Carotid cavernous fistula of traumatic aetiology occurs more commonly. The characteristic triad of symptoms covers the following: pulsating exophthalmos, a humming sound within the skull, and dilation and tortuosity of conjunctival and episcleral veins. The diagnosis of CCF may constitute a diagnostic problem in the situation when the symptoms occur several weeks after injury, it may overlap with other post-traumatic changes, and the dominant symptom may be cranial nerve palsy. The lack of a correct diagnosis and adequate causative therapy creates the risk of not only loss of vision, but also of life. We present a case of a patient who developed fistula symptoms a few weeks after an injury. The diagnosis of post-traumatic CCF was confirmed by imaging examinations. The application of transluminal embolisation led to the resolution of the majority of symptoms.

  11. Intraosseous Cavernous Hemangioma in the Mandible: A Case Report.

    Science.gov (United States)

    Elif, Bilgir; Derya, Yildirim; Gulperi, Kocer; Sevgi, Bozova

    2017-01-01

    Intraosseous vascular lesions are rare conditions. They are most commonly seen in the vertebral column and skull; nevertheless, the mandible is a quite rare location. In this report, we present a case of intraosseous cavernous hemangioma in the mandible and discuss the clinical and radiological features. A 28-year-old male patient attended to our clinic with a complaint of painless swelling of mandible. Clinical evaluation revealed a bone-hard, smooth-surfaced, immobile mass in the left mandibular lingual area. The patient was evaluated with panoramic and occlusal radiography and computed tomography. The lesion surgically excised and pathological examination revealed an intraosseous cavernous hemangioma. Follow-up imaging 1 year later with cone beam computed tomography revealed recurrence of the lesion. The conclusion of this paper; when a bone hard, well-shaped mass was seen in the mandible, the possibility of intraosseous hemangioma must be remembered and before surgical procedure detailed radiographic evaluation should be performed. Key words:Hemangioma, intraosseous, mandible, cavernous, cbct.

  12. Intraosseous Cavernous Hemangioma in the Mandible: A Case Report

    Science.gov (United States)

    Derya, Yildirim; Gulperi, Kocer; Sevgi, Bozova

    2017-01-01

    Intraosseous vascular lesions are rare conditions. They are most commonly seen in the vertebral column and skull; nevertheless, the mandible is a quite rare location. In this report, we present a case of intraosseous cavernous hemangioma in the mandible and discuss the clinical and radiological features. A 28-year-old male patient attended to our clinic with a complaint of painless swelling of mandible. Clinical evaluation revealed a bone-hard, smooth-surfaced, immobile mass in the left mandibular lingual area. The patient was evaluated with panoramic and occlusal radiography and computed tomography. The lesion surgically excised and pathological examination revealed an intraosseous cavernous hemangioma. Follow-up imaging 1 year later with cone beam computed tomography revealed recurrence of the lesion. The conclusion of this paper; when a bone hard, well-shaped mass was seen in the mandible, the possibility of intraosseous hemangioma must be remembered and before surgical procedure detailed radiographic evaluation should be performed. Key words:Hemangioma, intraosseous, mandible, cavernous, cbct. PMID:28149481

  13. Gas hydrates in gas storage caverns; Gashydrate bei der Gaskavernenspeicherung

    Energy Technology Data Exchange (ETDEWEB)

    Groenefeld, P. [Kavernen Bau- und Betriebs-GmbH, Hannover (Germany)

    1997-12-31

    Given appropriate pressure and temperature conditions the storage of natural gas in salt caverns can lead to the formation of gas hydrates in the producing well or aboveground operating facilities. This is attributable to the stored gas becoming more or less saturated with water vapour. The present contribution describes the humidity, pressure, and temperature conditions conducive to gas hydrate formation. It also deals with the reduction of the gas removal capacity resulting from gas hydrate formation, and possible measures for preventing hydrate formation such as injection of glycol, the reduction of water vapour absorption from the cavern sump, and dewatering of the cavern sump. (MSK) [Deutsch] Bei der Speicherung von Erdgas in Salzkavernen kann es unter entsprechenden Druck- und Temperaturverhaeltnissen zur Gashydratbildung in den Foerdersonden oder obertaegigen Betriebseinrichtungen kommen, weil sich das eingelagerte Gas mehr oder weniger mit Wasserdampf aufsaettigt. Im Folgenden werden die Feuchtigkeits-, Druck- und Temperaturbedingungen, die zur Hydratbildung fuehren erlaeutert. Ebenso werden die Verringerung der Auslagerungskapazitaet durch die Hydratbildung, Massnahmen zur Verhinderung der Hydratbildung wie die Injektion von Glykol, die Verringerung der Wasserdampfaufnahme aus dem Kavernensumpf und die Entwaesserung der Kavernensumpfs selbst beschrieben.

  14. Bryan Mound SPR cavern 113 remedial leach stage 1 analysis.

    Energy Technology Data Exchange (ETDEWEB)

    Rudeen, David Keith; Weber, Paula D.; Lord, David L.

    2013-08-01

    The U.S. Strategic Petroleum Reserve implemented the first stage of a leach plan in 2011-2012 to expand storage volume in the existing Bryan Mound 113 cavern from a starting volume of 7.4 million barrels (MMB) to its design volume of 11.2 MMB. The first stage was terminated several months earlier than expected in August, 2012, as the upper section of the leach zone expanded outward more quickly than design. The oil-brine interface was then re-positioned with the intent to resume leaching in the second stage configuration. This report evaluates the as-built configuration of the cavern at the end of the first stage, and recommends changes to the second stage plan in order to accommodate for the variance between the first stage plan and the as-built cavern. SANSMIC leach code simulations are presented and compared with sonar surveys in order to aid in the analysis and offer projections of likely outcomes from the revised plan for the second stage leach.

  15. Geomechanical Analysis and Design Considerations for Thin-Bedded Salt Caverns

    Energy Technology Data Exchange (ETDEWEB)

    Michael S. Bruno

    2005-06-15

    The bedded salt formations located throughout the United States are layered and interspersed with non-salt materials such as anhydrite, shale, dolomite and limestone. The salt layers often contain significant impurities. GRI and DOE have initialized this research proposal in order to increase the gas storage capabilities by providing operators with improved geotechnical design and operating guidelines for thin bedded salt caverns. Terralog has summarized the geologic conditions, pressure conditions, and critical design factors that may lead to: (1) Fracture in heterogeneous materials; (2) Differential deformation and bedding plane slip; (3) Propagation of damage around single and multiple cavern; and (4) Improved design recommendations for single and multiple cavern configurations in various bedded salt environments. The existing caverns within both the Permian Basin Complex and the Michigan and Appalachian Basins are normally found between 300 m to 1,000 m (1,000 ft to 3,300 ft) depth depending on local geology and salt dissolution depth. Currently, active cavern operations are found in the Midland and Anadarko Basins within the Permian Basin Complex and in the Appalachian and Michigan Basins. The Palo Duro and Delaware Basins within the Permian Basin Complex also offer salt cavern development potential. Terralog developed a number of numerical models for caverns located in thin bedded salt. A modified creep viscoplastic model has been developed and implemented in Flac3D to simulate the response of salt at the Permian, Michigan and Appalachian Basins. The formulation of the viscoplastic salt model, which is based on an empirical creep law developed for Waste Isolation Pilot Plant (WIPP) Program, is combined with the Drucker-Prager model to include the formation of damage and failure. The Permian salt lab test data provided by Pfeifle et al. 1983, are used to validate the assumptions made in the material model development. For the actual cavern simulations two

  16. Analysis of cavern and well stability at the West Hackberry SPR site using a full-dome model.

    Energy Technology Data Exchange (ETDEWEB)

    Sobolik, Steven R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-08-01

    This report presents computational analyses that simulate the structural response of caverns at the Strategic Petroleum Reserve (SPR) West Hackberry site. The cavern field comprises 22 caverns. Five caverns (6, 7, 8, 9, 11) were acquired from industry and have unusual shapes and a history dating back to 1946. The other 17 caverns (101-117) were leached according to SPR standards in the mid-1980s and have tall cylindrical shapes. The history of the caverns and their shapes are simulated in a three-dimensional geomechanics model of the site that predicts deformations, strains, and stresses. Future leaching scenarios corresponding to oil drawdowns using fresh water are also simulated by increasing the volume of the caverns. Cavern pressures are varied in the model to capture operational practices in the field. The results of the finite element model are interpreted to provide information on the current and future status of subsidence, well integrity, and cavern stability. The most significant results in this report are relevant to Cavern 6. The cavern is shaped like a bowl with a large ceiling span and is in close proximity to Cavern 9. The analyses predict tensile stresses at the edge of the ceiling during repressurization of Cavern 6 following workover conditions. During a workover the cavern is at low pressure to service a well. The wellhead pressures are atmospheric. When the workover is complete, the cavern is repressurized. The resulting elastic stresses are sufficient to cause tension around the edge of the large ceiling span. With time, these stresses relax to a compressive state because of salt creep. However, the potential for salt fracture and propagation exists, particularly towards Cavern 9. With only 200 feet of salt between the caverns, the operational consequences must be examined if the two caverns become connected. A critical time may be during a workover of Cavern 9 in part because of the operational vulnerabilities, but also because dilatant damage

  17. Features of West Hackberry SPR Caverns and Internal Structure Of the Salt Dome

    Energy Technology Data Exchange (ETDEWEB)

    Munson, Darrell Eugene [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Underground Storage Technology Dept.

    2006-09-01

    The intent of this report is to examine the internal structure of the West Hackberry salt dome utilizing the information from the geometric configuration of the internal cavern surfaces obtained from graphical representations of sonar survey data. In a general sense, the caverns of West Hackberry are remarkable in the symmetry of their shapes. There are only rather moderate deviations from what would be considered an ideal cylindrical solution mining geometry in these caverns. This finding is in marked contrast to the directional solutioning found in the elliptical cross sectioned, sometimes winged, caverns of Big Hill. None of the persistent lineaments prevalent in Big Hill caverns are evident in West Hackberry caverns. Irregularities of the West Hackberry caverns are restricted to preferential solution formed pits and protuberances with moderate dimensions. In fact, the principal characteristic of West Hackberry caverns is the often large sections of smooth and cylindrical cavern wall. Differences in the cavern characteristics between West Hackberry and Big Hill suggest that the former dome is quite homogeneous, while the latter still retains strong remnants of the interbeds of the original bedded Louann salt. One possible explanation is that the source of the two domes, while both from the Louann mother salt, differs. While the source of the Big Hill dome is directly from the mother salt bed, it appears that the West Hackberry arises from a laterally extruded sill of the mother salt. Consequently, the amount of deformation, and hence, mixing of the salt and interbed material in the extruded sill is significantly greater than would be the case for the directly formed diapir. In West Hackberry, remnants of interbeds apparently no longer exist. An important aspect of the construction of the West Hackberry caverns is the evidence of an attempt to use a uniform solutioning construction practice. This uniformity involved the utilization of single well solutioning and

  18. Vascular plug for ICA occlusion in cavernous carotid aneurysms: technical note

    Energy Technology Data Exchange (ETDEWEB)

    Scott, David A.; Keston, Peter; White, Philip; Sellar, Robin [Western General Hospital, Division of Clinical Neurosciences, Edinburgh (United Kingdom)

    2008-09-15

    Large, symptomatic aneurysms of the cavernous internal carotid artery (ICA) can be successfully treated by a combination of aneurysm coiling and occlusion of the parent vessel. We describe the use of an Amplatzer (AGA medical corporation, Plymouth, MA, USA) detachable nitinol vascular plug to occlude the ICA in four patients with symptomatic cavernous ICA aneurysms. (orig.)

  19. Tuberculoma of the Cavernous Sinus and Meckel's Cave in a Child.

    Science.gov (United States)

    Kumar, V R Roopesh; Madhugiri, Venkatesh S; Verma, Surendra Kumar; Barathi, S Deepak; Yadav, Awdhesh Kumar; Bidkar, Prasanna

    2013-01-01

    Tuberculous infection of the cavernous sinus and Meckel's cave is extremely rare. In this report, we describe a patient with tuberculoma of the cavernous sinus and Meckel's cave, extending to the petrous apex. The patient underwent microsurgical excision of the lesion and antitubercular chemotherapy resulting in a good outcome. We describe the diagnostic difficulties and review the relevant literature.

  20. Endovascular treatment with transvenous approach for embolization of carotid cavernous fistula

    Directory of Open Access Journals (Sweden)

    Benny Young

    2014-10-01

    Full Text Available The aim of endovascular treatment in carotid cavernous fistula is to close the tear side at cavernous sinus part. It can be dealt either by transvenous or transarterial approach. The option is influenced by type of fistula and angioarchitectural findings. We described two different transvenous routes emphasizing on anatomical consideration and its technical aspect.

  1. Endovascular management of dural fistulas into the cavernous sinus. A systematic review

    Directory of Open Access Journals (Sweden)

    Moscote-Salazar Luis Rafael

    2014-06-01

    Full Text Available Background: Dural fistula to the cavernous sinus (DFCS is an infrequent pathology that consists in the anomalous communication between the meningeal branches of the internal carotid artery (ICA and/or the external carotid artery (ECA and the cavernous sinus. Aim: To perform a systematic review to evaluate clinical and imaging findings in DFCS, and current indications for treatment.

  2. Spontaneous subarachnoid hemorrhage due to ruptured cavernous internal carotid artery aneurysm after medical prolactinoma treatment.

    Science.gov (United States)

    Khalsa, Siri Sahib; Hollon, Todd C; Shastri, Ravi; Trobe, Jonathan D; Gemmete, Joseph J; Pandey, Aditya S

    2016-06-08

    Aneurysms of the cavernous segment of the internal carotid artery (ICA) are believed to have a low risk of subarachnoid haemorrhage (SAH), given the confines of the dural rings and the anterior clinoid process. The risk may be greater when the bony and dural protection has been eroded. We report a case of spontaneous SAH from rupture of a cavernous ICA aneurysm in a patient whose large prolactinoma had markedly decreased in size as the result of cabergoline treatment. After passing a balloon test occlusion, the patient underwent successful endovascular vessel deconstruction. This case suggests that an eroding skull base lesion may distort normal anterior cranial base anatomy and allow communication between the cavernous ICA and subarachnoid space. The potential for SAH due to cavernous ICA aneurysm rupture should be recognised in patients with previous pituitary or other skull base lesions adjacent to the cavernous sinus.

  3. Direct orbital puncture of the cavernous sinus for the treatment of a carotid-cavernous dural AV fistula with a concomitant venous/lymphatic malformation.

    Science.gov (United States)

    Coumou, Adriaan D; van den Berg, René; Bot, Joost C; Beetsma, Daan B; Saeed, Peerooz

    2014-02-01

    A 37- year old male with a long history of a left orbital venous/lympathic malformation presented with ocular injection, increased proptosis and reduced left vision. Angiography demonstrated a carotid cavernous dural AV fistula combined with a concomitant venous/lymphatic malformation. After attempts at transvenous embolization, a direct uncomplicated transorbital puncture of the cavernous sinus via a lateral orbitotomy was performed with complete resolution of ocular symptoms.

  4. Operative management of tumors involving the cavernous sinus.

    Science.gov (United States)

    Sekhar, L N; Møller, A R

    1986-06-01

    In the past, neurosurgeons have been reluctant to operate on tumors involving the cavernous sinus because of the possibility of bleeding from the venous plexus or injury to the internal carotid artery (ICA) or the third, fourth, or sixth cranial nerves. The authors describe techniques for a more aggressive surgical approach to neoplasms in this area that are either benign or locally confined malignant lesions. During the last 2 years, seven tumors involving the cavernous sinus have been resected: six totally and one subtotally. The preoperative evaluation included axial and coronal computerized tomography, cerebral angiography, and a balloon-occlusion test of the ICA. Intraoperative monitoring of the third, fourth, sixth, and seventh cranial nerves was used to assist in locating the nerves and in avoiding injury to them. The first major step in the operative procedure was to obtain proximal control of the ICA at the petrous apex and distal control in the supraclinoid segment. The cavernous sinus was then opened by a lateral, superior, or inferior approach for tumor resection. Temporary clipping and suture of the ICA was necessary in one patient. None of the patients died or suffered a stroke postoperatively. Permanent trigeminal nerve injury occurred in three patients; in two, this was the result of tumor invasion. One patient suffered temporary paralysis of the third, fourth, and sixth cranial nerves, and in another the sixth cranial nerve was temporarily paralyzed. Preoperative cranial nerve deficits were improved postoperatively in three patients. Radiation therapy was administered postoperatively to four patients. These seven patients have been followed for 6 to 18 months to date and none has shown evidence of recurrence of the intracavernous tumor.

  5. Fibrosis of corpus cavernosum in animals following cavernous nerve ablation

    Institute of Scientific and Technical Information of China (English)

    Wan-LiHu; Li-QuanHu; jianSong; Shi-WenLi; Xin-MinZheng; BeiCheng; Bing-ChunTian

    2004-01-01

    t Aim: To investigate alterations of smooth muscle cells and collagen fibers in corpus cavernosum following cavernous neurectomy and its relation to the expression of transforming growth factor-β1 (TGF-β1). Methods: Ten adult male SD rats (neurectomy group) were subject to a bilateral cavernous nerve (CN) resection aseptically under an operating microscope, with 6 sham-operated rats as the control. Fifteen weeks after the operation, the penile specimens were collected and prepared for quantitative-analyzing of ratio of smooth muscle to collagen fibers in corpus cavernosum with confocal microscopy, and for detecting the expression of TGF-β1 by RT-PCR and westernblot.Results: Smooth muscle cells that show red color after fluorescent-labeling with tetramethylrhodamine isothiocyanatephalloidin and collagen fibers that produce green autofluorescence after paraformaldehyde fixation were clearly identified under the confocal microscope. Quantification of fluorescent intensity showed that the ratio of smooth muscle to collagen fibers in corpus cavernosum in neurectomy group was 0.265± 0.125, which was significantly lower than that in sham-operated group (0.760±0.196, P<0.01). RT-PCR and western-blot analyses revealed a significantlyhigher expression of TGF-β1 in the penile tissues of the neurectomy animals than that in sham-operated group.Conclusion: Bilateral ablation of CN can lead to fibrosis of corpus cavernosum, which may be related to an increased expression of TGF-β1 induced by hypoxia in cavernous tissue after denervation.

  6. Site investigations on cavernous limestone for the Remouchamps Viaduct, Belgium

    OpenAIRE

    Waltham, Antony; Vandenven, Georges; Ek, Camille

    1986-01-01

    POOR GROUND CONDITIONS on cavernous limestone created severe difficulties at the sites of four piers of the Remouchamps Viaduct. The discovery, during excavations for foundations, of large open cavities prompted a major re-appraisal of site investigation procedure, and also some redesign of the viaduct structure. La situation défavorable des fondations de quatre des piliers du viaduc autoroutier de Remouchamps posa des problèmes de construction. La présence de cavités karstiques largement ...

  7. Studies on activation in the ATLAS cavern with MPX detectors

    Energy Technology Data Exchange (ETDEWEB)

    Bergmann, Benedikt; Sopczak, Andre; Biskup, Bartolomej; Jakubek, Jan; Pospisil, Stanislav; Solc, Jaroslav; Sopko, Vit; Suk, Michal; Turecek, Daniel; Vykydal, Zdenek; Benes, Petr [IEAP CTU Prague (Czech Republic); Asbah, Nedaa; Leroy, Claude; Soueid, Paul [Universite de Montreal (Canada)

    2013-07-01

    The ATLAS-MPX detectors are based on Medipix2 silicon devices designed by CERN for the detection of different types of radiation. These detectors are successfully operating in the ATLAS detector at 16 positions and collect data independent of the ATLAS data-recording chain. Their data was used to study the activation of the surrounding material and the ATLAS-MPX detectors itself during and after collisions. As the detectors also offer the possibility to distinguish between different types of radiation, an attempt was made to estimate the corresponding dose rates at different locations in the ATLAS detector and in the cavern. First results are presented.

  8. Cavernous Hemangioma of the Skull and Meningioma: Association or Coincidence?

    Directory of Open Access Journals (Sweden)

    M. Kilani

    2015-01-01

    Full Text Available Intraosseous cavernous hemangiomas of the skull are rare. Meningiomas are quite frequently encountered in a neurosurgical practice. The association between these two entities is nevertheless very uncommon. The authors present a case of a 72-year-old woman suffering from headache. The MRI showed a parietal meningioma with adjacent thick bone. The meningioma and the bone were removed. The histological examination confirmed the diagnosis of meningioma and revealed a cavernoma of the skull. The relationship between the lesions suggests more than a coincidental association. Several hypotheses are proposed to explain common causal connections.

  9. Acute fulminant invasive fungal sinusitis with cavernous sinus syndrome.

    Science.gov (United States)

    Chi, Tzu-Hang; Chen, Hsien-Shen; Yuan, Chien-Han; Su, Feng-Ming

    2014-11-01

    Acute fulminant invasive fungal sinusitis is most commonly found in immunocompromised patients with conditions such as diabetes mellitus, malignancies and acquired immune deficiency syndrome. The most common pathogens are Aspergillus and Mucoraceae and the sinus most frequently involved is the maxillary sinus. Fever, rhinorrhea, facial pain, headache, and diplopia are common presenting symptoms. Complications of this infection include intracranial and / or intraorbital spread of the infection; the prognosis is poor. Here, a rare case of acute fulminant invasive fungal sinusitis with cavernous sinus syndrome is reported.

  10. Cavernous Angioma of the Corpus Callosum Presenting with Acute Psychosis

    Directory of Open Access Journals (Sweden)

    Giacomo Pavesi

    2014-01-01

    Full Text Available Psychiatric symptoms may occasionally be related to anatomic alterations of brain structures. Particularly, corpus callosum lesions seem to play a role in the change of patients’ behavior. We present a case of a sudden psychotic attack presumably due to a hemorrhagic cavernous angioma of the corpus callosum, which was surgically removed with complete resolution of symptoms. Although a developmental defect like agenesis or lipoma is present in the majority of these cases, a growing lesion of the corpus callosum can rarely be the primary cause. Since it is potentially possible to cure these patients, clinicians should be aware of this association.

  11. [Pontine cavernous angioma (cavernoma) with initial ENT manifestations].

    Science.gov (United States)

    Pino Rivero, V; González Palomino, A; Pantoja Hernández, C G; Trinidad Ruíz, G; Marqués Rebollo, L; Blasco Huelva, A

    2006-01-01

    We report the case of a 22 years old female who consulted us for facial parestesias, hearing loss in right ear and sudden tinnitus. Her audiometry showed an unilateral discreet sensorineural hipoacusia and the cranial IRM, a mass of 20 mm diameter in right pontine region and bulbus informed as cavernous angioma with signs of recent bleeding. The patient was sent to Neurosurgery but she refused the intervention. The risk of hemorrhage in the cavernomas is estimated at 0.25% to 1.6% per year and represents the main reason to advise a surgical treatment.

  12. Nitrogen Monitoring of West Hackberry 117 Cavern Wells.

    Energy Technology Data Exchange (ETDEWEB)

    Bettin, Giorgia; Lord, David

    2015-02-01

    U.S. Strategic Petroleum Reserve (SPR) oil storage cavern West Hackberry 117 was tested under extended nitrogen monitoring following a successful mechanical integrity test in order to validate a newly developed hydrostatic column model to be used to differentiate between normal "tight" well behavior and small-leak behavior under nitrogen. High resolution wireline pressure and temperature data were collected during the test period and used in conjunction with the hydrostatic column model to predict the nitrogen/oil interface and the pressure along the entire fluid column from the bradenhead flange nominally at ground surface to bottom of brine pool. Results here and for other SPR caverns have shown that wells under long term nitrogen monitoring do not necessarily pressurize with a relative rate (P N2 /P brine) of 1. The theoretical relative pressure rate depends on the well configuration, pressure and the location of the nitrogen-oil interface and varies from well to well. For the case of WH117 the predicted rates were 0.73 for well A and 0.92 for well B. The measured relative pressurization rate for well B was consistent with the model prediction, while well A rate was found to be between 0.58-0.68. A number of possible reasons for the discrepancy between the model and measured rates of well A are possible. These include modeling inaccuracy, measurement inaccuracy or the possibility of the presence of a very small leak (below the latest calculated minimum detectable leak rate).

  13. Nitrogen Monitoring of West Hackberry 117 Cavern Wells

    Energy Technology Data Exchange (ETDEWEB)

    Bettin, Giorgia [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Lord, David L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-02-01

    U.S. Strategic Petroleum Reserve (SPR) oil storage cavern West Hackberry 117 was tested under extended nitrogen monitoring following a successful mechanical integrity test in order to validate a newly developed hydrostatic column model to be used to differentiate between normal "tight" well behavior and small-leak behavior under nitrogen. High resolution wireline pressure and temperature data were collected during the test period and used in conjunction with the hydrostatic column model to predict the nitrogen/oil interface and the pressure along the entire fluid column from the bradenhead flange nominally at ground surface to bottom of brine pool. Results here and for other SPR caverns have shown that wells under long term nitrogen monitoring do not necessarily pressurize with a relative rate (P N2 /P brine) of 1. The theoretical relative pressure rate depends on the well configuration, pressure and the location of the nitrogen-oil interface and varies from well to well. For the case of WH117 the predicted rates were 0.73 for well A and 0.92 for well B. The measured relative pressurization rate for well B was consistent with the model prediction, while well A rate was found to be between 0.58-0.68. A number of possible reasons for the discrepancy between the model and measured rates of well A are possible. These include modeling inaccuracy, measurement inaccuracy or the possibility of the presence of a very small leak (below the latest calculated minimum detectable leak rate).

  14. Ultrasonography guided percutaneous radiofrequency ablation for hepatic cavernous hemangioma

    Institute of Scientific and Technical Information of China (English)

    Yan Cui; Hong-Wen Zhang; Li-Yan Zhou; Man-Ku Dong; Ping Wang; Min Ji; Xiao-Ou Li; Chang-Wei Chen; Zi-Pei Liu; Yong-Jie Xu

    2003-01-01

    AIM: Hepatic cavernous hemangioma (HCH) is the mostcommon benign tumor of the liver and its management isstill controversial. Recent successin situ radiofrequencyablation of hepatic malignancies has led us to consider usingthis technique in patients with HCH. This study was to assessthe efficacy, safety, and complications of percutaneousradiofrequency ablation (PRFA) under ultrasonographyguidance in patients with HCH.METHODS: Twelve patients (four men and eight women,age ranged 33-56 years, mean age was 41.7 years) with 15hepatic cavernous hemangiomas (2.5 cm to 9.5 cm) weretreated using the RF-2000 generator and 10-needle LeVeenelectrode percutaneously guided by B-ultrasound. Lesionslarger than 3 cm were treated by multiple overlappingablations that encompass the entire lesion as well as a rimof normal liver tissue (approximately 0.5 cm).RESULTS: All the patients who received PRFA therapy hadno severe pain, bleeding or bile leakage during and afterthe procedures. Nine to 34 months′ follow-up (mean, 21months) by ultrasound and/or spiral CT scan demonstratedthat the ablated lesions in this group were shrunk remarkably,and the shrunken range was 38-79 % (mean, 67 % per 21months). The contrast enhancement was disappeared withinthe tumor or at its periphery in all cases on spiral CT scansobtained 3 to 6 months after treatment.CONCLUSION: The results of this study suggest that PRFAtherapy is a mini-invasive, simple, safe, and effective methodfor the treatment of selected patients with HCH.

  15. Cavernous sinus hemangioma: a fourteen year single institution experience.

    Science.gov (United States)

    Bansal, Sumit; Suri, Ashish; Singh, Manmohan; Kale, Shashank Sharad; Agarwal, Deepak; Sharma, Manish Singh; Mahapatra, Ashok Kumar; Sharma, Bhawani Shankar

    2014-06-01

    Cavernous sinus hemangioma (CSH) is a rare extra-axial vascular neoplasm that accounts for 2% to 3% of all cavernous sinus tumors. Their location, propensity for profuse bleeding during surgery, and relationship to complex neurovascular structures are factors which present difficulty in excising these lesions. The authors describe their experience of 22 patients with CSH over 14 years at a tertiary care center. Patients were managed with microsurgical resection using a purely extradural transcavernous approach (13 patients) and with Gamma Knife radiosurgery (GKRS; Elekta AB, Stockholm, Sweden) (nine patients). Retrospective data analysis found headache and visual impairment were the most common presenting complaints, followed by facial hypesthesia and diplopia. All but one patient had complete tumor excision in the surgical series. Transient ophthalmoparesis (complete resolution in 6-8 weeks) was the most common surgical complication. In the GKRS group, marked tumor shrinkage (>50% tumor volume reduction) was achieved in two patients, slight shrinkage in five and no change in two patients, with symptom improvement in the majority of patients. To our knowledge, we describe one of the largest series of CSH managed at a single center. Although microsurgical resection using an extradural transcavernous approach is considered the treatment of choice in CSH and allows complete excision with minimal mortality and long-term morbidity, GKRS is an additional tool for treating residual symptomatic lesions or in patients with associated comorbidities making surgical resection unsuitable.

  16. Extradural spinal cavernous angiomas: report of seven cases.

    Science.gov (United States)

    Santoro, Antonio; Piccirilli, Manolo; Bristot, Roberto; di Norcia, Valerio; Salvati, Maurizio; Delfini, Roberto

    2005-10-01

    The authors describe seven cases of extradural spinal cavernous angioma. Although cavernoma itself is not rare, the extradural spinal localization is uncommon and makes preoperative differential diagnosis difficult. Routine MRI investigation has aided neurosurgeons in evaluating the true incidence of these vascular malformations, which was understimated in the past. The data published so far have not entirely clarified the treatment of choice for these lesions. Considering their rarity in this site, their presenting symptoms and the difficulties involved in neuroradiological diagnosis, the authors discuss the role of surgery as the principal form of treatment and review the relevant literature. Seven patients (4 male, 3 female) were admitted to our Institute of Neurosurgery between 1992 and 2004, with a 5-6 month history (range=2-365 days) of low back pain or radicular pain, sometimes associated with paresthesia. All patients had a CT scan, as well as MRI with gadolinium when possible, which detected an extradural roundish lesion: differential diagnosis was very difficult, especially between neurinoma and cavernoma. Treatment was always surgical and resection of the lesion radical. Postoperatively, all patients presented complete regression of clinical symptoms. In all cases histological diagnosis was cavernous angioma. Postoperative MRI with gadolinium or CT scan with IV contrast, performed before discharge, confirmed radical removal of the vascular malformation in all cases. Our experience confirms that surgery should be the treatment of choice for these lesions, in view of both their tendency to bleed and their straightforward surgical removal.

  17. A NOVEL PROCESS TO USE SALT CAVERNS TO RECEIVE SHIP BORNE LNG

    Energy Technology Data Exchange (ETDEWEB)

    Michael M. McCall; William M. Bishop; Marcus Krekel; James F. Davis; D. Braxton Scherz

    2005-05-31

    This cooperative research project validates use of man made salt caverns to receive and store the cargoes of LNG ships in lieu of large liquid LNG tanks. Salt caverns will not tolerate direct injection of LNG because it is a cryogenic liquid, too cold for contact with salt. This research confirmed the technical processes and the economic benefits of pressuring the LNG up to dense phase, warming it to salt compatible temperatures and then directly injecting the dense phase gas into salt caverns for storage. The use of salt caverns to store natural gas sourced from LNG imports, particularly when located offshore, provides a highly secure, large scale and lower cost import facility as an alternative to tank based LNG import terminals. This design can unload a ship in the same time as unloading at a tank based terminal. The Strategic Petroleum Reserve uses man made salt caverns to securely store large quantities of crude oil. Similarly, this project describes a novel application of salt cavern gas storage technologies used for the first time in conjunction with LNG receiving. The energy industry uses man made salt caverns to store an array of gases and liquids but has never used man made salt caverns directly in the importation of LNG. This project has adapted and expanded the field of salt cavern storage technology and combined it with novel equipment and processes to accommodate LNG importation. The salt cavern based LNG receiving terminal described in the project can be located onshore or offshore, but the focus of the design and cost estimates has been on an offshore location, away from congested channels and ports. The salt cavern based terminal can provide large volumes of gas storage, high deliverability from storage, and is simplified in operation compared to tank based LNG terminals. Phase I of this project included mathematical modeling that proved a salt cavern based receiving terminal could be built at lower capital cost, and would have significantly higher

  18. Literature Survey Concerning the Feasibility of Remedial Leach for Select Phase I Caverns

    Energy Technology Data Exchange (ETDEWEB)

    Weber, Paula D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Flores, Karen A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Lord, David L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-09-01

    Bryan Mound 5 ( BM5 ) and West Hackberry 9 ( WH9 ) have the potential to create a significant amount of new storage space should the caverns be deemed "leach - ready". This study discusses the original drilling history of the caverns, surrounding geology, current stability, and, based on this culmination of data, makes a preliminary assessment of the leach potential for the cavern. The risks associated with leaching BM5 present substantial problems for the SPR . The odd shape and large amount of insoluble material make it difficult to de termine whether a targeted leach would have the desired effect and create useable ullage or further distort the shape with preferential leaching . T he likelihood of salt falls and damaged or severed casing string is significant . In addition, a targeted le ach would require the relocation of approximately 27 MMB of oil . Due to the abundance of unknown factors associated with this cavern, a targeted leach of BM5 is not recommended. A targeted leaching of the neck of WH 9 could potentially eliminate or diminis h the mid - cavern ledge result ing in a more stable cavern with a more favorable shape. A better understanding of the composition of the surrounding salt and a less complicated leaching history yields more confidence in the ability to successfully leach this region. A targeted leach of WH9 can be recommended upon the completion of a full leach plan with consideration of the impacts upon nearby caverns .

  19. Microsurgical thromboendarterectomy of the cavernous carotid artery--case report and surgical technique.

    Science.gov (United States)

    Fujitsu, K; Fujii, S; Tanaka, N; Kuwabara, T

    1990-10-01

    A 53-year-old male suffered a transient right hemiparesis and left monocular blindness. Angiography revealed 80% stenosis of the cavernous carotid artery. Microsurgical thromboendarterectomy was performed by a direct approach through Parkinson's triangle. During surgery, the carotid circulation was transiently trapped between the cervical and the supraclinoid segment and the trapped arterial lumen was irrigated with heparinized saline. Soft elastic lesion was easily removed. Cavernous carotid thromboendarterectomy through a direct approach is considered as a suitable operation for the solitary and localized stenotic lesions of the cavernous carotid artery, although this operation has not yet been reported to date.

  20. Epileptic Seizures Induced by a Spontaneous Carotid Cavernous Fistula

    Science.gov (United States)

    Yildirim, Erkan

    2016-01-01

    A 79-year-old woman was admitted to our emergency department with complaints of fainting and loss of consciousness three times during the past month. She was diagnosed with epilepsy and started to be treated with antiepileptic drug. Physical examination showed, in the left eye, chemosis, limited eye movements in all directions, and minimal exophthalmos as unexisting symptoms on admission developed on the sixth day. Orbital magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) imaging revealed a carotid cavernous fistula (CCF). Epileptic attacks and ophthalmic findings previously present but diagnosed during our examinations were determined to ameliorate completely after performing the coil embolization. Based on literature, we present the first case with nontraumatic CCF manifesting with epileptic seizures and intermittent eye symptoms in the present report. PMID:28077946

  1. Management of Cerebral Cavernous Malformations: From Diagnosis to Treatment

    Directory of Open Access Journals (Sweden)

    Nikolaos Mouchtouris

    2015-01-01

    Full Text Available Cerebral cavernous malformations are the most common vascular malformations and can be found in many locations in the brain. If left untreated, cavernomas may lead to intracerebral hemorrhage, seizures, focal neurological deficits, or headaches. As they are angiographically occult, their diagnosis relies on various MR imaging techniques, which detect different characteristics of the lesions as well as aiding in planning the surgical treatment. The clinical presentation and the location of the lesion are the most important factors involved in determining the optimal course of treatment of cavernomas. We concisely review the literature and discuss the advantages and limitations of each of the three available methods of treatment—microsurgical resection, stereotactic radiosurgery, and conservative management—depending on the lesion characteristics.

  2. Direct carotid cavernous fistula after submucous resection of the nasal septum.

    Science.gov (United States)

    Bizri, A R; al-Ajam, M; Zaytoun, G; al-Kutoubi, A

    2000-01-01

    A carotid cavernous fistula (CCF) is an abnormal arteriovenous anastomosis between the carotid artery and the cavernous sinus. Etiologies of this condition reported in the literature so far include facial trauma, rupture of an intracavernous aneurysm of the carotid artery, Ehler-Danlos syndrome and fibromuscular dysplasia of the cerebral arteries. Such fistulae were reported as complications of rhinoplasty, transsphenoidal surgery, embolization of cavernous sinus meningioma, and rhinocerebral mucormycosis. CCF may also occur spontaneously in children or as a congenital malformation. However, to our knowledge, submucous resection of the nasal septum has not been reported before to cause direct carotid-cavernous fistula. CT and angiographic findings are presented and a review of the literature for reported causes of CCF is made as well as a brief discussion of the possible pathophysiology.

  3. [Anatomical study of the cavernous nerve in relation to nerve sparing operation].

    Science.gov (United States)

    Hanawa, K

    1994-08-01

    Recently, nerve sparing radical prostatectomy has became widely considered as the primary goal for maintaining a high standard of quality of life (QOL). However, anatomical localization of the cavernous nerve has not yet been precisely clarified in terms of the terminal end in the corpus cavernous penis distal to the urogenital membrane. Here in attempt to demonstrate the precise localization of the cavernous nerve, in six adult male cadaver. The cavernous nerves ran between the prostatic capsule and the prostatic fascia, through the capsule of the seminal vesicle. The nerves penetrated the membranous urethra at 8 mm from the margin of the urethra at the position of 5 and 7 o'clock. Therefore, the following procedures are critical to achieve successful nerve sparing: 1) meticulous division of the seminal-vesicle, 2) precise separation of the neurovascular bundle between the prostatic capsule and fascia, and 3) the careful transaction of the membranous urethra.

  4. Diagnosis and management of trigemino-cavernous fistulas: case reports and review of the literature.

    Science.gov (United States)

    Miller, Timothy R; Jindal, Gaurav; Mohan, Suyash; Fortes, Manuel; Hurst, Robert; Pukenas, Bryan; Gandhi, Dheeraj

    2015-01-01

    Although usually asymptomatic, a persistent trigeminal artery (PTA) can rarely be associated with a direct fistula to the cavernous sinus (ie, trigemino-cavernous fistula). We present three patients with trigemino-cavernous fistulas; two were subsequently treated using modern endovascular techniques while the third initially declined therapy. We then review the literature of reported cases of this unusual entity. The aberrant anatomy associated with a PTA presents unique challenges to the management of these lesions, and must be well delineated prior to treatment. Finally, conservative management of trigemino-cavernous fistulas, either de novo or recurrent, may be considered if they demonstrate no evidence of cortical venous reflux and patient symptoms are tolerable.

  5. Vascular permeability and iron deposition biomarkers in longitudinal follow-up of cerebral cavernous malformations

    DEFF Research Database (Denmark)

    Girard, Romuald; Fam, Maged D; Zeineddine, Hussein A;

    2017-01-01

    OBJECTIVE Vascular permeability and iron leakage are central features of cerebral cavernous malformation (CCM) pathogenesis. The authors aimed to correlate prospective clinical behavior of CCM lesions with longitudinal changes in biomarkers of dynamic contrast-enhanced quantitative permeability (...

  6. Transient behaviour of deep underground salt caverns; Comportement transitoire des cavites salines profondes

    Energy Technology Data Exchange (ETDEWEB)

    Karimi-Jafari, M

    2007-11-15

    This work deals with the transient behaviour of deep underground salt caverns. It has been shown that a cavern is a complex system, in which there are mechanical, thermal, chemical and hydraulic evolutions. The importance of the transient evolutions, particularly the role of the 'reverse' creep in the interpretation of the tightness test in a salt cavern is revealed. Creep is characterized by a formulation of the behaviour law which presents the advantage, in a practical point of view, to only have a reduced number of parameters while accounting of the essential of what it is observed. The initiation of the rupture in the effective traction in a salt cavern rapidly pressurized is discussed. A model fitted to a very long term behaviour (after abandonment) is developed too. In this case too, a lot of phenomena, more or less coupled, occur, when the existing literature took only into account some phenomena. (O.M.)

  7. FAM222B Is Not a Likely Novel Candidate Gene for Cerebral Cavernous Malformations

    NARCIS (Netherlands)

    Spiegler, Stefanie; Kirchmaier, Bettina; Rath, Matthias; Korenke, G. Christoph; Tetzlaff, Fabian; Van De Vorst, Maartje; Neveling, Kornelia; Acker-Palmer, Amparo; Kuss, Andreas W.; Gilissen, Christian; Fischer, Andreas; Schulte-Merker, Stefan; Felbor, Ute

    2016-01-01

    Cerebral cavernous malformations (CCMs) are prevalent slow-flow vascular lesions which harbour the risk to develop intracranial haemorrhages, focal neurological deficits, and epileptic seizures. Autosomal dominantly inherited CCMs were found to be associated with heterozygous inactivating mutations

  8. A dural arteriovenous fistula in cavernous sinus developed from viral meningitis.

    Science.gov (United States)

    Hai, Jian; Zhang, Lin; Wan, Jue-Feng; Su, Shao-Hua; Wang, Fei; Zhang, Gui-Yun

    2011-06-01

    Although hormonal influences, inflammation, trauma, sinus thrombosis, venous hypertension, and congenital origin have been proposed as sources of dural arteriovenous fistulas (DAVFs) in cavernous and sigmoid sinuses, the etiology of these lesions remains controversial. We present a case with a cavernous sinus DAVF developed from viral meningitis which has not been previously described. A 24-year-old male was admitted to our institute because of periorbital pain, decreased vision, pulsatile tinnitus, chemosis, and exophthalmos on the right side after he had suffered viral meningitis four months before. Cerebral angiography demonstrated a cavernous sinus DAVF, which was successfully obliterated with several platinum coils using a transvenous approach. The viral meningitis most likely caused the inflammation, that may be responsible for the occurrence of the cavernous sinus DAVF. Prompt treatment for inflammation may help to prevent the development of DAVFs.

  9. Transorbital superior ophthalmic vein sacrifice to preserve vision in ocular hypertension from aseptic cavernous sinus thrombosis.

    Science.gov (United States)

    Ladner, Travis R; Davis, Brandon J; He, Lucy; Mawn, Louise A; Mocco, J

    2015-12-01

    Aseptic cavernous sinus thrombosis (CST) is rare and may clinically masquerade as a carotid cavernous fistula. Conventional management includes oral anticoagulation, but cases of ocular hypertension affecting vision may require more aggressive intervention. We report a case of a woman with spontaneous bilaterally occluded cavernous sinuses with elevated intraocular pressure (IOP), which resolved immediately following unilateral superior ophthalmic vein (SOV) sacrifice. She was subsequently placed on oral anticoagulants. By 4 months postoperatively her IOP was normalized and her vision had improved. Repeat angiography demonstrated stable venous filling, with some mild improvement of flow through the cavernous sinus. Coil-mediated sacrifice of the SOV might be an effective means to relieve ocular hypertension and preserve vision in the setting of aseptic CST.

  10. Dural cavernous sinus fistulas. Diagnostic and endovascular therapy

    Energy Technology Data Exchange (ETDEWEB)

    Benndorf, Goetz [Baylor College of Medicine, Houston, TX (United States). Dept. of Radiology; Ben Taub General Hospital, Houston, TX (United States). Interventional Neuroradiology

    2010-07-01

    Dural cavernous sinus fistulas (DCSFs) represent a benign vascular disease, consisting in an arteriovenous shunt at the cavernous sinus. In the absence of spontaneous resolution, the fistula may lead to eye redness, swelling, proptosis, chemosis, ophthalmoplegia and visual loss. Although modern imaging techniques have improved the diagnostic, patients with low-flow DCSFs are still misdiagnosed. These patients can get erroneously treated for infections and inflammation for months or years and are at risk of visual loss. Early and proper diagnosis helps to avoid deleterious clinical course of the disease. This volume provides a complete guide to clinical and radiological diagnosis as well as to therapeutic management of DCSF with emphasis on modern minimal invasive treatment options. It commences with an informative description of relevant anatomy. After sections on the classification, etiology and pathogenesis of DCSF, the clinical symptomatology of the disease is described in detail. The role of modern non-invasive imaging tools is then addressed with the use of computed tomography, magnetic resonance imaging and ultrasound. Intra-arterial digital subtraction angiography (DSA), although invasive, remains the gold standard and is mandatory for clinical decision-making and strategy in endovascular treatment. Hence, a throughout consideration is given to both, 2D-DSA and 3D rotational angiography, including recent technological advancements such as Dual Volume (DV) imaging and angiographic computed tomography (ACT). After a short section on arteriovenous hemodynamics, the therapeutic management of DCSFs is described in detail. In particular, various transvenous techniques, required for successful endovascular occlusion of DCSF, are discussed in depth. This well-illustrated volume will be invaluable to all who may encounter DCSF in their clinical practice. (orig.)

  11. Sonographic Findings of Cavernous Hemangioma in Fatty Liver

    Energy Technology Data Exchange (ETDEWEB)

    Hahm, Jin Kyeung; Kim, Ki Whang; Yoon, Sang Wook; Kim, Tae Hoon; Lee, Jong Tae; Yoo, Hyung Sik; Kim, Myung Jin [Yonsei University College of Medicine, Seoul (Korea, Republic of); Ji, Hoon [Aju Univeristy, College of Medicine, Suwon (Korea, Republic of)

    1995-06-15

    Typical cavernous hemangioma presents no diagnostic difficulty at sonography. However, in cases of atypical hemangioma, further evaluation is needed to differentiate it from malignancy. On the other hand, thcechogenicity of the lesion may be iso echo or hypoecho when it occurs in association with fatty liver. We analyzed the sonographic features of hemangioma in fatty liver. We reviewed the sonograms of 22 lesions from 19 patients. We divided the lesions into two groups; the lesion measuring less than 3cm in diameter (group I) and the lesions measuring same or greater than 3cm (group II). The lesions of each group were analyzed in terms of location, shape, distinction of margin, internal echogenicity, posterior enhancement, lateral shadowing, and peritumoral hypoechoic halo. The lesions were located in subcapsular or perivascular areain 86%. They strowed round or lobulated shape with well defined margin in 82%. Internal echo of the lesions was hypoechoic in 82% and homogeneous in 64%. Posterior enhancement was seen in 77%. The posterior wall of the lesion was distinct in 68%. There was no statistical difference in incidence of each finding described above between the two groups except the internal echogenicity(p<0.05). All of the four hyperechoic lesions measured greater than 3cmin diameter, and three of them showed uneven thickness of echogenic rind. Definitive diagnosis of hemangioma could be obtained in 82%. In remaining 18% of hemangioma, the lesions showed peripheral hypoechoic halo and lateral shadowing that made the diagnosis of hemangioma difficult. However, the possibility of hemangioma could be suggested because they showed haemangiomas internal eye-catching and posterior enhancement. Hepatic cavernous hemangioma presents with variable eye-catching as compared to the surrounding tissue when it is associated with fatty liver disease, Thus, in differentiating hemangiomas from other localized hepatic mass, other characteristics such as homogeneity of the

  12. EXAMINE AND EVALUATE A PROCESS TO USE SALT CAVERNS TO RECEIVE SHIP BORNE LIQUEFIED NATURAL GAS

    Energy Technology Data Exchange (ETDEWEB)

    Michael M. McCall; William M. Bishop; D. Braxton Scherz

    2003-04-24

    The goal of the U.S. Department of Energy cooperative research project is to define, describe, and validate, a process to utilize salt caverns to receive and store the cargoes of LNG ships. The project defines the process as receiving LNG from a ship, pumping the LNG up to cavern injection pressures, warming it to cavern compatible temperatures, injecting the warmed vapor directly into salt caverns for storage, and distribution to the pipeline network. The performance of work under this agreement is based on U.S. Patent 5,511,905, and other U.S. and Foreign pending patent applications. The cost sharing participants in the research are The National Energy Technology Laboratory (U.S. Department of Energy), BP America Production Company, Bluewater Offshore Production Systems (U.S.A.), Inc., and HNG Storage, L.P. Initial results indicate that a salt cavern based receiving terminal could be built at about half the capital cost, less than half the operating costs and would have significantly higher delivery capacity, shorter construction time, and be much more secure than a conventional liquid tank based terminal. There is a significant body of knowledge and practice concerning natural gas storage in salt caverns, and there is a considerable body of knowledge and practice in handling LNG, but there has never been any attempt to develop a process whereby the two technologies can be combined. Salt cavern storage is infinitely more secure than surface storage tanks, far less susceptible to accidents or terrorist acts, and much more acceptable to the community. The project team developed conceptual designs of two salt cavern based LNG terminals, one with caverns located in Calcasieu Parish Louisiana, and the second in Vermilion block 179 about 50 miles offshore Louisiana. These conceptual designs were compared to conventional tank based LNG terminals and demonstrate superior security, economy and capacity. The potential for the development of LNG receiving terminals

  13. Image–guided resection of small lesions in the cavernous sinus and Meckel's cave

    OpenAIRE

    Nakamura, M.; Krauss, J K

    2010-01-01

    Abstract Objective The microsurgical resection of tumors or vascular lesions in the cavernous sinus and the neighbouring Meckel's cave has been considered as hazardous because of often associated cranial nerve morbidity. Despite increasing consent that many of such tumors should not undergo surgical therapy, the cavernous sinus and Meckel's cave may harbour small lesions of various origin, which are amenable for surgical resection. Surgery in this anatomical area needs a...

  14. Spontaneous occlusion of traumatic carotid-cavernous fistula - the effect of angiography

    Energy Technology Data Exchange (ETDEWEB)

    Stampfel, G.

    1984-08-01

    In two patients with a traumatic carotid-cavernous fistula, permanent occlusion of the lesion was observed following cerebral angiography and confirmed by further angiography. A delay is therefore recommended between performing angiography and carrying out further treatment, which may carry some risk. Possibly the use of ionic contrast media, which irritate the vessels, compression of the carotid artery, which reduces flow through the fistula, and general anaesthesia, which may drop the blood pressure, initiate thrombosis in the cavernous sinus. 3 figs.

  15. Endoscopic endonasal transclival resection of a ventral pontine cavernous malformation: technical case report.

    Science.gov (United States)

    Gómez-Amador, Juan Luis; Ortega-Porcayo, Luis Alberto; Palacios-Ortíz, Isaac Jair; Perdomo-Pantoja, Alexander; Nares-López, Felipe Eduardo; Vega-Alarcón, Alfredo

    2016-10-21

    Brainstem cavernous malformations are challenging due to the critical anatomy and potential surgical risks. Anterolateral, lateral, and dorsal surgical approaches provide limited ventral exposure of the brainstem. The authors present a case of a midline ventral pontine cavernous malformation resected through an endoscopic endonasal transclival approach based on minimal brainstem transection, negligible cranial nerve manipulation, and a straightforward trajectory. Technical and reconstruction technique advances in endoscopic endonasal skull base surgery provide a direct, safe, and effective corridor to the brainstem.

  16. Color Doppler Imaging in the Diagnosis and Follow-up of Carotid Cavernous Sinus Fistulas

    Institute of Scientific and Technical Information of China (English)

    1993-01-01

    This report describes color doppler imaging (CDI) in theevaluation and follow-up of nine patients with carotid cavernous sinusfistulas.The orbits and carotid arteries were examined with CDI.In allcases,the diagnosis was confirmed by angiography.CDI clearlydemonstrated the dilated superior ophthalmic veins (SOVs) with retrogradeflow and low resistance arterial doppler waveform in all nine patients (10eyes).After the study of quantitative hemodynamics,we found that directcarotid cavernous sinus fistulas s...

  17. Hazard assessment of the stability of a cavern roof along the coastline

    Science.gov (United States)

    Reina, A.; Lollino, P.

    2009-04-01

    This work concerns the hazard assessment about the stability of a large shallow depth cavern, located along the coastline rocky sector of Polignano town (Apulia, Southern Italy) under an intensely urbanised area. This cavern, which lies at the sea level, has been created by a prolonged process of sea erosion within a rock mass formed of a lower stratified limestone mass and an upper Gravina Calcarenite mass. The thickness of the cavern roof, which has a dome shape, is less than 10 metres in the centre. Important buildings, as hotels and private houses, are located just above the top of the roof. Erosion processes have been observed to be still active along the whole cavern due to climate factors and, in particular, to sea salt weathering and sea spray effects. In 2007 a large calcarenite block, 3 m large, fell down from the cavern roof and consequently a field investigation campaign was carried out for a rational stabilization plan in order to understand the current stability conditions of the roof and the potential failure mechanism. Therefore, a thorough geo-structural survey has firstly been carried out, together with laboratory and in-situ testing for measuring the physical and mechanical properties of the calcarenite rock and of the corresponding joints. A monitoring system has also been planned and installed in order to measure the erosional rate and the block displacements in the cavern.

  18. Intelligent Stability Design of Large Underground Hydraulic Caverns: Chinese Method and Practice

    Directory of Open Access Journals (Sweden)

    Xiating Feng

    2011-10-01

    Full Text Available The global energy shortage has revived the interest in hydroelectric power, but extreme geological condition always pose challenges to the construction of hydroelectric power stations with large underground caverns. To solve the problem of safe design of large underground caverns, a Chinese-style intelligent stability design, representing recent developments in Chinese techniques for the construction of underground hydropower systems is presented. The basic aim of this method is to help designers improve the stability and design efficiency of large underground hydropower cavern groups. Its flowchart consists of two parts, one is initial design with an ordinal structure, and the other is dynamic design with a closed loop structure. In each part of the flowchart, analysis techniques, analysis content and design parameters for caverns’ stability are defined, respectively. Thus, the method provides designers with a bridge from the basic information of objective engineering to reasonable design parameters for managing the stability of hydraulic cavern groups. Application to two large underground caverns shows that it is a scientific and economical method for safely constructing underground hydraulic caverns.

  19. Deformation and Failure Characteristics of the Rock Masses around Deep Underground Caverns

    Directory of Open Access Journals (Sweden)

    Chong Zhang

    2015-01-01

    Full Text Available The deformation and failure characteristics of deep rock masses are the focus of this study on deep rock mass engineering. The study identifies the deformation and failure characteristics of a deep cavern under different ground stress conditions using model test and theoretical analysis methods. First, the similarity theory for model tests is introduced, and then the scale factors used in the present study are calculated according to the Froude criterion. Based on the study objectives, the details of the study methods (the similarity coefficient, the loading conditions, the test steps, etc. are introduced. Finally, the failure characteristics of the deep cavern and the strain distribution characteristics surrounding the caverns under different ground stress conditions are identified using the model test. It was found that compared with shallow rock masses the rock masses of the deep cavern have a much greater tensile range, which reaches 1.5 times the diameter of the cavern under the conditions established in the present study. Under different ground stress conditions, there are differences in failure characteristics and the reasons of the differences were analyzed. The implication of the test results on the design of support system for deep caverns was presented.

  20. Probabilistic Analysis of a Rock Salt Cavern with Application to Energy Storage Systems

    Science.gov (United States)

    Mahmoudi, Elham; Khaledi, Kavan; Miro, Shorash; König, Diethard; Schanz, Tom

    2017-01-01

    This study focuses on the failure probability of storing renewable energy in the form of hydrogen or compressed air in rock salt caverns. The validation of the short- and long-term integrity and stability of rock salt cavern is a prerequisite in their design process. The present paper provides a reliability-based analysis of a typical renewable energy storage cavern in rock salt. An elasto-viscoplastic creep constitutive model is implemented into a numerical model of rock salt cavern to assess its behavior under different operation conditions. Sensitivity measures of different variables involved in the mechanical response of cavern are computed by elementary effect global sensitivity method. Subset simulation methodology is conducted to measure the failure probability of the system with a low computational cost. This methodology is further validated by a comparison with a Monte Carlo-based probabilistic analysis. The propagation of parameter uncertainties and the failure probability against different failure criteria are evaluated by utilizing a Monte Carlo-based analysis. In this stage, the original finite element model is substituted by a surrogate model to further reduce the computational effort. Finally, a reliability analysis approach is employed to obtain the minimum admissible internal pressure in a cavern.

  1. Novel, mutable site in the cerebral cavernous malformation-1 gene in Chinese sporadic intracranial cavernous malformation patients

    Institute of Scientific and Technical Information of China (English)

    Rong Xie; Xiancheng Chen

    2009-01-01

    BACKGROUND: A cerebral cavernous malformation-1 (CCM1) gene mutation might result in functional loss of KREV interaction trapped-1 (KRIT1), which is related to onset of cavernous malformations (CM). However, data addressing sporadic CM in Chinese patients remains limited to date.OBJECTIVE: To analyze CCM1 mutation of Chinese patients with sporadic intracranial CM.DESIGN, TIME AND SETTING: Genetics experiment was performed in the Department of Neurosurgery, Huashan Hospital Affiliated to Fudan University between January 2004 and December 2005.PARTICIPANTS: Ninety patients with sporadic CM served as the CM group, and 30 healthy subjects were considered to be the control group.METHODS: Peripheral blood was collected from patients with CM and from control group subjects.Genomic DNA was extracted, and exons 8, 9, 11, 12, 13, 15, 16, 17, and 18, as well as the related introns, were amplified using polymerase chain reaction. DNA sequences were compared with GeneBank.MAIN OUTCOME MEASURES: Abnormal mutable site of CCM1 gene in the two groups.RESULTS: Four exclusive mutations of CCM1 were detected in the CM group, with a sporadic CM mutational rate of 32% (6/19). Of the four exclusive mutations, there was one missense mutation [exon 12, 1172C→T (S391F)], one insertion mutation [exon 8, 704insT (K246stop)], one intervening sequence mutation (IVS12-4C→T), and one synonymous mutation (exon 17,1875C→T). With the exception of 1875C→T, all mutations detected in the CM group led to functional changes of the KRIT1 protein, which was encoded by the CCM1 gene. Gene mutations were not detected in the control group.CONCLUSION: Four exclusive mutations of the CCM1 gene were determined in Chinese patients with sporadic CM, which led to functional changes or loss of the encoding KRIT1 protein. KRIT1 protein is considered to be the genetic basis of CM occurrence.

  2. Acute abducens nerve palsy as a presenting feature in carotid-cavernous fistula in a 6-year-old girl [

    Directory of Open Access Journals (Sweden)

    Pawar, Neelam

    2013-04-01

    Full Text Available [english] Carotid-cavernous fistulas (CCF are abnormal communications between the internal carotid artery and the cavernous sinus. Traumatic carotid-cavernous fistulae are rare potential complications of craniofacial trauma. Typical findings of CCF are proptosis, chemosis, headache, oculomotor or abducens nerve palsy, trigeminal pain and pulsating bruit over the temporal skull and the bulb.CCF are reported very rarely in childhood. This report describes the clinical and radiological findings of a pediatric patient presented with CCF.

  3. Advanced Underground Gas Storage Concepts: Refrigerated-Mined Cavern Storage, Final Report

    Energy Technology Data Exchange (ETDEWEB)

    none

    1998-09-30

    Over the past 40 years, cavern storage of LPG's, petrochemicals, such as ethylene and propylene, and other petroleum products has increased dramatically. In 1991, the Gas Processors Association (GPA) lists the total U.S. underground storage capacity for LPG's and related products of approximately 519 million barrels (82.5 million cubic meters) in 1,122 separate caverns. Of this total, 70 are hard rock caverns and the remaining 1,052 are caverns in salt deposits. However, along the eastern seaboard of the U.S. and the Pacific northwest, salt deposits are not available and therefore, storage in hard rocks is required. Limited demand and high cost has prevented the construction of hard rock caverns in this country for a number of years. The storage of natural gas in mined caverns may prove technically feasible if the geology of the targeted market area is suitable; and economically feasible if the cost and convenience of service is competitive with alternative available storage methods for peak supply requirements. Competing methods include LNG facilities and remote underground storage combined with pipeline transportation to the area. It is believed that mined cavern storage can provide the advantages of high delivery rates and multiple fill withdrawal cycles in areas where salt cavern storage is not possible. In this research project, PB-KBB merged advanced mining technologies and gas refrigeration techniques to develop conceptual designs and cost estimates to demonstrate the commercialization potential of the storage of refrigerated natural gas in hard rock caverns. DOE has identified five regions, that have not had favorable geological conditions for underground storage development: New England, Mid-Atlantic (NY/NJ), South Atlantic (DL/MD/VA), South Atlantic (NC/SC/GA), and the Pacific Northwest (WA/OR). PB-KBB reviewed published literature and in-house databases of the geology of these regions to determine suitability of hard rock formations for siting

  4. Cerebral cavernous malformations: clinical insights from genetic studies.

    Science.gov (United States)

    Mindea, Stefan A; Yang, Benson P; Shenkar, Robert; Bendok, Bernard; Batjer, H Hunt; Awad, Issam A

    2006-07-15

    Familial disease is responsible for one third to one half of cerebral cavernous malformation (CCM) cases presenting to clinical attention. Much has been learned in the past decade about the genetics of these cases, which are all inherited in an autosomal dominant pattern, at three known chromosome loci. Unique features of inherited CCMs in Hispanic-Americans of Mexican descent have been described. The respective genes for each locus have been identified and preliminary observations on disease pathways and mechanisms are coming to light, including possible explanations for selectivity of neural milieu and relationships to endothelial layer abnormalities. Mechanisms of lesion genesis in cases of genetic predisposition are being investigated, with evidence to support a two-hit model emerging from somatic mutation screening of the lesions themselves and from lesion formation in transgenic murine models of the disease. Other information on potential inflammatory factors has emerged from differential gene expression studies. Unique phenotypic features of solitary versus familial cases have emerged: different associations with venous developmental anomaly and the exceptionally high penetrance rates that are found in inherited cases when high-sensitivity screening is performed with gradient echo magnetic resonance imaging. This information has changed the landscape of screening and counseling for patients and their families, and promises to lead to the development of new tools for predicting, explaining, and modifying disease behavior.

  5. ADVANCED MAGNETIC RESONANCE IMAGING OF CEREBRAL CAVERNOUS MALFORMATIONS

    Science.gov (United States)

    Shenkar, Robert; Venkatasubramanian, Palamadai N.; Wyrwicz, Alice M.; Zhao, Jin-cheng; Shi, Changbin; Akers, Amy; Marchuk, Douglas A.; Awad, Issam A.

    2008-01-01

    Objective We sought to assess the appearance of cerebral cavernous malformations (CCMs) on magnetic resonance (MR) imaging in murine Ccm1 and Ccm2 gene knockout models, and to develop a technique of lesion localization for correlative pathobiologic studies Methods Brains from eighteen CCM mutant mice (Ccm1+/-Trp53-/- and Ccm2+/-Trp53-/-) and 28 controls were imaged by gradient recalled echo (T2*)-weighted MR at 4.7 T and 14.1 T in vivo and/or ex vivo. After MR imaging, the brains were removed and stained with hematoxylin and eosin and cells were laser microdissected for molecular biologic studies. Results T2*-weighted MR imaging of brains in vivo and ex vivo revealed lesions similar to human CCMs in mutant mice, but not in control animals. Stereotactic localization and hematoxylin and eosin-staining of correlative tissue sections confirmed lesion histology, and revealed other areas of dilated capillaries in the same brains. Some lesions were identified by MR imaging at 14.1 T, but not at 4.7 T. PCR amplification from Ccm1 and β-actin genes was demonstrated from nucleic acids extracted from laser microdissected lesional and perilesional cells. Conclusions The high field MR imaging techniques offer new opportunities for further investigation of disease pathogenesis in vivo, and the localization, staging and histobiologic dissection of lesions, including the presumed earliest stages of CCM lesion development. PMID:18981891

  6. Diagnosis and treatment of traumatic carotid cavernous fistula

    Institute of Scientific and Technical Information of China (English)

    杨东虹; 何奇元; 邹咏文; 许民辉

    2002-01-01

    Objective: To discuss the diagnosis and managementof traumatic carotid cavernous fistula (TCCF).Methods: In all 15 patients with TCCF confirmed byangiography, 8 patients got early diagnosis and cure. WithSeldinger technique adpoted in the puncture of femoralartery, Magic 3 F-1.8 F BD catheters combining withballoon were used to embolize the fistula or the internalcarotid artery.Results: Early diagnosis and cure were achieved in 8patients within one week and no sequelae occurred. Sevenpatients with delayed diagnosis who were cured beyond oneweek had some sequelae such as hypopsia in 5 cases,incomplete oculomotor paralyses in 3 and incompleteabducent paralyses in 2. Among all the 15 cases, theinternal carotid artery was preserved in 12 cases acountingfor 80%. Occluding the fistula with sacrifice of the internalcarotid artery was performed in 3 cases and no repatency of the fistula occurred by following up beyond three months.Conclusions: The preferred therapy for TCCF is toocclude the fistula using detachable balloon. The diagnosisand treatment for TCCF can significantly reduce occurrencerate of the complications and sequelae.

  7. Chlorophyll f-driven photosynthesis in a cavernous cyanobacterium.

    Science.gov (United States)

    Behrendt, Lars; Brejnrod, Asker; Schliep, Martin; Sørensen, Søren J; Larkum, Anthony W D; Kühl, Michael

    2015-09-01

    Chlorophyll (Chl) f is the most recently discovered chlorophyll and has only been found in cyanobacteria from wet environments. Although its structure and biophysical properties are resolved, the importance of Chl f as an accessory pigment in photosynthesis remains unresolved. We found Chl f in a cyanobacterium enriched from a cavernous environment and report the first example of Chl f-supported oxygenic photosynthesis in cyanobacteria from such habitats. Pigment extraction, hyperspectral microscopy and transmission electron microscopy demonstrated the presence of Chl a and f in unicellular cyanobacteria found in enrichment cultures. Amplicon sequencing indicated that all oxygenic phototrophs were related to KC1, a Chl f-containing cyanobacterium previously isolated from an aquatic environment. Microsensor measurements on aggregates demonstrated oxygenic photosynthesis at 742 nm and less efficient photosynthesis under 768- and 777-nm light probably because of diminished overlap with the absorption spectrum of Chl f and other far-red absorbing pigments. Our findings suggest the importance of Chl f-containing cyanobacteria in terrestrial habitats.

  8. Treatment Outcome Of Seizures Associated With Intracranial Cavernous Angiomas

    Directory of Open Access Journals (Sweden)

    Nievera Conrad C

    1999-01-01

    Full Text Available Seizures are among the typical presentations of intracranial cavernous angiomas (ICA. Twenty-one patients (age range: 2 to 53 years treated for seizures associated with ICA between 1983 and 1997 were restrospectively studied to evaluate their outcome following medical or surgical intervention. The mean interval between seizure onset and initial presentation at our institution was 7.6 years. Seizures were simple partial in 3 patients, complex partial in 15 and secondarily generalized tonic-clonic in 13. The commonest site of the lesion was the temporal lobe (52%. Multiple angiomas were observed in 5 (24% patients. Seven (32% patients were medically-managed with antiepileptic therapy and 14 (68% underwent either lesionectomy with resection of the epileptogenic zone (9 patients or temporal lobectomy (5 patients. Mean follow-up time was 4 years (range: 3 months to 14 years. Of the medically-managed patients, 3 (43% remained seizure-free whereas 4 (57% continued to have seizures with an average frequency of one per day. Of the surgically-managed patients, 12 (86% became seizure-free and 2 (14% had no more than two seizures per year. Surgery appears to be extremely effective in the management of seizures associated with ICA and should receive a strong and early consideration in patients who fail medical therapy.

  9. Spectacular test of the fire extinguishing system in the underground cavern of the CMS experiment

    CERN Multimedia

    Maximilien Brice

    2006-01-01

    The enormous rumbling heard 100 m under the earth on Friday, 12 May, was not the start of a foam party at CMS. The Safety Team looked on from the second tier of the CMS underground cavern as it reechoed to the sound of water rushing through the two huge pipes overhead and the air was filled with a mixture of water and foam. A minute later it was a winter wonderland, as fluffy puffs of foam came shooting out of the twelve foam blowers lining the upper cavern walls on both sides. In less than two minutes 7 m3 of water mixed with a small percentage of foaming liquid, was transformed into 5600 m3 of foam and discharged into the cavern.

  10. Transvenous embolization of a dural carotid-cavernous sinus fistula via the inferior ophthalmic vein.

    Science.gov (United States)

    Michels, Kevin S; Ng, John D; Falardeau, Julie; Roberts, Warren G; Petersen, Bryan; Nesbit, Gary M; Barnwell, Stanley L

    2007-01-01

    A 76-year-old woman presented with an acute onset of right periocular pain, diplopia, ocular injection, progressive proptosis, and periocular swelling. She had an unremarkable past medical history, and the erythrocyte sedimentation rate and complete blood count were normal. A carotid-cavernous sinus fistula was suspected, and an MRI demonstrated enlargement of the superior ophthalmic vein posterior to the globe and enlargement of the inferior ophthalmic vein throughout its entire course. Cerebral arteriography demonstrated a dural cavernous sinus fistula. The inferior ophthalmic vein was accessed via the inferonasal orbital space and was catheterized for delivery of multiple platinum coils to the cavernous sinus fistula. Follow-up venograms demonstrated occlusion of the fistula. At 2-month follow-up, there was a residual sixth nerve palsy and resolution of symptoms, including proptosis and periocular swelling.

  11. The cavernous sinus in cluster headache - a quantitative structural magnetic resonance imaging study.

    Science.gov (United States)

    Arkink, Enrico B; Schoonman, Guus G; van Vliet, Jorine A; Bakels, Hannah S; Sneeboer, Marjolein Am; Haan, Joost; van Buchem, Mark A; Ferrari, Michel D; Kruit, Mark C

    2017-03-01

    Background It has been hypothesized that a constitutionally narrow cavernous sinus might predispose individuals to cluster headache. Cavernous sinus dimensions, however, have never been assessed. Methods In this case-control study, we measured the dimensions of the cavernous sinus, skull base, internal carotid and pituitary gland with high-resolution T2-weighted magnetic resonance imaging in 25 episodic, 24 chronic and 13 probable cluster headache patients, 8 chronic paroxysmal hemicrania patients and 22 headache-free controls. Dimensions were compared between groups, correcting for age, sex and transcranial diameter. Results On qualitative inspection, no relevant pathology or anatomic variants that were previously associated with cluster headache or chronic paroxysmal hemicranias were observed in the cavernous sinus or paracavernous structures. The left-to-right transcranial diameter at the temporal fossa level (mean ± SD) was larger in the headache groups (episodic cluster headache: 147.5 ± 7.3 mm, p = 0.044; chronic cluster headache: 150.2 ± 7.3 mm, p cluster headache: 146.0 ± 5.3 mm, p = 0.012; and chronic paroxysmal hemicrania: 145.2 ± 9.4 mm, p = 0.044) compared with controls (140.2 ± 8.0 mm). After adjusting for transcranial diameter and correcting for multiple comparisons, there were no differences in the dimensions of the cavernous sinus and surrounding structures between headache patients and controls. Conclusion Patients with cluster headache or chronic paroxysmal hemicrania had wider skulls than headache-free controls, but the proportional dimensions of the cavernous sinus were similar.

  12. Cavernous hemangioma-like kaposi sarcoma: histomorphologic features and differential diagnosis.

    Science.gov (United States)

    Onak Kandemir, Nilüfer; Barut, Figen; Doğan Gün, Banu; Solak Tekin, Nilgün; Hallaç Keser, Sevinç; Oğuz Özdamar, Sükrü

    2013-01-01

    Aim. Cavernous hemangioma-like Kaposi sarcoma is a rare morphologic type of Kaposi sarcoma. So far there are no cases in the literature defining the histological features of this morphologic spectrum in detail. In this study we presented two classical-type cutaneous Kaposi sarcoma cases with histologic findings resembling cavernous hemangioma in company with clinical and histopathological data. Cases. One hundred and eighty-five classical-type cutaneous Kaposi sarcoma lesions in 79 patients were assessed retrospectively in terms of histopathological features. Findings of two cases showing features of cavernous hemangioma-like Kaposi sarcoma whose clinical data could be accessed were presented in accompany with the literature data. Both cases were detected to have bluish-purple, protruded, irregularly bordered cutaneous lesions. Histopathological examination revealed a lesion formed by cavernous hemangioma-like vascular structures organized in a lobular pattern that became dilated and filled with blood. Typical histological findings of early-stage KS, consisting of mononuclear inflammation, extravasated erythrocytes, and a few immature vascular structures in superficial dermis, were observed. All cases were serologically HIV-1 negative. A positive reaction with HHV-8, CD31, CD34, and D2-40 monoclonal antibodies was identified at both cavernous hemangioma-like areas and in immature vascular structures. Results. Cavernous hemangioma-like Kaposi sarcoma is a rare Kaposi sarcoma variant presenting with diagnostic challenges, that may be confused with hemangioma. As characteristic morphological features may not be observed in every case, it is important for diagnostic purposes to show immunohistochemical HHV-8 positivity in this variant.

  13. Manifestations of hepatic cavernous hemangioma in carbon dioxidedigital subtraction angiography

    Institute of Scientific and Technical Information of China (English)

    LU Wei; LI Yan-ha0; HE Xiao-feng; CHEN Yong; ZENG Qing-le

    2002-01-01

    Objective: To describe the characteristic appearance of cavernous hemangioma of the liver (CHL)presented in carbon dioxide digital subtraction angiography (CO2-DSA) and to evaluate the significance of CO2-DSA in the diagnosis of CHL. Methods: Both CO2-DSA and iodinated contrast DSA (IC-DSA) were performed in all 16 patients with CHL, and the angiographic manifestations in the same patients were compared. The image quality was rated by three experienced angiographers, and the complications were also assessed. Results; There was good correlation between angiographers on image quality (R=0. 73). Diagnostic images were obtained with both CO2-DSA and IC-DSA in all CHL patients. No difference was noted between IC-DSA and CO2-DSA in visualizing the proper hepatic arteries and its branches (P>0. 05). CO2-DSA produced better images that clearly described the tumor size, shape and margination than those by IC-DSA (P<0. 05), but both demonstrated characteristic appearances of early opacification and persistent contrast enhancement of the tumors. The portal vein branches near the tumors were constantly demonstrated by CO2-DSA in 15 cases (15/16) but only in 2 cases (2/16) by IC-DSA. Conclusion: CO2-DSA is sensitive in CHL diagnosis, and in patients with contraindications to IC or with unsatisfactory imaging results by IC-DSA,CO2-DSA is a good alternative. As show in most cases by CO2-DSA, the portal veins might act as the main drainage vein of CHLs.

  14. Treatment and Outcome of Epileptogenic Temporal Cavernous Malformations

    Institute of Scientific and Technical Information of China (English)

    Yong-Zhi Shan; Xiao-Tong Fan; Liang Meng; Yang An; Jian-Kun Xu; Guo-Guang Zhao

    2015-01-01

    Background:The aim of this study is to explore the treatment and outcome ofepileptogenic temporal lobe cavernous malformations (CMs).Methods:We analyzed retrospectively the profiles of 52 patients diagnosed as temporal lobe CMs associated with epilepsy.Among the 52 cases,11 underwent a direct resection of CM along with the adjacent zone of hemosiderin rim without electrocorticogram (ECoG) monitoring while the other 41 cases had operations under the guidance of ECoG.Forty-six patients were treated by lesionectomy + hemosiderin rim while the other six were treated by lesionectomy + hemosiderin rim along with extended epileptogenic zone resection.The locations of lesions,the duration of illness,the manifestation,the excision ranges and the outcomes of postoperative follow-up were analyzed,respectively.Results:All of the 52 patients were treated by microsurgery.There was no neurological deficit through the long-term follow-up.Outcomes of seizure control are as follows:42 patients (80.8%) belong to Engel Class Ⅰ,5 patients (9.6%) belong to Engel Class Ⅱ,3 patients (5.8%) belong to Engel Class Ⅲ and 2 patients (3.8%) belong to Engel Class Ⅳ.Conclusion:Patients with epilepsy caused by temporal CMs should be treated as early as possible.Resection of the lesion and the surrounding hemosiderin zone is necessary.Moreover,an extended excision of epileptogenic cortex or cerebral lobes is needed to achieve a better prognosis if the ECoG indicates the existence of an extra epilepsy onset origin outside the lesion itself.

  15. A NOVEL PROCESS TO USE SALT CAVERNS TO RECEIVE SHIP BORNE LNG

    Energy Technology Data Exchange (ETDEWEB)

    Michael M. McCall; William M. Bishop; Marcus Krekel; James F. Davis; D. Braxton Scherz

    2005-05-31

    This cooperative research project validates use of man made salt caverns to receive and store the cargoes of LNG ships in lieu of large liquid LNG tanks. Salt caverns will not tolerate direct injection of LNG because it is a cryogenic liquid, too cold for contact with salt. This research confirmed the technical processes and the economic benefits of pressuring the LNG up to dense phase, warming it to salt compatible temperatures and then directly injecting the dense phase gas into salt caverns for storage. The use of salt caverns to store natural gas sourced from LNG imports, particularly when located offshore, provides a highly secure, large scale and lower cost import facility as an alternative to tank based LNG import terminals. This design can unload a ship in the same time as unloading at a tank based terminal. The Strategic Petroleum Reserve uses man made salt caverns to securely store large quantities of crude oil. Similarly, this project describes a novel application of salt cavern gas storage technologies used for the first time in conjunction with LNG receiving. The energy industry uses man made salt caverns to store an array of gases and liquids but has never used man made salt caverns directly in the importation of LNG. This project has adapted and expanded the field of salt cavern storage technology and combined it with novel equipment and processes to accommodate LNG importation. The salt cavern based LNG receiving terminal described in the project can be located onshore or offshore, but the focus of the design and cost estimates has been on an offshore location, away from congested channels and ports. The salt cavern based terminal can provide large volumes of gas storage, high deliverability from storage, and is simplified in operation compared to tank based LNG terminals. Phase I of this project included mathematical modeling that proved a salt cavern based receiving terminal could be built at lower capital cost, and would have significantly higher

  16. Ultimate storage in salt caverns / status report; Endverwahrung von Salzkavernen / Stand der Entwicklung

    Energy Technology Data Exchange (ETDEWEB)

    Crotogino, F.; Schmidt, U. [Kavernen Bau- und Betriebs-GmbH, Hannover (Germany)

    1998-12-31

    The contribution reviews the state of knowledge on final storage in salt caverns. The long-term effects of a hermetically sealed, brine-filled cavern are discussed. So far, there are no valid predictions. (orig.) [Deutsch] In dem Beitrag wird der derzeitige Kenntnis- und Diskussionsstand zur Endverwahrung von Salzkavernen zusammengefasst. Aufbauend auf den bisher vorliegenden Vorstellungen zur Soleimpraegnation bei einem Innendruck, der nahezu dem Ueberlagerungsdruck entspricht, werden die denkbaren langfristigen Auswirkungen einer vollstaendig abgeschlossenen solegefuellten Kaverne skizziert; belastbare Prognosen sind derzeit noch nicht moeglich. (orig.)

  17. Adult onset segmental cavernous hemangioma, varicose veins and limb atrophy (klippel-trenaunay-Weber syndrome variant

    Directory of Open Access Journals (Sweden)

    Sawhney MPS

    1990-01-01

    Full Text Available A 22 year-old woman presented with multiple soft, compressible, protuberant, bluish cutaneous lesions as well as firm, non-compressible, subcutaneous masses and varicose veins affecting the right upper limb of three years duration. There was atrophy of soft tissue of forearm by 2.5 cm. X-ray showed soft tissue densities, multiple phleboliths and hypoplastic forearm bones. Histopathological examination from cutaneous lesions revealed cavernous hemangioma. Adult onset cavernous hemangioma involving one upper limb and breast with multiple phleboliths and limb atrophy is a very unusual presentation of Klippel-Trenaunay-Weber syndrome.

  18. Endoscopic approaches to brainstem cavernous malformations: Case series and review of the literature

    Directory of Open Access Journals (Sweden)

    Nikhil R Nayak

    2015-01-01

    Conclusion: The endoscope is a promising adjunct to the neurosurgeon′s ability to approach difficult to access brainstem cavernous malformations. It allows the surgeon to achieve well-illuminated, panoramic views, and by combining approaches, can provide minimally invasive access to most regions of the brainstem.

  19. Pontine glioma extending to the ipsilateral cavernous sinus and Meckel's cave: MR appearance.

    Science.gov (United States)

    Yuh, W T; Nguyen, H D; Mayr, N A; Follett, K A

    1992-01-01

    The authors describe an exophytic glioma of the pons that grew into the Meckel's cave and cavernous sinus in a 75-year-old man. Pontine gliomas should be included in the differential diagnosis of a hyperintense, complex cystic mass seen along the distribution of cranial nerve V.

  20. Evaluation of cerebral oximetry during endovascular treatment of carotid-cavernous fistula

    Science.gov (United States)

    Dujovny, Manuel; Misra, Mukesh; Alp, M. Serdar; Debrun, Gerard; Charbel, F. T.; Aletich, Victor; Ausman, James I.

    1997-08-01

    Endovascular treatment of carotid cavernous fistula is done routinely in our institution. We have been monitoring these patients with transcranial cerebral oximetry. The transcranial cerebral oximeter is a reliable, low-cost, non-invasive device that provides real-time evaluation of regional brain oxygen saturation during and after endovascular treatment of cerebrovascular diseases. We used the INVOS 3100A (Somanetics, Troy, MI) in our study. We discuss seven patients with carotid-cavernous fistulas treated by endovascular balloon occlusion, each monitored continuously before, during, and after the procedure with transcranial cerebral oximetry. The cerebral oxygen saturation depicted was directly related to the side of the venous drainage of the fistula, with the brain oxygen saturation 15 - 20% higher on the side of the venous drainage. Following endovascular occlusion of the fistula, oxygen saturation gradually became equal on both sides. In our patients treated for carotid-cavernous fistula, we evaluated the sensitivity and usefulness of cerebral oximetry as an important non-invasive monitoring tool for the endovascular treatment of carotid-cavernous fistula.

  1. Spall formation in solution mined storage caverns based on a creep and fracture analysis

    Energy Technology Data Exchange (ETDEWEB)

    MUNSON,DARRELL E.

    2000-02-02

    Because of limited direct observation, understanding of the interior conditions of the massive storage caverns constructed in Gulf Coast salt domes is realizable only through predictions of salt response. Determination of the potential for formation of salt spans, leading to eventual salt falls, is based on salt creep and fracture using the Multimechanism-Deformation Coupled Fracture (MCDF) model. This is a continuum model for creep, coupled to continuum damage evolution. The model has been successfully tested against underground results of damage around several test rooms at the Waste Isolation Pilot Plant (WIPP). Model simulations, here, evaluate observations made in the Strategic Petroleum Reserve (SPR) storage caverns, namely, the accumulation of material on cavern floors and evidence of salt falls. A simulation of a smooth cavern wall indicates damage is maximum at the surface but diminishes monotonically into the salt, which suggests the source of salt accumulation is surface sluffing. If a protuberance occurs on the wall, fracture damage can form beneath the protuberance, which will eventually cause fracture, and lead to a salt fall.

  2. Developments in Researches on the Disasters during Cavern Construction in Salt Beds with Multi-Interlayer

    Directory of Open Access Journals (Sweden)

    Huafu Qiu

    2013-08-01

    Full Text Available This study analyses the developments in researches on the disasters during cavern construction in salt beds with multi-interlayer. Relative to the foreign large salt dome landscape, there are many layers of mudstone in salt beds which has a thin single layer. And such special geological conditions increase the difficulty of solution mining in the control of cavity shape and stability of the cavity, which easily leads to disasters. To statistical analysis the disasters in process of cavern building with multi-interlayer in china, it show that: taking Chinese geological conditions for example, the disasters during cavern construction in salt beds with multi-interlayer caused the failure of cavity can be divided into three categories: geological conditions in beds; the damage of cavity wall in the process of cavity building; the distortion of cavity shape expansion. To analyze predisposing factors lead to salt cavern storage failure in detail, the mechanism of the corresponding factors lead to disaster has been summarized. Finally , some suggestions has been proposed to avoid the disaster maybe happened.

  3. CT diagnosis of cavernous hemangioma of the orbit. A case report

    Energy Technology Data Exchange (ETDEWEB)

    Takaki, Yoshikazu; Takahashi, Mutsumasa; Fukui, Kohtaroh; Bussaka, Hiromasa; Takahama, Yuriko; Yano, Tatsushi (Kumamoto Univ. (Japan). School of Medicine)

    1982-11-01

    A case of cavernous hemangioma studied by dynamic CT was reported. Dynamic CT revealed that contrast enhancement progressed from the periphery toward the center and started early to persist over a long period. These findings seemed characteristic of hemangioma of the orbit and other sties including the liver.

  4. Arteriovenous Malformation in Temporal Lobe Presenting as Contralateral Ocular Symptoms Mimicking Carotid-Cavernous Fistula

    Directory of Open Access Journals (Sweden)

    Fadzillah Mohd-Tahir

    2013-01-01

    Full Text Available Aim. To report a rare case of arteriovenous malformation in temporal lobe presenting as contralateral orbital symptoms mimicking carotid-cavernous fistula. Method. Interventional case report. Results. A 31-year-old Malay gentleman presented with 2-month history of painful progressive exophthalmos of his left eye associated with recurrent headache, diplopia, and reduced vision. Ocular examination revealed congestive nonpulsating 7 mm exophthalmos of the left eye with no restriction of movements in all direction. There was diplopia in left lateral gaze. Left IOP was elevated at 29 mmHg. Left eye retinal vessels were slightly dilated and tortuous. CT scan was performed and showed right temporal arteriovenous malformation with a nidus of 3.8 cm × 2.5 cm with right middle cerebral artery as feeding artery. There was dilated left superior ophthalmic vein of 0.9 mm in diameter with enlarged left cavernous sinus. MRA and carotid angiogram confirmed right temporal arteriovenous malformation with no carotid-cavernous fistula. Most of the intracranial drainage was via left cavernous sinus. His signs and symptoms dramatically improved following successful embolisation, completely resolved after one year. Conclusion. Intracranial arteriovenous malformation is rarely presented with primary ocular presentation. Early intervention would salvage the eyes and prevent patients from more disaster morbidity or fatality commonly due to intracranial haemorrhage.

  5. Preliminary Technical and Legal Evaluation of Disposing of Nonhazardous Oil Field Waste into Salt Caverns

    Energy Technology Data Exchange (ETDEWEB)

    Ayers, Robert C.; Caudle, Dan; Elcock, Deborah; Raivel, Mary; Veil, John; and Grunewald, Ben

    1999-01-21

    This report presents an initial evaluation of the suitability, feasibility, and legality of using salt caverns for disposal of nonhazardous oil field wastes. Given the preliminary and general nature of this report, we recognize that some of our findings and conclusions maybe speculative and subject to change upon further research on this topic.

  6. Antioxidative mechanism of Lycium barbarum polysaccharides promotes repair and regeneration following cavernous nerve injury

    Institute of Scientific and Technical Information of China (English)

    Zhan-kui Zhao; Hong-lian Yu; Bo Liu; Hui Wang; Qiong Luo; Xie-gang Ding

    2016-01-01

    Polysaccharides extracted from Lycium barbarum exhibit antioxidant properties. We hypothesized that these polysaccharides resist oxida-tive stress-induced neuronal damage following cavernous nerve injury. In this study, rat models were intragastrically administered Lycium barbarum polysaccharides for 2 weeks at 1, 7, and 14 days after cavernous nerve injury. Serum superoxide dismutase and glutathione peroxidase activities signiifcantly increased at 1 and 2 weeks post-injury. Serum malondialdehyde levels decreased at 2 and 4 weeks. At 12 weeks, peak intracavernous pressure, the number of myelinated axons and nicotinamide adenine dinucleotide phosphate-diaphorase-pos-itive nerve ifbers, levels of phospho-endothelial nitric oxide synthase protein and 3-nitrotyrosine were higher in rats administered at 1 day post-injury compared with rats administered at 7 and 14 days post-injury. These ifndings suggest that application of Lycium barbarum polysaccharides following cavernous nerve crush injury effectively promotes nerve regeneration and erectile functional recovery. This neu-roregenerative effect was most effective in rats orally administered Lycium barbarum polysaccharides at 1 day after cavernous nerve crush injury.

  7. Progress on CMS detector lowering: the YE+2 section arriving in the cavern

    CERN Multimedia

    2006-01-01

    On 12 December, a further section of the detector (YE+2) containing the cathode strip chamber made the 10-hour journey underground. This piece is 16 m high and weighs 880 tonnes. There are now four sections of the detector in the experimental cavern, with a further 11 to follow.

  8. Wegener's granulomatosis with unusual cavernous sinus and sella turcica extension

    Energy Technology Data Exchange (ETDEWEB)

    Hermann, M.; Bobek-Billewicz, B. [Dept. of Radiology, Medical University of Gdansk (Poland); Bullo, B.; Hermann, A.; Rutkowski, B. [Dept. of Nephrology, Medical University of Gdansk (Poland)

    1999-07-01

    Intracerebral extension of Wegener's granulomatosis (WG) is rare. We present a patient with oculomotor and trochlear nerve palsy with histologically proved WG. An MR examination revealed granulomatous tissue in nasal cavity, paranasal sinuses with meningeal infiltration, and uncommon penetration into cavernous sinus and sella turcica. The MR images before and during pharmacological therapy are presented. (orig.)

  9. Covered Stent Implantation for the Treatment of Direct Carotid-Cavernous Fistula and Its Mid-Term Follow-up

    Science.gov (United States)

    Briganti, F.; Tortora, F.; Marseglia, M.; Napoli, M.; Cirillo, L.

    2009-01-01

    Summary Carotid-cavernous fistulas are abnormal arteriovenous communications either directly between the internal carotid artery and the cavernous sinus or between the dural branches of the internal and external carotid arteries. These fistulas predominantly present with ocular manifestations and they are treated mainly by endovascular techniques in most cases. A detailed review of the literature allowed us to make a complete analysis of the information available on the topic. We describe a case of a direct carotid-cavernous fistula occluded by endovascular implantation of a covered stent, showing the persistence of results after three years. PMID:20465897

  10. Neurturin enhances the recovery of erectile function following bilateral cavernous nerve crush injury in the rat

    Directory of Open Access Journals (Sweden)

    Klein Robert D

    2007-03-01

    Full Text Available Abstract Background The molecular mechanisms responsible for the survival and preservation of function for adult parasympathetic ganglion neurons following injury remain incompletely understood. However, advances in the neurobiology of growth factors, neural development, and prevention of cell death have led to a surge of clinical interest for protective and regenerative neuromodulatory strategies, as surgical therapies for prostate, bladder, and colorectal cancers often result in neuronal axotomy and debilitating loss of sexual function or continence. In vitro studies have identified neurturin, a glial cell line-derived neurotrophic factor, as a neuromodulator for pelvic cholinergic neurons. We present the first in vivo report of the effects of neurturin upon the recovery of erectile function following bilateral cavernous nerve crush injury in the rat. Methods In these experiments, groups (n = 8 each consisted of uninjured controls and animals treated with injection of albumin (blinded crush control group, extended release neurotrophin-4 or neurturin to the site of cavernous nerve crush injury (100 μg per animal. After 5 weeks, recovery of erectile function (treatment effect was assessed by cavernous nerve electrostimulation and peak aortic pressures were measured. Investigators were unblinded to specific treatments after statistical analyses were completed. Results Erectile dysfunction was not observed in the sham group (mean maximal intracavernous pressure [ICP] increase of 117.5 ± 7.3 cmH2O, whereas nerve injury and albumin treatment (control produced a significant reduction in ICP elevation of 40.0 ± 6.3 cmH2O. Neurturin facilitated the preservation of erectile function, with an ICP increase of 55% at 62.0 ± 9.2 cmH2O (p Conclusion Treatment with neurturin at the site of cavernous nerve crush injury facilitates recovery of erectile function. Results support further investigation of neurturin as a neuroprotective and/or neuroregenerative

  11. ADVANCED MAGNETIC RESONANCE IMAGING OF CEREBRAL CAVERNOUS MALFORMATIONS: I. HIGH FIELD IMAGING OF EXCISED HUMAN LESIONS

    Science.gov (United States)

    Shenkar, Robert; Venkatasubramanian, Palamadai N.; Zhao, Jin-cheng; Batjer, H. Hunt; Wyrwicz, Alice M.; Awad, Issam A.

    2008-01-01

    Objectives We hypothesized that structural details would be revealed in cerebral cavernous malformations (CCMs) through the use of high field magnetic resonance (MR) and confocal microscopy, which have not been described previously. The structural details of CCMs excised from human patients were sought by examination with high field MR imaging, and correlated with confocal microscopy of the same specimens. Novel features of CCM structure are outlined, including methodological limitations, venues for future research and possible clinical implications. Methods CCM lesions excised from four patients were fixed in 2% paraformaldehyde and subjected to high resolution MR imaging at 9.4 or 14.1 Tesla by spin-echo and gradient recalled echo methods. Histological validation of angioarchitecture was conducted on thick sections of CCM lesions using fluorescent probes to endothelium under confocal microscopy. Results Images of excised human CCM lesions were acquired with proton density-weighted, T1-weighted, T2-weighted spin echo and T2*-weighted gradient-recalled echo MR. These images revealed large “bland” regions with thin walled caverns, and “honeycombed” regions with notable capillary proliferation and smaller caverns surrounding larger caverns. Proliferating capillaries and caverns of various sizes were also associated with the wall of apparent larger blood vessels in the lesions. Similar features were confirmed within thick sections of CCMs by confocal microscopy. MR relaxation times in different regions of interest suggested the presence of different states of blood breakdown products in areas with apparent angiogenic proliferative activity. Conclusions The high field MR imaging techniques demonstrate novel features of CCM angioarchitecture, visible at near histological resolution, including regions with apparently different biologic activity. These preliminary observations will motivate future research, correlating lesion biologic and clinical activity with

  12. Adrenal Cavernous Hemangioma: A Case Report with Review of the Literature

    Directory of Open Access Journals (Sweden)

    Joseph J. Noh

    2014-05-01

    Full Text Available Context Adrenal cavernous hemangioma is a rare type of tumor that is usually diagnosed post-operatively. There have only been approximately 63 cases reported in the literature to date. Case report We report a case of adrenal cavernous hemangioma in a 27-year-old pregnant woman. The mass was discovered on ultrasonography when she visited a gastroenterologist for vague epigastric discomfort and vomiting. The laboratory tests were within normal limits and did not show any features suggestive of adrenal endocrinologic dysfunction. Computed Tomography (CT revealed a well-defined 7.8 × 7.8 oval mass in the right adrenal gland with speckled calcifications. The mass was removed by transabdominal laparoscopic surgery. Strong positive immunostaining for CD31 and CD34 with weakly positive staining for podoplanin/D2-40 confirmed the diagnosis of cavernous hemangioma. Conclusions We reviewed 52 case reports of adrenal cavernous hemangioma in an attempt to identify tumor characteristics. More than half of the patients reviewed showed a heterogeneous internal structure of the mass with peripheral patchy enhancement on CT. They also showed focal or speckled calcifications either on X-ray or CT. Nevertheless, many of these characteristics overlap with the imaging phenotypes of other common diseases of the adrenal gland and therefore do not seem to provide definite evidence for differential diagnosis. Laparoscopic approach is a feasible and safe modality to remove adrenal cavernous hemangiomas because they seem to form a rigid fibrotic capsule; hence the risk of bleeding due to surgical manipulation is relatively low.

  13. Carotid-cavernous fistula caused by laceration of persistent fetal trigeminal artery treated with single catheter coil embolization

    Directory of Open Access Journals (Sweden)

    Benjamin L Brown

    2012-01-01

    Full Text Available We present the endovascular treatment of traumatic carotid-cavernous fistula from persistent fetal trigeminal artery (PFTA laceration. To date, there are six such cases of traumatic PFTA-cavernous fistulas reported in the literature. These injuries can pose a unique challenge in that rupture of a PFTA in its course through the cavernous sinus may produce a fistula feeding from both anterior and posterior circulations. Previously, these have been treated with dual catheter coil embolization from the carotid and basilar systems. We utilize a single catheter technique accessing the cavernous sinus through the origin of the PFTA on the internal carotid. Both anterior and posterior fistula components may be embolized through this single access. This represents a simple yet safe treatment option.

  14. Small bowel autotransplantation combined with pancreato-duodenectomy for enormous cavernous hemangioma of the small intestine mesentery

    Institute of Scientific and Technical Information of China (English)

    ZENG Yong; WU Hong; YANG Jia-yin

    2008-01-01

    @@ Recent advances in transplantation techniques have allowed pancreatoduodenectomy, distal gastrectomy, hemicolectomy and small bowel autotransplantation to be the therapy of choice for enormous cavernous hemangioma of the small intestine mesentery. There have been a few case reports about small bowel autotransplantation combined with pancreatoduodenectomy for enormous mesenteric cavernous hemangioma of small intestine.1-4 The present surgical methods for enormous cavernous hemangioma of the small intestine mesentery mainly included tumor excision and/or small bowel resection. However, these therapies are not effective for those patients in whom the angiocavernoma has infiltrated the mesenteric artery or pancreas, and these patients often give up therapy. It is recognized that enormous cavernous hemangioma of the small intestine mesentery is a benign lesion, and patients may have an excellent prognosis after complete resection of the lesion.

  15. Western Portion IKONOS and Landsat ETM Merge Satellite Imagery for Carlsbad Caverns National Park Vegetation Mapping Project

    Data.gov (United States)

    National Park Service, Department of the Interior — IKONOS and Landsat ETM+ image merge for Carlsbad Caverns National Park, New Mexico. The image has a spatial resolution of 12 meters and is comprised of 11 layers....

  16. Failure Analysis of Overhanging Blocks in the Walls of a Gas Storage Salt Cavern: A Case Study

    Science.gov (United States)

    Wang, Tongtao; Yang, Chunhe; Li, Jianjun; Li, Jinlong; Shi, Xilin; Ma, Hongling

    2017-01-01

    Most of the rock salt of China is bedded, in which non-salt layers and rock salt layers alternate. Due to the poor solubility of the non-salt layers, many blocks overhang on the walls of the caverns used for gas storage, constructed by water leaching. These overhanging blocks may collapse at any time, which may damage the tubing and casing string, and even cause instability of the cavern. They are one of the main factors threatening the safety of caverns excavated in bedded rock salt formations. In this paper, a geomechanical model of the JJKK-D salt cavern, located in Jintan salt district, Jintan city, Jiangsu province, China, is established to evaluate the stability of the overhanging blocks on its walls. The characters of the target formation, property parameters of the rock mass, and actual working conditions are considered in the geomechanical model. An index system composed of stress, displacement, plastic zone, safety factor, and equivalent strain is used to predict the collapse length of the overhanging blocks, the moment the collapse will take place, and the main factors causing the collapse. The sonar survey data of the JJKK-D salt cavern are used to verify the reliability and accuracy of the proposed geomechanical model. The results show that the proposed geomechanical model has a good reliability and accuracy, and can be used for the collapse prediction of the overhanging blocks on the wall of the JJKK-D salt cavern. The collapse length of the overhanging block is about 8 m. We conclude that the collapse takes place during the debrining. The reason behind the collapse is the sudden decrease of the fluid density, leading to the increase of the self-weight of the overhanging blocks. This study provides a basis for the collapse prediction method of the overhanging blocks of Jintan salt cavern gas storage, and can also serve as a reference for salt cavern gas storage with similar conditions to deal with overhanging blocks.

  17. Commercial potential of natural gas storage in lined rock caverns (LRC)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-11-01

    The geologic conditions in many regions of the United States will not permit the development of economical high-deliverability gas storage in salt caverns. These regions include the entire Eastern Seaboard; several northern states, notably Minnesota and Wisconsin; many of the Rocky Mountain States; and most of the Pacific Northwest. In late 1997, the United States Department of Energy (USDOE) Federal Energy Technology Center engaged Sofregaz US to investigate the commercialization potential of natural gas storage in Lined Rock Caverns (LRC). Sofregaz US teamed with Gaz de France and Sydkraft, who had formed a consortium, called LRC, to perform the study for the USDOE. Underground storage of natural gas is generally achieved in depleted oil and gas fields, aquifers, and solution-mined salt caverns. These storage technologies require specific geologic conditions. Unlined rock caverns have been used for decades to store hydrocarbons - mostly liquids such as crude oil, butane, and propane. The maximum operating pressure in unlined rock caverns is limited, since the host rock is never entirely impervious. The LRC technology allows a significant increase in the maximum operating pressure over the unlined storage cavern concept, since the gas in storage is completely contained with an impervious liner. The LRC technology has been under development in Sweden by Sydkraft since 1987. The development process has included extensive technical studies, laboratory testing, field tests, and most recently includes a storage facility being constructed in southern Sweden (Skallen). The LRC development effort has shown that the concept is technically and economically viable. The Skallen storage facility will have a rock cover of 115 meters (375 feet), a storage volume of 40,000 cubic meters (250,000 petroleum barrels), and a maximum operating pressure of 20 MPa (2,900 psi). There is a potential for commercialization of the LRC technology in the United States. Two regions were studied

  18. Radiation-induced intracerebral cavernous angiomas in children with malignant brain tumors. A report of two cases

    Energy Technology Data Exchange (ETDEWEB)

    Sugiyama, Tatsuya; Matsutani, Masao; Ogura, Hiroaki; Yoshizawa, Hidehiko; Nishikawa, Ryo [Saitama Medical School, Moroyama (Japan)

    2002-06-01

    Cavernous angiomas forming in the brain after radiation therapy for pediatric brain tumors have recently attracted special interest as a late complication of radiation therapy. We report here on two children with malignant brain tumors who developed intracerebral cavernous angiomas 4 to 5 years after radiation therapy. A 14-year-old girl with a primitive neuroectodermal tumor developed a cavernous angioma in the hypothalamus after being irradiated with 55 Gy 4 years ago. The second case, 13-year-old boy with a pineal mixed germ cell tumor showed a cavernous angioma at the thalamus 5 years after receiving radiation therapy with a dose of 60 Gy. Both patients did not show any abnormal symptoms and the cavernous angiomas diagnoses were made with MRI findings. A review of 20 reported cases of radiation-induced cavernous angiomas in the brain revealed some characteristic findings. Eighteen of the 20 cases were children, fourteen cases developed hemorrhage, the radiation dose administered was distributed between 18-60 Gy (median dose of 43.5 Gy), and the median latent period was 7.5 years (range: 2-21 years). As a differential diagnosis for the recurrent tumor is guite difficult in most cases, it is necessary to observe patients who developed angioma-like lesions in the irradiated area carefully. (author)

  19. Sonar atlas of caverns comprising the U.S. Strategic Petroleum Reserve. Volume 4, West Hackberry site, Louisiana.

    Energy Technology Data Exchange (ETDEWEB)

    Rautman, Christopher Arthur; Lord, Anna Snider

    2007-09-01

    Downhole sonar surveys from the four active U.S. Strategic Petroleum Reserve sites have been modeled and used to generate a four-volume sonar atlas, showing the three-dimensional geometry of each cavern. This volume 4 focuses on the West Hackberry SPR site, located in southwestern Louisiana. Volumes 1, 2, and 3, respectively, present images for the Bayou Choctaw SPR site, Louisiana, the Big Hill SPR site, Texas, and the Bryan Mound SPR site, Texas. The atlas uses a consistent presentation format throughout. The basic geometric measurements provided by the down-cavern surveys have also been used to generate a number of geometric attributes, the values of which have been mapped onto the geometric form of each cavern using a color-shading scheme. The intent of the various geometrical attributes is to highlight deviations of the cavern shape from the idealized cylindrical form of a carefully leached underground storage cavern in salt. The atlas format does not allow interpretation of such geometric deviations and anomalies. However, significant geometric anomalies, not directly related to the leaching history of the cavern, may provide insight into the internal structure of the relevant salt dome.

  20. Sonar atlas of caverns comprising the U.S. Strategic Petroleum Reserve. Volume 2, Big Hill Site, Texas.

    Energy Technology Data Exchange (ETDEWEB)

    Rautman, Christopher Arthur; Lord, Anna Snider

    2007-08-01

    Downhole sonar surveys from the four active U.S. Strategic Petroleum Reserve sites have been modeled and used to generate a four-volume sonar atlas, showing the three-dimensional geometry of each cavern. This volume 2 focuses on the Big Hill SPR site, located in southeastern Texas. Volumes 1, 3, and 4, respectively, present images for the Bayou Choctaw SPR site, Louisiana, the Bryan Mound SPR site, Texas, and the West Hackberry SPR site, Louisiana. The atlas uses a consistent presentation format throughout. The basic geometric measurements provided by the down-cavern surveys have also been used to generate a number of geometric attributes, the values of which have been mapped onto the geometric form of each cavern using a color-shading scheme. The intent of the various geometrical attributes is to highlight deviations of the cavern shape from the idealized cylindrical form of a carefully leached underground storage cavern in salt. The atlas format does not allow interpretation of such geometric deviations and anomalies. However, significant geometric anomalies, not directly related to the leaching history of the cavern, may provide insight into the internal structure of the relevant salt dome.

  1. Sonar atlas of caverns comprising the U.S. Strategic Petroleum Reserve. Volume 1, Bayou Choctaw site, Louisiana.

    Energy Technology Data Exchange (ETDEWEB)

    Rautman, Christopher Arthur; Lord, Anna Snider

    2007-10-01

    Downhole sonar surveys from the four active U.S. Strategic Petroleum Reserve sites have been modeled and used to generate a four-volume sonar atlas, showing the three-dimensional geometry of each cavern. This volume 1 focuses on the Bayou Choctaw SPR site, located in southern Louisiana. Volumes 2, 3, and 4, respectively, present images for the Big Hill SPR site, Texas, the Bryan Mound SPR site, Texas, and the West Hackberry SPR site, Louisiana. The atlas uses a consistent presentation format throughout. The basic geometric measurements provided by the down-cavern surveys have also been used to generate a number of geometric attributes, the values of which have been mapped onto the geometric form of each cavern using a color-shading scheme. The intent of the various geometrical attributes is to highlight deviations of the cavern shape from the idealized cylindrical form of a carefully leached underground storage cavern in salt. The atlas format does not allow interpretation of such geometric deviations and anomalies. However, significant geometric anomalies, not directly related to the leaching history of the cavern, may provide insight into the internal structure of the relevant salt dome.

  2. Sonar atlas of caverns comprising the U.S. Strategic Petroleum Reserve. Volume 3, Bryan Mound Site, Texas.

    Energy Technology Data Exchange (ETDEWEB)

    Rautman, Christopher Arthur; Lord, Anna Snider

    2007-09-01

    Downhole sonar surveys from the four active U.S. Strategic Petroleum Reserve sites have been modeled and used to generate a four-volume sonar atlas, showing the three-dimensional geometry of each cavern. This volume 3 focuses on the Bryan Mound SPR site, located in southeastern Texas. Volumes 1, 2, and 4, respectively, present images for the Bayou Choctaw SPR site, Louisiana, the Big Hill SPR site, Texas, and the West Hackberry SPR site, Louisiana. The atlas uses a consistent presentation format throughout. The basic geometric measurements provided by the down-cavern surveys have also been used to generate a number of geometric attributes, the values of which have been mapped onto the geometric form of each cavern using a color-shading scheme. The intent of the various geometrical attributes is to highlight deviations of the cavern shape from the idealized cylindrical form of a carefully leached underground storage cavern in salt. The atlas format does not allow interpretation of such geometric deviations and anomalies. However, significant geometric anomalies, not directly related to the leaching history of the cavern, may provide insight into the internal structure of the relevant salt dome.

  3. 27 Febuary 2012 - US DoE Associate Director of Science for High Energy Physics J. Siegrist visiting the LHC superconducting magnet test hall with adviser J.-P. Koutchouk and engineer M. Bajko; in CMS experimental cavern with Spokesperson J. Incadela;in ATLAS experimental cavern with Deputy Spokesperson A. Lankford; in ALICE experimental cavern with Spokesperson P. Giubellino; signing the guest book with Director for Accelerators and Technology S. Myers.

    CERN Multimedia

    Laurent Egli

    2012-01-01

    27 Febuary 2012 - US DoE Associate Director of Science for High Energy Physics J. Siegrist visiting the LHC superconducting magnet test hall with adviser J.-P. Koutchouk and engineer M. Bajko; in CMS experimental cavern with Spokesperson J. Incadela;in ATLAS experimental cavern with Deputy Spokesperson A. Lankford; in ALICE experimental cavern with Spokesperson P. Giubellino; signing the guest book with Director for Accelerators and Technology S. Myers.

  4. Strategic Petroleum Reserve (SPR) oil storage cavern sulphur mines 2-4-5 certification tests and analysis. Part I: 1981 testing. Part II: 1982 testing

    Energy Technology Data Exchange (ETDEWEB)

    Beasley, R.R.

    1982-12-01

    Well leak tests and a cavern pressure were conducted in June through December 1981, and are described in Part I. The tests did not indicate conclusively that there was no leakage from the cavern, but the data indicate that cavern structural failure during oil storage is unlikely. The test results indicated that retesting and well workover were desirable prior to making a decision on the cavern use. Well leak tests were conducted in March through May 1982, and are described in Part II. The tests indicated that there was no significant leakage from wells 2 and 4 but that the leakage from wells 2A and 5 exceeded the DOE criterion. Because of the proximity of cavern 2-4-5 to the edge of the salt, this cavern should be considered for only one fill/withdrawal cycle prior to extensive reevaluation. 57 figures, 17 tables.

  5. Endovascular treatment of a giant internal carotid artery bifurcation aneurysm with drainage into cavernous sinus

    Institute of Scientific and Technical Information of China (English)

    ZHANG Zhen-hai; YANG Xin-jian; WU Zhong-xue; LI You-xiang; JIANG Peng

    2012-01-01

    This report documents the treatment of a giant aneurysm of the internal carotid artery bifurcation with a fistula to the cavernous sinus,which appeared following closed head trauma.A 39-year-old man suffered from a blunt head trauma in an automobile accident.Two weeks after the trauma,progressive chemosis of left eye was presented.Four months after the trauma,digital subtraction angiography showed an internal carotid artery bifurcation aneurysm,with drainage into the cavernous sinus.The lesion was successfully obliterated with preservation of the parent artery by using coils in conjunction with Onyx.Follow-up angiography obtained 3 months postoperatively revealed persistent obliteration of the aneurysm and fistula as well as patency of the parent artery.Endovascular treatment involving the use of coils combined with Onyx appears to be a feasible and effective option for treatment of this hard-to-treat lesion.

  6. Magnetic resonance imaging of spinal intramedullary cavernous angioma and its surgical treatment

    Energy Technology Data Exchange (ETDEWEB)

    Isu, Toyohiko; Fujimoto, Makoto; Asaoka, Katsuyuki; Mabuchi, Shoji; Okumura, Hitoshi; Tsusaka, Tomofumi; Honma, Sanae; Ogata, Akihiko; Nanbu, Toshikazu (Kushiro Rousai Hospital, Hokkaido (Japan))

    1993-12-01

    Findings of magnetic resonance (MR) imaging were examined in 5 patients (2 men and 3 women) with spinal intramedullary cavernous angioma. They ranged in age from 30 to 59 years. The area surrounding isointense area was hypointense on both T1- and T2-weighted images, showing an old hematoma. The isointense area was enhanced by Gd-DTPA, which was surgically proven to be an angioma itself. Surgical outcome was favorable in 4 patients, in whom preoperative neurologic symptoms were mild and an angioma was extirpated, and unfavorable in the other one, who was diagnosed 15 years after the onset and was serious before operation. Identifying s hematoma associated with angioma from an angioma itself is important in MRI diagnosis of spinal intramedullary cavernous angioma. Early diagnosis and treatment may contribute to favorable surgical outcome. (N.K.).

  7. Detection of Novel Mutation in Ccm3 Causes Familial Cerebral Cavernous Malformations.

    Science.gov (United States)

    Scimone, Concetta; Bramanti, Placido; Ruggeri, Alessia; Katsarou, Zoe; Donato, Luigi; Sidoti, Antonina; D'Angelo, Rosalia

    2015-11-01

    Cerebral cavernous malformations are vascular lesions that usually involve brain micro-vessels. They can occur both in a sporadic form and familial one. Causes of familial forms are mutations at three loci: CCM1/KRIT1, CCM2/MGC4607, and CCM3/PDCD10. Here, we describe a novel CCM3 missense mutation (c.422T>G) detected in two Greek brothers showing multiple lesions at magnetic resonance imaging; to date, only the youngest is symptomatic. Bioinformatics tools showed this novel variant causes a loss of function in Pdcd10 protein due to its localization in the eighth helix and, particularly, affects Leu141, a highly conserved amino acid. Roles of Pdcd10 in angiogenesis regulation and its association with early development of cerebral cavernous malformations were also considered.

  8. Conus medullaris hematomyelia associated with an intradural-extramedullary cavernous angioma.

    Science.gov (United States)

    Mastronardi, L; Frondizi, D; Guiducci, A; Nardi, M; Maira, G

    1999-01-01

    A unique case of a 50-year-old woman with a conus medullaris hematomyelia associated with a low thoracic intradural-extramedullary cavernous angioma localized 2 cm above is reported. The patient had a 2-month history of progressive paraparesis, hypoesthesia of legs, and bowel and bladder disturbances. The symptoms worsened acutely during the last days before admission. A thoraco-lumbar MRI showed a space-occupying lesion at T10-T11 (vertebral interspace associated with a hematomyelia localized about 2 cm below. A T10-L1 laminectomy was performed and complete removal of both lesions was obtained with microsurgical technique. A non-traumatic hematomyelia should always prompt the suspicion of a spinal AVM or, more rarely, of a cavernous angioma. The possible anatomical and clinical correlations of this unusual association are discussed.

  9. Design and construction of the tensioned ties for UX15 cavern vault

    CERN Document Server

    Parkin, R J H

    2002-01-01

    Due to the programme constraints for the UX15 cavern set by CERN, it has been necessary to complete the concrete lining of the vault prior to the excavation of the bench. The vault lining is therefore being temporarily suspended from a number of pre-tensioned high capacity multi-strand tensioned ties. During excavation of the bench, additional loads will be imposed onto the vault lining due to ground displacements. In order to minimise the number of ties, the previously completed linings of the PX14 and PX16 access shafts will be used to support some of the load. Three-dimensional modelling has been undertaken to design the structures and determine the expected behaviour of this complex support system. Geotechnical instrumentation has been installed in the concrete linings and the ground to monitor loads and displacements during construction. After the cavern walls have been completed, the ties will be released.

  10. Magnetic resonance imaging of a cerebral cavernous haemangioma in a dog : clinical communication

    Directory of Open Access Journals (Sweden)

    J.P. Schoeman

    2002-07-01

    Full Text Available A 13-month-old, neutered, male Golden retriever presented with seizures and progressive depression. Clinical and neurological assessment was consistent with severe intracranial disease. The neurological condition progressively deteriorated and magnetic resonance imaging (MRI revealed the presence of a large, contrast-enhancing, space-occupying mass in the right cerebral hemisphere. Therapy with corticosteroids, mannitol and furosemide ameliorated the signs of depression and ataxia, but the owner elected euthanasia after 1 week. Post mortem examination of the brain confirmed the presence of a large haemorrhagic lesion in the right olfactory lobe, the histopathological appearance of which was consistent with cerebral cavernous haemangioma. This is the 1st case describing the MRI appearance of a cavernous haemangioma of the cerebrum in the veterinary literature.

  11. [Neuro-ophthalmology and interventional neuro-radiology--co-treatment for carotid cavernous sinus fistula].

    Science.gov (United States)

    Platner, Eva; Bakon, Mati; Huna-Baron, Ruth

    2013-02-01

    Carotid-cavernous fistulas (CCFs) are abnormal arteriovenous communications in the cavernous sinus. In many cases of CCF's the primary signs are ocular manifestations, which include: pulsatile proptosis, orbital bruit, chemosis and conjunctival injection, elevated intraocular pressure, venous stasis retinopathy, and cranial nerve pareses. Patients in whom the fistula causes arterial drainage into the cerebral veins and sinuses are at risk for intracranial hemorrhage. The most common treatment for CCF's is endovascular occlusion of the lesion. The goal of this procedure is to occlude the fistula but preserve the patency of the internal carotid artery. The CCF itself, as well as its treatment, can be sight- and even life-threatening. We describe 3 case reports of patients with CCF, in order to demonstrate the cooperation between the neuro-opthalmologist and the invasive neuro-radiologist, in the follow-up of the patient and in the treatment timing decision.

  12. Diffuse Cavernous Hemangioma of the Penis, Scrotum, Perineum, and Rectum - A rare tumor

    Directory of Open Access Journals (Sweden)

    Rastogi Rajul

    2008-01-01

    Full Text Available Hemangiomas are benign lesions that occur in any part of the body. Genital hemangioma involving the entire penis and scrotum are extremely rare. More rarely they can extend in to the pelvis making preoperative imaging imperative and decisive in treatment. Very few cases have been reported in the medical literature. Hereby, a rare cavernous hemangioma that involves the entire penis, scrotum and extends into perineum and rectum in an 18-year-old male is presented with review of literature.

  13. A cavernous haemangioma of breast in male: radiological-pathological correlation

    Energy Technology Data Exchange (ETDEWEB)

    Carreira, C.; Romero, C.; Urbasos, M.; Pinto, J. [Servicio de Radiologia, Hospital ' ' Virgen de la Salud' ' , Toledo (Spain); Rodriguez, R.; Francisco, J.M. de [Servicio de Anatomia Patologica, Hospital ' ' Virgen de la Salud' ' , Toledo (Spain)

    2001-02-01

    Vascular tumours of the breast are especially rare in men, and a majority of them are angiosarcomas. In fact, we found only four cases of haemangioma in males in the literature. We present a case of cavernous haemangioma in a male aged 48 years, and which commenced as a palpable mass. We performed differential diagnosis and radiological-pathological correlation. We established the correct classification of this case histologically, and decided on the definitive therapeutic approach. (orig.)

  14. First DT+RPC chambers installation round in the UX5 cavern

    CERN Multimedia

    Jesus Puerta-Pelayo

    2007-01-01

    DT+RPC packages corresponding to sectors 1 and 7 of the barrel region cannot be installed on surface, since the lowering gantry from SX5 to UX5 uses their gaps to hold the wheels. Therefore this installation has to be carried out in the cavern. These pictures illustrate the first installation round on YB+2 right after the lowering. A total of 8 chambers were successfully installed in 2 days.

  15. When nearing the ATLAS cavern UX15 through RB16: the TX1S shielding

    CERN Multimedia

    Maximilien Brice

    2003-01-01

    Photo 01: 52 tons of ATLAS TX1S shielding with bare hands. Photos 02,03,04: Installation of the second TX1S shielding tube at Point Photos 05,06: Positioning of TX1S shielding, the first ATLAS/LHC interface component to be installed underground. Photo 07: Final adjustment of the TX1S shielding tube at the interface between the LHC tunnel and the ATLAS cavern (UX15).

  16. Cavernous hemangioma arising from the gastro-splenic ligament: A case report

    Institute of Scientific and Technical Information of China (English)

    Kin-Fah Chin; Ghaith Khair; Palani Sathish Babu; David Russell Morgan

    2009-01-01

    We present a rare case of a 45-year-old woman who presented with epigastric pain associated with early satiety and weight loss. Imaging revealed a large intraabdominal mass in the epigastrium. Despite intensive investigations, including ultrasound scanning, computed tomography, upper gastrointestinal endoscopy, and percutaneous biopsy, a diagnosis could not be obtained.A histological diagnosis of cavernous hemangioma arising from the gastro-splenic ligament was confirmed after laparoscopic excision and histological examination of the intra-abdominal epigastric mass.

  17. Cavernous angioma in the cisterna magna; Angioma cavernoso na cisterna magna

    Energy Technology Data Exchange (ETDEWEB)

    Settani, Flavio A.P. [Sao Paulo Univ., SP (Brazil); Fontoura, Emilio A.F.; Hweringer, Lindolfo Carlos; Cardoso, Arquimedes Cavalcanti [Hospital do Servidor Publico Estadual, Sao Paulo, SP (Brazil)

    2000-08-01

    We report a rare case of cavernous angioma in the cisterna magna. The diagnosis of this uncommon condition appears to be difficult to establish only upon clinical and radiological findings. In spite of the recent advances in neuroimaging, this type of angiomas is still diagnosed through surgery and histopathological examination. This 21-year-old patient was submitted to a suboccipital craniotomy which disclosed a vascular lesion which was totally removed. (author)

  18. Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report

    Directory of Open Access Journals (Sweden)

    Toyama Yoshiaki

    2011-03-01

    Full Text Available Abstract Cavernous hemangioma consists mainly of congenital vascular malformations present before birth and gradually increasing in size with skeletal growth. A small number of patients with cavernous hemangioma develop scoliosis, and surgical treatment for the scoliosis in such cases has not been reported to date. Here we report a 12-year-old male patient with severe progressive scoliosis due to a huge subcutaneous cavernous hemangioma, who underwent posterior correction and fusion surgery. Upon referral to our department, radiographs revealed a scoliosis of 85° at T6-L1 and a kyphosis of 58° at T4-T10. CT and MR images revealed a huge hemangioma extending from the subcutaneous region to the paraspinal muscles and the retroperitoneal space and invading the spinal canal. Posterior correction and fusion surgery using pedicle screws between T2 and L3 were performed. Massive hemorrhage from the hemangioma occurred during the surgery, with intraoperative blood loss reaching 2800 ml. The scoliosis was corrected to 59°, and the kyphosis to 45° after surgery. Seven hours after surgery, the patient suffered from hypovolemic shock and disseminated intravascular coagulation due to postoperative hemorrhage from the hemangioma. The patient developed sensory and conduction aphasia caused by cerebral hypoxia during the shock on the day of the surgery. At present, two years after the surgery, although the patient has completely recovered from the aphasia. This case illustrates that, in correction surgery for scoliosis due to huge subcutaneous cavernous hemangioma, intraoperative and postoperative intensive care for hemodynamics should be performed, since massive hemorrhage can occur during the postoperative period as well as the intraoperative period.

  19. Cavernous mesenteric lymphangiomatosis mimicking metastasis in a patient with rectal cancer: A case report

    Institute of Scientific and Technical Information of China (English)

    Seong Su Hwang; Hyun Joo Choi; Soo Youn Park

    2009-01-01

    Lymphangioma usually occurs in children and usually involves the skin. Mesenteric lymphangioma is extremely rare in adults. Typically, lymphangioma appears on computed tomography (CT) as a lower attenuation of a cystic mass, however, some cases appear to be a solid mass. We describe the CT and 18FFDG positron emission tomography/CT appearance in a case of jejunal and mesenteric cavernous lymphangiomatosis mimicking metastasis in an adult patient with rectal cancer.

  20. RESISTANCE OF KARST CAVERNS NITROGEN-FIXING BACTERIA TO EXTREME FACTORS

    Directory of Open Access Journals (Sweden)

    Tashyrev O. B.

    2014-10-01

    Full Text Available To determine the studied bacteria resistance quantitative parameters of extreme factors such as toxic metals (Cu2+, organic xenobiotics (p-nitrochlorobenzene and UV-irradiation were the aim of the research. Six strains of nitrogen-fixing bacteria isolated from clays of two caverns Mushkarova Yama (Podolia, Ukraine and Kuybyshevskaya (Western Caucasus, Abkhazia and Azotobacter vinelandii УКМ В-6017 as a reference strain have been tested. For this purpose the maximum permissible concentration of Cu2+ and p-nitrochlorobenzene in the concentration gradient and lethal doses of UV by the survival caverns have been determined. Maximum permissible concentrations for strains were as 10 ppm Cu2+, 70–120 ppm of p-nitrochlorobenzene. The maximum doses of UV-irradiation varied in the range of 55–85 J/m2 (LD99.99. It is shown that three classes of extreme factors resistance parameters of karst caverns strains are similar to the strain of terrestrial soil ecosystems. The most active studied strains reduce the concentration of p-nitrochlorobenzene in the medium in 13 times. The ability of nitrogen-fixing bacteria to degrade p-nitrochlorobenzene could be used in creation new environmental biotechnology for industrial wastewater treatment from nitrochloroaromatic xenobiotics. Isolated strains could be used as destructors for soils bioremediation in agrobiotechnologies and to optimize plants nitrogen nutrition in terrestrial ecosystems.

  1. [Management of orbital cavernous hemangioma - evaluation of surgical approaches: report of 43 cases].

    Science.gov (United States)

    Aymard, P-A; Langlois, B; Putterman, M; Jacomet, P-V; Morax, S; Galatoire, O

    2013-12-01

    Cavernous hemangioma is the most frequent benign orbital tumor in adults. The purpose of this study was to examine its clinical features, to define surgical indications, and to determine the roles of the various surgical approaches praticed in ophthalmology: transconjunctival (increasingly utilized), anterior transcutaneous, and lateral orbitotomy. The records of all patients treated for orbital cavernous hemangioma (OCH) since 2004 at the Fondation Rothschild (Paris, France) were retrospectively reviewed. Forty-three patients were treated for orbital cavernous hemangioma. Fifty-eight percent were women, mean age 50.2; 79 % of the tumors were intraconal. Among those patients, 36 underwent surgical removal, 5 were followed periodically, and 2 were lost to follow-up. The main surgical indications were: optic nerve compression (26 patients), proptosis (24 patients) and diplopia (3 patients). Transconjunctival, anterior transcutaneous and Kronlein approaches were used in 16, 12 and 4 patients respectively. Four patients had intrapalpebral hemangiomas easily reached transcutaneously. Two patients demonstrated transient partial 3rd nerve palsy (one with the lateral orbitotomy approach and one with the transconjunctival approach), one patient with the lateral orbitotomy approach developed a palsy of the superior branch of the 3rd nerve, and one patient with the transcutaneous anterior approach developed mydriasis. Surgical excision of OCH's is required in the presence of clinical complications. The transconjunctival approach is a safe technique which can lead to complete resection of the tumor in most cases.

  2. Saline Cavern Adiabatic Compressed Air Energy Storage Using Sand as Heat Storage Material

    Directory of Open Access Journals (Sweden)

    Martin Haemmerle

    2017-03-01

    Full Text Available Adiabatic compressed air energy storage systems offer large energy storage capacities and power outputs beyond 100MWel. Salt production in Austria produces large caverns which are able to hold pressure up to 100 bar, thus providing low cost pressurized air storage reservoirs for adiabatic compressed air energy storage plants. In this paper the results of a feasibility study is presented, which was financed by the Austrian Research Promotion Agency, with the objective to determine the adiabatic compressed air energy storage potential of Austria’s salt caverns. The study contains designs of realisable plants with capacities between 10 and 50 MWel, applying a high temperature energy storage system currently developed at the Institute for Energy Systems and Thermodynamics in Vienna. It could be shown that the overall storage potential of Austria’s salt caverns exceeds a total of 4GWhel in the year 2030 and, assuming an adequate performance of the heat exchanger, that a 10MWel adiabatic compressed air energy storage plant in Upper Austria is currently feasible using state of the art thermal turbomachinery which is able to provide a compressor discharge temperature of 400 °C.

  3. Resection of Giant Hepatic Cavernous Hemangiomas after Dissection of the Third Porta Hepatis

    Institute of Scientific and Technical Information of China (English)

    YAOXiaoping; ZHOUWeiping; WANGYi; WUMengchao; JINGLiang

    2002-01-01

    Objective:To estabhsh a novel and safe operation technique for the resection of giant hepatic cavernous hemangiomas involving the retro-hepatic vena cava.Methods:After ligating the hepatic artery of affected lobe, the short hepatic veins at the third porta hepatis were dissected and ligated individually to separate the tumor from the retrohepatic vena cava, followed by the resection of the tumor under intermittent interruption of the porta hepatis.Results:A total of 62 giant hepatic cavernous hemangiomas were successfully resected without hepatic vascular exclusion. Right and caudate lobectomies were done in 27 cases, right hemihepatectornies in 5 cases, right upper segnentectomies in 7 cases, right posterior lobectomies in 7 cases, extended left and caudate lobectomies in 10 cases, and caudate lobectomies in 6 cases. The blood transfusion requirement during operation was 1 400 ml on average. All did well postoperatively during a follow up of 4 - 84 months.Conclusion:It is safe and feasible to resect giant hepatic cavernous hemangioma following dissection of the third porta hepatis. Duringoperation the key step is dissection of the short hepatic veins.

  4. Hepatocellular carcinoma with concomitant hepatic angiomyolipoma and cavernous hemangioma in one patient.

    Science.gov (United States)

    Ge, Xiao-Wen; Zeng, Hai-Ying; Su-Jie, Akesu; Du, Min; Ji, Yuan; Tan, Yun-Shan; Hou, Ying-Yong; Xu, Jian-Fang

    2015-03-21

    The risk of developing hepatocellular carcinoma (HCC) is strongly associated with hepatitis B virus infection. Hepatic angiomyolipoma (AML), a rare benign tumor, is composed of a heterogeneous mixture of adipose cells, smooth muscle cells and blood vessels. Here, we report the case of a 44-year-old man who developed HCC with a concomitant hepatic AML and a cavernous hemangioma, in the absence of cirrhosis. To our knowledge, based on an extensive literature search using the www.pubmed.gov website, this is the first report of an HCC case with both concomitant AML and cavernous hemangioma at the same position in the liver. The presence of the hepatitis B surface antigen was detected, but the liver function was normal. Clinical and pathological data were collected before and during the treatment. Hepatic AML was diagnosed based on the typical histological characteristics and immunohistochemical staining, which revealed, a positive staining with a melanocytic cell-specific monoclonal antibody. There was no evidence of tuberous sclerosis complex in this patient. Although the HCC was poor- to moderately-differentiated, the characteristics of the AML and the cavernous hemangioma in this patient did not match any criteria for malignancy. Hepatectomy followed by transarterial chemoembolization treatment were effective therapeutic methods for the adjacent lesions in this patient. This case is an interesting coincidence.

  5. Increased expression of nestin in the major pelvic ganglion following cavernous nerve injury

    Science.gov (United States)

    Kutlu, O; Ross, AE; Schaeffer, EM; Gratzke, C; Stief, CG; Strong, TD; Burnett, AL; Hedlund, P; Bivalacqua, TJ

    2017-01-01

    In an effort to identify neuronal repair mechanisms of the major pelvic ganglion (MPG), we evaluated changes in the expression of nestin, an intermediate filament protein and neural stem cell marker following cavernous nerve crush injury (CNI). We utilized two groups of Sprague Dawley rats: (i) sham and (ii) bilateral CNI. Erectile responses to cavernous nerve stimulation (CNS) were determined at 48 h in a subset of rats. The MPG was isolated and removed at 48 h after CNI, and nestin immunolocalization, protein levels and RNA expression were evaluated. At 48 h, erectile responses to CNS in CNI rats were substantially reduced (P<0.05; ~70% decrease in intracavernous pressure/mean arterial pressure) compared with sham surgery controls. This coincided with a dramatic 10-fold increase (P<0.05) in nestin messenger RNA expression and protein levels in the MPG of rats with CNI. Immunoflourescence microscopy demonstrated that nestin upregulation after CNI occurred within the ganglion cell bodies and nerve fibers of the MPG. In conclusion, CNI induces nestin in the MPG. These data suggest that nestin may be involved in the regenerative process of the cavernous nerve following crush injury. PMID:21993267

  6. Cerebellar Hemorrhage due to a Direct Carotid–Cavernous Fistula after Surgery for Maxillary Cancer

    Science.gov (United States)

    Kamio, Yoshinobu; Hiramatsu, Hisaya; Kamiya, Mika; Yamashita, Shuhei; Namba, Hiroki

    2017-01-01

    Infratentorial cerebral hemorrhage due to a direct carotid–cavernous fistula (CCF) is very rare. To our knowledge, only four such cases have been reported. Cerebellar hemorrhage due to a direct CCF has not been reported. We describe a 63-year-old female who presented with reduced consciousness 3 days after undergoing a maxillectomy for maxillary cancer. Computed tomography showed a cerebellar hemorrhage. Magnetic resonance angiography showed a left-sided direct CCF draining into the left petrosal and cerebellar veins through the left superior petrosal sinus (SPS). Her previous surgery had sacrificed the pterygoid plexus and facial vein. Increased blood flow and reduced drainage could have led to increased venous pressure in infratentorial veins, including the petrosal and cerebellar veins. The cavernous sinus has several drainage routes, but the SPS is one of the most important routes for infratentorial venous drainage. Stenosis or absence of the posterior segment of the SPS can also result in increased pressure in the cerebellar and pontine veins. We emphasize that a direct CCF with cortical venous reflux should be precisely evaluated to determine the hemodynamic status and venous drainage from the cavernous sinus. PMID:28061497

  7. Micro-Macro Analysis and Phenomenological Modelling of Salt Viscous Damage and Application to Salt Caverns

    Science.gov (United States)

    Zhu, Cheng; Pouya, Ahmad; Arson, Chloé

    2015-11-01

    This paper aims to gain fundamental understanding of the microscopic mechanisms that control the transition between secondary and tertiary creep around salt caverns in typical geological storage conditions. We use a self-consistent inclusion-matrix model to homogenize the viscoplastic deformation of halite polycrystals and predict the number of broken grains in a Representative Elementary Volume of salt. We use this micro-macro modeling framework to simulate creep tests under various axial stresses, which gives us the critical viscoplastic strain at which grain breakage (i.e., tertiary creep) is expected to occur. The comparison of simulation results for short-term and long-term creep indicates that the initiation of tertiary creep depends on the stress and the viscoplastic strain. We use the critical viscoplastic deformation as a yield criterion to control the transition between secondary and tertiary creep in a phenomenological viscoplastic model, which we implement into the Finite Element Method program POROFIS. We model a 850-m-deep salt cavern of irregular shape, in axis-symmetric conditions. Simulations of cavern depressurization indicate that a strain-dependent damage evolution law is more suitable than a stress-dependent damage evolution law, because it avoids high damage concentrations and allows capturing the formation of a damaged zone around the cavity. The modeling framework explained in this paper is expected to provide new insights to link grain breakage to phenomenological damage variables used in Continuum Damage Mechanics.

  8. Evaluation of Computational Method of High Reynolds Number Slurry Flow for Caverns Backfilling

    Energy Technology Data Exchange (ETDEWEB)

    Bettin, Giorgia [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-05-01

    The abandonment of salt caverns used for brining or product storage poses a significant environmental and economic risk. Risk mitigation can in part be address ed by the process of backfilling which can improve the cavern geomechanical stability and reduce the risk o f fluid loss to the environment. This study evaluate s a currently available computational tool , Barracuda, to simulate such process es as slurry flow at high Reynolds number with high particle loading . Using Barracuda software, a parametric sequence of simu lations evaluated slurry flow at Re ynolds number up to 15000 and loading up to 25%. Li mitations come into the long time required to run these simulation s due in particular to the mesh size requirement at the jet nozzle. This study has found that slurry - jet width and centerline velocities are functions of Re ynold s number and volume fractio n The solid phase was found to spread less than the water - phase with a spreading rate smaller than 1 , dependent on the volume fraction. Particle size distribution does seem to have a large influence on the jet flow development. This study constitutes a first step to understand the behavior of highly loaded slurries and their ultimate application to cavern backfilling.

  9. Role of EPI in diagnosing cavernous hemangioma and small HCC : comparison with fast T2-weighted MR Imaging

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Suk; Lee, Jun Woo; Kim, Chang Won; Jung, Hyun Woo; Choi, Sang Yoel; Lee, Suck Hong; Kim, Byung Soo [Pusan National Univeraty Hospital, Pusan (Korea, Republic of)

    1998-05-01

    The purpose of this study is to compare single-shot echo-planar MR imaging (EPI) with breath-hold fast T2-weighted imaging (HASTE or Turbo spin-echo T2WI) for evaluation of the role of EPI in distinguishing small hepatocellular carcinoma from cavernous hemangioma. We retrospectively evaluated MR images of 35 patients (21 cases of small HCC and 14 cases of cavernous hemangioma). EPI and breath-hold fast T2WI images were obtained and compared on the basis of lesion detection sensitivity, lesion-to-liver signal intensity ratio (SIR), contrast ratio (CR), and lesion-to-liver contrast to noise ratio (CNR). For the detection of small HCC, the sensitivity of EPI and breath-hold fast T2WI were equal in 14 of 21 cases (71.4%). The detection sensitivity of cavernous hemangioma with EPI and breath-hold fast T2WI was 100 % (14/14). Mean SIR on breath-hold fast T2WI was 2.02 {+-} 0.45 for small HCC and 3.65 {+-} 0.97 for cavernous hemangioma; on EPI, the corresponding figures were 2.91 {+-} 0.57 for cavernous hemangioma; On EPI, the figures obtained were 2.27 {+-} 0.52 and 6.26 {+-} 2.19, respectively. Mean CNR on breath-hold fast T2WI was 14.24 {+-} 4.098 for small HCC and 50.28 {+-} 10.96 for cavernous hemangioma, while on EPI, the corresponding figures were 13.84 {+-} 3.02 and 45.44 {+-} 11.21. In detecting focal hepatic mass, the sensitivity of EPI and breath-hold fast T2WI are comparable for the diagnosis of small HCC and cavernous hemangioma, EPI can provided additional information. (author). 20 refs., 2 tabs., 4 figs.

  10. Electrocorticography-Guided Surgical Treatment of Solitary Supratentorial Cavernous Malformations with Secondary Epilepsy

    Institute of Scientific and Technical Information of China (English)

    Chao Wang; Chao You; Guo-qiang Han; Jun Wang; Yun-biao Xiong; Chuang-xi Liu

    2014-01-01

    Objective To evaluate the efficacy of electrocorticographic (ECoG) monitoring and the application of different surgical approaches in the surgical treatment of solitary supretentorial cavernous malformations with secondary epilepsy. Methods This study enrolled a consecutive series of 36 patients with solitary supratentorial cavernous malformations and secondary epilepsy who underwent surgery with intraoperative ECoG monitoring in the Department of Neurosurgery between January 2004 and January 2008. The patients were composed of 15 males and 21 females, aged between 8 and 52 years (mean age 27.3±2.8 years) at the time of surgery. Epilepsy history, the type of epilepsy at the presentation, lesion location, the incidence of residual epileptiform discharges, and postoperative outcomes were evaluated. Results Histopathological examination indicated cavernous malformations and hippocampal sclerosis in 36 and 5 cases, respectively. Neuronal degeneration, glial cell proliferation, and neurofibrillary tangles were found in all the resected cerebral tissues of extended lesionectomy of residual epileptic foci. Lesionectomy, anterior temporal lobectomy, anterior temporal lobectomy plus cortical thermocoagulation, extended lesionectomy, extended lesionectomy plus cortical thermocoagulation were performed in 4, 4, 1, 14, and 13 cases, respectively. Residual epileptiform discharges were captured in 9 out of the 14 patients who had additional cortical thermocoagulation. According to Engle class for postoperative outcomes, 27 cases were class I (75.00%), 5 were class II (13.89%), 2 were class III (5.56%), and 2 were class IV (5.56%), thus the total effective rate (class I+class II) was 88.89%. Neither of epilepsy history, the type of epilepsy, and the location of cavernous malformation was significantly related to outcomes (P>0.05). A significant relationship was found between the incidence of residual epileptiform discharges and outcomes (P=0.041). Conclusions Intraoperative ECo

  11. Pancreatic portal cavernoma in patients with cavernous transformation of the portal vein: MR findings

    Energy Technology Data Exchange (ETDEWEB)

    Vilgrain, Valerie [Universite Paris 7 Denis Diderot, Paris (France); AP-HP, Hopital Beaujon, Department of Radiology, Clichy (France); INSERM, Centre de recherche Biomedicale Bichat-beaujon, CRB3, Paris (France); Hopital Beaujon, Department of Radiology, Paris (France); Condat, Bertrand; Plessier, Aurelie [AP-HP, Hopital Beaujon, Department of Gastroenterology, Clichy (France); O' Toole, Dermot [Centre de reference des maladies vasculaires du foie, AP-HP, Hopital Beaujon, Department of Hepatology, PMAD, Clichy (France); Ruszniewski, Philippe [Universite Paris 7 Denis Diderot, Paris (France); INSERM, Centre de recherche Biomedicale Bichat-beaujon, CRB3, Paris (France); Centre de reference des maladies vasculaires du foie, AP-HP, Hopital Beaujon, Department of Hepatology, PMAD, Clichy (France); Valla, Dominique C. [Universite Paris 7 Denis Diderot, Paris (France); INSERM, Centre de recherche Biomedicale Bichat-beaujon, CRB3, Paris (France); AP-HP, Hopital Beaujon, Department of Gastroenterology, Clichy (France)

    2009-11-15

    The purpose of the article was to prospectively evaluate the MR findings of pancreatic portal cavernoma in a consecutive series of patients with cavernous transformation of the portal vein. This study was approved by the review board of our institution, and informed consent was obtained. The clinical and biological data and the MR imaging for 20 patients (11 female, 9 male; median age, 49 years) with cavernous transformation of the portal vein and no evidence of previous pancreatic disease were reviewed. The presence of pancreatic portal cavernoma (defined as intra- and/or peripancreatic portal cavernoma), morphological changes in the pancreas, biliary and ductal pancreatic abnormalities, and extension of the portal venous thrombosis were qualitatively assessed. Fifteen patients (75%) had pancreatic portal cavernoma with collateral formation in the pancreas and/or collaterals around the pancreas seen on dynamic contrast-enhanced MR sequences: three patients had both intra- and peripancreatic portal cavernoma, six had intrapancreatic portal cavernoma alone and six had peripancreatic portal cavernoma only. The presence of intra- or peripancreatic portal cavernoma was significantly associated with extension of the thrombosis to the splenic and superior mesenteric veins (p = 0.05). Morphological changes in the pancreas, heterogeneity on T2-weighted sequences and main ductal pancreatic abnormalities were seen in two, four and two patients, respectively. All these patients had intrapancreatic portal cavernoma. Bile duct dilatation was observed in 13 (65%) patients: among them three had extrahepatic dilatation only and these three patients had associated intrapancreatic portal cavernoma. In patients with cavernous transformation of the portal vein, intra- or peripancreatic portal cavernoma is common. In conclusion, intra- or peripancreatic portal cavernoma was only observed in patients with extension of the thrombosis to the splenic vein and/or the superior mesenteric

  12. Carotid and cranial nerve reconstruction after removal of cavernous sinus lesions.

    Science.gov (United States)

    Sekhar, L N; Sen, C N; Lanzino, G; Pomonis, S

    1991-12-01

    During the last 7 years, approximately 170 neoplasms, and 35 vascular lesions involving the cavernous sinus were treated by the first two authors. During the treatment of such lesions, the direct vein graft reconstruction of the internal carotid artery from the petrous to the supraclinoid or infraclinoid ICA was performed in 23 patients. Graft occlusion occurred in 3 patients and in one of these, it was successfully salvaged by placing a long venous graft from the extracranial ICA to the M3 segment of the middle cerebral artery. The latter 3 patients were neurologically normal. One patient with significant atherosclerotic disease suffered the dissection of the distal internal carotid artery with the graft being patent. The suturing technique. This patient eventually died. Two patients with severely compromised collateral circulation suffered minor strokes due to the temporary occlusion of the ICA. This has been avoided in the more recent patients by the adoption of brain protection techniques such as moderate hypothermia, induced hypertension, and barbiturate coma. Low dose heparin therapy during grafting and high dose intravenous steroids prior to the grafting also appear to be beneficial. Direct vein graft reconstruction of the intracavernous carotid artery is a valuable tool during the management of cavernous sinus lesions. The advantages and disadvantages of this technique as well as the pros and cons of other revascularization techniques will be discussed. During microsurgical removal of cavernous sinus lesions, the cranial nerves III-VI were reconstructed by direct resuture or by nerve grafting in 16 patients. In the majority of these patients, recovery of cranial nerve function was observed, which was very encouraging.(ABSTRACT TRUNCATED AT 250 WORDS)

  13. Surveying genetic variants and molecular phylogeny of cerebral cavernous malformation gene, CCM3/PDCD10.

    Science.gov (United States)

    Kumar, Abhishek; Bhandari, Anita; Goswami, Chandan

    2014-12-01

    The three cerebral cavernous malformations (CCMs) genes namely CCM1/KRIT1, CCM2/MGC4607 and CCM3/PDCD10 have been identified for which mutations cause cerebral cavernous malformations. However, the protein products of these genes involved in forming CCM signaling, are still poorly understood imposing an urgent need to understand these genes and their signaling processes in details. So far involvement of CCM3/PDCD10 in the cavernous angioma has been characterized from biochemical and biophysical analyses. However, there is no comprehensive study illustrating the phylogenetic history and comprehensive genetic variants of CCM3/PDCD10. Herein, we explored the phylogenetic history and genetic variants of CCM3/PDCD10 gene. Synteny analyses revealed that CCM3/PDCD10 gene shared same genomic loci from Drosophila to human and the gene structure of CCM3/PDCD10 is conserved from human to Branchiostoma floridae for about 500 MYs with some changes in sea urchin and in insects. The conserved CCM3/PDCD10 is characterized by presence of indels in the N-terminal dimerization domain. We identified 951 CCM3/PDCD10 variants by analysis of 1092 human genomes with top three variation classes belongs to 84% SNPs, 6.9% insertions and 6.2% deletions. We identified 22 missense mutations in the human CCM3/PDCD10 protein and out of which three mutations are deleterious. We also identified four stop-codon gaining mutations at the positions E34*, E68*, E97* and E140*, respectively. This study is the first comprehensive analysis of the CCM3/PDCD10 gene based on phylogenetic origin and genetic variants. This study corroborates that the evolution of CCM proteins with tubular organization evolvements by endothelial cells.

  14. Effect of sildenafil in cavernous arteries of patients with erectile dysfunction

    Directory of Open Access Journals (Sweden)

    Claro Joaquim A

    2003-01-01

    Full Text Available INTRODUCTION: Sildenafil citrate is a type 5 phosphodiesterase inhibitor, which has demonstrated excellent results in the treatment of erectile dysfunction. The effect of sildenafil citrate in the cavernous arteries of patients with erectile dysfunction has not been established yet. The objective of this study was to assess the effect of sildenafil citrate in the cavernous arteries of patients with erectile dysfunction, following an intracavernous injection of alprostadil. MATERIALS AND METHODS: 29 male patients, with mean age of 53.8 years (32 to 75 years, were prospectively evaluated. The mean time with complaint of erectile dysfunction was 50.5 months (6 to 168 months. Each patient was his own control. Patients underwent a measurement of peak systolic velocity before and after use of sildenafil citrate associated with 5 micrograms of alprostadil, through ultrasonic velocitometry Knoll/MIDUS® system. In the interval between measurements, approximately 15 days, patients used 3 tablets of sildenafil at home with their partners. RESULTS: Using only 5 mcg of alprostadil, average peak systolic velocity was 23.9 cm/s, and when associated to 50 mg of sildenafil it was 24.8 cm/s. Despite the increase in the flow rate caused by sildenafil, the difference was not statistically significant, Zcalculated = - 0.695 NS (Wilcoxon test. Twenty one of the 29 patients (72.4% showed global improvement in sexual performance with the use of sildenafil citrate at home. There was not a statistically significant correlation between the global response to sildenafil citrate and the increase in the peak systolic velocity. CONCLUSION: We concluded that, even though the use of 50 mg of sildenafil citrate associated with 5 mcg of alprostadil provides an increase in the peak systolic velocity of the cavernous arteries, there was no statistic difference in relation to alprostadil alone. There was no correlation between the global response to sildenafil and the increase in

  15. Cerebral cavernous malformations as a disease of vascular permeability: from bench to bedside with caution.

    Science.gov (United States)

    Yadla, Sanjay; Jabbour, Pascal M; Shenkar, Robert; Shi, Changbin; Campbell, Peter G; Awad, Issam A

    2010-09-01

    Tremendous insight into the molecular and genetic pathogenesis of cerebral cavernous malformations (CCMs) has been gained over the past 2 decades. This includes the identification of 3 distinct genes involved in familial CCMs. Still, a number of unanswered questions regarding the process from gene mutation to vascular malformation remain. It is becoming more evident that the disruption of interendothelial junctions and ensuing vascular hyperpermeability play a principal role. The purpose of this review is to summarize the current understanding of CCM genes, associated proteins, and functional pathways. Promising molecular and genetic therapies targeted at identified molecular aberrations are discussed as well.

  16. Congenital pial arteriovenous fistula in the temporal region draining into cavernous sinus: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Ziyin; Wang, Chaohua; Zhang, Changwei; Xie, Xiaodong [Dept. of Neurosurgery, West China Hospital of Sichuan University, Chengdu (China); Wang, Kun; Tang, Jianjian [Dept. of Neurosurgery, Affiliated Hospital of Hainan Medical College, Haikou (China)

    2013-06-15

    This report concerns a 4-month-old infant with progressive prominent and redness of his left eye since birth. This report concerns a 4-month-old infant with progressive prominent redness of his left eye since birth. Angiography revealed a congenital pial arteriovenous fistula between the temporal branch of the left posterior cerebral artery and left cavernous sinus through the sphenoparietal sinus, a condition not reported in the literature. The fistula was successfully occluded with two micro-coils by vertebrobasilar approach.

  17. Treatment of recurrent traumatic carotid cavernous fistula via endovascular embo lism technique

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@Endovascular embolism technique has been demonstrated to be the best initial option for treatment of carotid cavernous fistula (CCF). Several large series re ports have shown that most CCFs can be successfully occluded via transarterial or transvenous endovascular approach.1-6 This paper reports a case of C CF recurred after endovascular occlusion of internal carotid artery (ICA) proxim al to the fistula. A new technique has been described for transarterial emboliza tion with tungsten microcoils via surgical exposure to ICA, which has not been r eported previously in the literatures.

  18. Gradenigo’s syndrome and thrombosis of the cavernous sinus secundary to acute otitis media

    Directory of Open Access Journals (Sweden)

    Hellín-Meseguer D

    2012-05-01

    Full Text Available Gradenigo’s syndrome is characterized by facial pain in the area supplied by the trigeminal nerve and a unilateral external ophthalmoplegia (paralysis of VI cranial nerve secondary to acute apical petrositis for evolutionary complication of otitis media. This is a serious complication that requires immediate treatment to prevent permanent damage and may be associated with other intracranial complications such as thrombosis of the cavernous sinus. We report a 4 year old male who complains of fever, headache and external ocular paralysis in the course of acute otitis media.

  19. A cavernous hemangioma of the thyroid gland: First documentation by ultrasound of a rare pathology.

    Science.gov (United States)

    Gutzeit, Andreas; Stuckmann, Gerd; Tosoni, Ivo; Erdin, Dieter; Binkert, Christoph A

    2011-01-01

    Hemangioma of the thyroid gland is an extremely rare condition. We report a case of a primary cavernous hemangioma in the left lobe of the thyroid gland in an 84-year-old woman. Ultrasound examination of the lesion showed an inhomogeneous and hypoechoic nodule that was well demarcated from the rest of the left lobe and hypovascular on color Doppler ultrasound. Ultrasound-guided fine-needle aspiration was performed. The cytologic differential diagnosis included an anaplastic carcinoma of the thyroid gland. After hemithyroidectomy, the final diagnosis was a benign hemangioma of the thyroid gland.

  20. KRIT1 mutations in three Japanese pedigrees with hereditary cavernous malformation

    Science.gov (United States)

    Hirota, Kengo; Akagawa, Hiroyuki; Kikuchi, Asami; Oka, Hideki; Hino, Akihiko; Mitsuyama, Tetsuryu; Sasaki, Toshiyuki; Onda, Hideaki; Kawamata, Takakazu; Kasuya, Hidetoshi

    2016-01-01

    Cerebral cavernous malformation is a neurovascular abnormality that can cause seizures, focal neurological deficits and intracerebral hemorrhage. Familial forms of this condition are characterized by de novo formation of multiple lesions and are autosomal-dominantly inherited via CCM1/KRIT1, CCM2/MGC4607 and CCM3/PDCD10 mutations. We identified three truncating mutations in KRIT1 from three Japanese families with CCMs: a novel frameshift mutation, a known frameshift mutation and a known splice-site mutation that had not been previously analyzed for aberrant splicing. PMID:27766163

  1. Anatomical study of the cavernous sinus emphasizing operative approaches and related vascular and neural reconstruction.

    Science.gov (United States)

    Sekhar, L N; Burgess, J; Akin, O

    1987-12-01

    The efficacy of three operative approaches to the cavernous sinus (CS) and the possibilities of vascular and cranial nerve reconstruction in and around the CS were studied in 50 cadaver specimens (25 heads). The lateral operative approach was through the lateral wall, between Cranial Nerves V1 and IV, or between Cranial Nerves V1 and V2. The superior approach was through the superior wall of the CS after removing the anterior clinoid process and unroofing the optic canal. The inferior approach followed the petrous internal carotid artery (ICA) into the CS after an extradural subtemporal exposure or after a combined subtemporal and infratemporal fossa exposure. The different exposures of the spaces of the CS and of the intracavernous structures provided by the superior and the lateral approaches were complementary. The exposure provided by the inferior approach was minimal; however, the junction of the petrous and cavernous ICA was best exposed by this route. The combined subtemporal and infratemporal fossa approach exposed the petrous ICA (for proximal control or for reconstruction) with the greatest ease and with the least temporal lobe retraction. The combination of the superior and lateral approaches and the complete mobilization of the intracavernous ICA facilitated its repair after experimental lacerations. Lacerations of either the inferior and the inferomedial aspects of any portion of the cavernous ICA or of the anterior surface of the posterior vertical segment of the artery were the most difficult to repair. End-to-end anastomosis was more difficult with the posterior third of the artery than with the anterior two-thirds. A vein graft with an average length of 3.5 cm could be sutured from the petrous to the supraclinoid ICA to bypass the cavernous ICA, with an average occlusion time of 45 minutes. End-to-end technique was judged better for the proximal anastomosis, but end (graft)-to-side anastomosis was easier to perform at the distal end because of the

  2. The first section of the CMS detector (centre of photo) arriving from the vertical shaft, viewed from the cavern floor.

    CERN Document Server

    Maximilien Brice

    2006-01-01

    In the early morning of 2 November, the first section of the CMS detector began its eagerly awaited descent into the underground cavern. You may imagine the CMS detector as a loaf of sliced bread, cut into 15 slices of different sizes. The two HF sections are the end pieces; the slices in between will be lowered sequentially according to their positions in the ‘loaf', starting from the HF+ section at the far end of the cavern, towards the access shaft at the opposite end.

  3. [Traumatic arteriovenous pial fistula masquerading as a carotid-cavernous fistula: an uncommon disorder with an unusual presentation].

    Science.gov (United States)

    Santos-Franco, Jorge Arturo; Lee, Angel; Nava-Salgado, Giovanna; Zenteno, Marco; Gómez-Villegas, Thamar; Dávila-Romero, Julio César

    2012-01-01

    Traumatic intracranial pial arteriovenous fistulae are infrequent lesions. Their cardinal signs have been related to mass effect and hemorrhage, but their clinical manifestations due to venous retrograde flow into ophthalmic veins has never been described. This phenomenon is usually seen in dural arteriovenous fistula draining to the cavernous sinus or carotid-cavernous sinus fistula.A traumatic intracranial pial arteriovenous fistula arising from the supraclinoid internal carotid artery in a young patient was revealed by aggressive behavior and ophthalmologic manifestations. The endovascular management included the use of coils, stent, and ethylene-vinyl alcohol with transient balloon occlusion of the parent vessel.

  4. Treatment of a cavernous sinus dural arteriovenous fistula by deep orbital puncture of the superior ophthalmic vein

    Energy Technology Data Exchange (ETDEWEB)

    Benndorf, G. [Neuroangiography, Department of Radiology, Charite, Humboldt University Berlin (Germany); Bender, A. [Neuroradiology, Department of Radiology, Charite, Humboldt University Berlin (Germany); Campi, A. [Dept. of Neuroradiology, Hospital San Raffaele, Milan (Italy); Menneking, H. [Dept. of Maxillofacial Surgery, Charite, Humboldt University Berlin (Germany); Lanksch, W.R. [Department of Neurosurgery, Charite, Humboldt University Berlin, Augustenburger Platz 1, 13 353 Berlin (Germany)

    2001-06-01

    In a patient with progressive ophthalmological problems, including uncontrolled intraocular pressure related to a cavernous sinus dural arteriovenous fistula, urgent intervention may be necessary to prevent permanent visual loss. We report a case in which inadequate transarterial embolisation and lack of access for transvenous catheterisation, including a direct approach through the superior ophthalmic vein, preceded percutaneous puncture of the superior ophthalmic vein deep within the orbit, permitting venous occlusion without complications. This case demonstrates that deep orbital puncture of the vein is feasible for occlusion of a cavernous sinus dural arteriovenous fistula. (orig.)

  5. [A case of primary intraosseous cavernous hemangioma extending from the orbital rim to the sphenoid wing: a case report].

    Science.gov (United States)

    Inaka, Yasufumi; Otani, Naoki; Nishida, Sho; Kumagai, Kohsuke; Fujii, Kazuya; Ueno, Hideaki; Tomiyama, Arata; Tomura, Satoshi; Osada, Hideo; Wada, Kojiro; Mori, Kentaro

    2014-11-01

    A primary intraosseous cavernous hemangioma located at the sphenoid bone with extensive involvement of the orbital roof and the lateral wall of the orbit is very rare. A 48-year-old woman presented with progressive right exophthalmos and diplopia. CT showed a bony mass lesion in the right sphenoid bone extending to the orbital bone. MRI showed an abnormal lesion in the sphenoid bone, which was heterogeneously enhanced with gadolinium. All of the abnormal bone was surgically removed, and histological examination confirmed a cavernous angioma. We also present a brief clinical and radiological review of seven previously reported cases.

  6. Sixty-four-slice computed tomography in surgical strategy of portal vein cavernous transformation

    Institute of Scientific and Technical Information of China (English)

    Ming-Man Zhang; Cong-Lun Pu; Ying-Cun Li; Chun-Bao Guo

    2011-01-01

    AIM:To investigate the role of 64-slice computed tomography (CT) in portal vein cavernous transformation to determine surgical strategy.METHODS:The site of lesions and extent of collateral circulation in 12 pediatric cases of cavernous transformation of the portal vein with surgical treatment were analyzed.RESULTS:Eleven of 12 children had esophageal vari-ces and were treated with lower esophageal and gastric devascularization and splenectomy,and the other case was only treated with splenectomy.There were eight cases with spontaneous spleen/stomach-renal shunt,four with Retzius vein opening,which was reserved during surgery.Three cases of lesions involving the intrahepatic portal vein (PV) were treated with livingdonor liver transplantation.One patient died from PV thrombosis after liver transplantation,and the rest had no significant complications.CONCLUSION:The PV,its branches and collateral circulation were clearly seen by 64-slice spiral CT angi-ography,which helped with preoperative surgical planning.

  7. Blunt abdominal injury with rupture of giant hepatic cavernous hemangioma and laceration of the spleen.

    Science.gov (United States)

    Kang, Lung-Yun; Huang, Fong-Dee; Liu, Yuan-Yuarn

    2015-02-01

    A 41-year-old woman with blunt abdominal trauma due to a motor vehicle accident presented to our emergency department. The patient had a history of a giant hepatic cavernous hemangioma. Emergency exploratory laparotomy was performed for suspected intra-abdominal bleeding with abdominal compartment syndrome, and more than 4 liters of blood and blood clots were removed. An active bleeding laceration (5 cm) of a hepatic cavernous hemangioma was detected in segment III of the liver. The bleeding was controlled by sutures, Teflon patches and tamponade. The abdomen was closed temporarily using the vacuum-assisted method. Because of the presence of persistent fresh blood through abdominal drainage at a rate of >1 L/h, splenectomy was performed to control the bleeding again by sutures and Teflon patches. Finally, the abdomen was closed using a biologic mesh. The patient was discharged home 30 days after trauma. Bleeding of trauma-caused hepatic hemangioma is rare, but splenic injury due to blunt abdominal trauma is common. An in-depth investigation is necessary to avoid second intervention.

  8. Compressed air energy storage monitoring to support refrigerated mined rock cavern technology.

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Moo Yul; Bauer, Stephen J.

    2004-06-01

    This document is the final report for the Compressed Air Energy Storage Monitoring to Support Refrigerated-Mined Rock Cavern Technology (CAES Monitoring to Support RMRCT) (DE-FC26-01NT40868) project to have been conducted by CAES Development Co., along with Sandia National Laboratories. This document provides a final report covering tasks 1.0 and subtasks 2.1, 2.2, and 2.5 of task 2.0 of the Statement of Project Objectives and constitutes the final project deliverable. The proposed work was to have provided physical measurements and analyses of large-scale rock mass response to pressure cycling. The goal was to develop proof-of-concept data for a previously developed and DOE sponsored technology (RMRCT or Refrigerated-Mined Rock Cavern Technology). In the RMRCT concept, a room and pillar mine developed in rock serves as a pressure vessel. That vessel will need to contain pressure of about 1370 psi (and cycle down to 300 psi). The measurements gathered in this study would have provided a means to determine directly rock mass response during cyclic loading on the same scale, under similar pressure conditions. The CAES project has been delayed due to national economic unrest in the energy sector.

  9. TIPS Placement via Combined Transjugular and Transhepatic Approach for Cavernous Portal Vein Occlusion: Targeted Approach

    Directory of Open Access Journals (Sweden)

    Natanel Jourabchi

    2013-01-01

    Full Text Available Purpose. We report a novel technique which aided recanalization of an occluded portal vein for transjugular intrahepatic portosystemic shunt (TIPS creation in a patient with symptomatic portal vein thrombosis with cavernous transformation. Some have previously considered cavernous transformation a contraindication to TIPS. Case Presentation. 62-year-old man with chronic pancreatitis, portal vein thrombosis, portal hypertension and recurrent variceal bleeding presents with melena and hematemesis. The patient was severely anemic, hemodynamically unstable, and required emergent portal decompression. Attempts to recanalize the main portal vein using traditional transjugular access were unsuccessful. After percutaneous transhepatic right portal vein access and navigation of a wire through the occluded main portal vein, an angioplasty balloon was inflated at the desired site of shunt takeoff. The balloon was targeted and punctured from the transjugular approach, and a wire was passed into the portal system. TIPS placement then proceeded routinely. Conclusion. Although occlusion of the portal vein increases difficulty of performing TIPS, it should not be considered an absolute contraindication. We have described a method for recanalizing an occluded portal vein using a combined transhepatic and transjugular approach for TIPS. This approach may be useful to relieve portal hypertension in patients who fail endoscopic and/or surgical therapies.

  10. Apparent glacially induced structural controls on limestone conduit development in Ohio Caverns, United States

    Directory of Open Access Journals (Sweden)

    Adrienne M. Watts

    2016-01-01

    Full Text Available Rock discontinuities such as bedding planes and joints are important controls on the form that caves take. We examined structural controls on the development of Ohio Caverns. The cave formed in Devonian limestone underlying a small bedrock knob (Mt. Tabor within the Interior Lowland province, United States. The area has been overridden by continental glaciation multiple times. The bedrock is pervasively fractured, with many curved and wavy near-vertical fractures showing many different orientations. In the case of Ohio Caverns, it appears that the controlling fractures in map view may not be joints sensu stricto, but rather some combination of tensile and shear (mode-1 and mode-2 fractures, probably forming in the regime transition between tensile and shear fracturing. This is easy to envision in a situation with ice advancing over this topographic high, and would result in the curved fractures that are observed in many places in the cave. It can also explain the numerous fracture directions. However, not all fractures are conduit-significant. The cave initiated on or near a single bedding plane, and the cave passages exhibit strong keyhole or plus-sign cross sections. Passage and fracture orientations are inconsistent with regionally expected directions. It is likely that mechanical, hydraulic, and thermal stresses related to glaciation caused the fracturing in Mt. Tabor. The cave then developed on this template according to local hydrologic conditions. This presents a newly documented structural template sub-type for cave development.

  11. Cavernous angioma of the cauda equina: case report Angioma cavernoso de cauda equina: relato de caso

    Directory of Open Access Journals (Sweden)

    Asdrubal Falavigna

    2004-06-01

    Full Text Available We present a rare case of cavernous angioma of the cauda equina and review the eleven cases available in the literature. A 44-year-old woman presented with low back pain and sciatica associated with bowel and bladder dysfunction and motor weakness of the lower extremity. The MRI revealed an enhancing, heterogeneous and hyperintense intradural lesion compressing the cauda equina roots at the L4 level. Laminectomy at L3-L4 and total removal of the tumor were performed without additional neurological deficit. Pathology revealed a cavernous angioma. The literature, clinical presentation, technical examinations, and treatment are reviewed.Relatamos um caso de angioma cavernoso de cauda equina em mulher de 44 anos de idade com sintomas de lombociatalgia associada a fraqueza de membros inferiores e disfunção esfincteriana vesical e anal. Exame de ressonância magnética evidenciou lesão expansiva intradural heterogênea e hiperintensa na cauda eqüina. Indicado tratamento cirúrgico com remoção completa através de laminectomia L3 e L4. O exame anatomopatológico foi compatível com angioma cavernoso. Os onze casos encontrados na literatura são revisados correlacionando a apresentação clínica, tratamento proposto e prognóstico.

  12. Visits to the ATLAS cavern - A record of 20000 visitors in 2006!

    CERN Multimedia

    Alessandra Ciocio

    The year 2006 closed with the impressive record of just under 20000 visitors to the ATLAS cavern. These visitors come from all walks of life - people within ATLAS, groups from other CERN divisions, retired CERN staff, school groups both from the local area and from far away, companies looking for something different as a special outing, celebrities (Cirque du Soleil, Black Eyed Peas hip-hop group) passing through Geneva who had read Angels and Demons, a stream of VIP visitors and now, more and more, Press visitors. There have been public visits in the ATLAS cavern since the middle of 2003. At that time a lot of the visitors were guided by Bernard Lebegue and Francois Butin. The total number of visits in 2003 was 2220 people. Not bad for just two guides! Over the following three years demand for visits increased to such an extent that the ATLAS Visits Service was created and is now run very successfully under the supervision of Connie Potter in the ATLAS Secretariat in close collaboration with the ever-helpfu...

  13. Acute Cavernous Sinus Syndrome from Metastasis of Lung Cancer to Sphenoid Bone

    Directory of Open Access Journals (Sweden)

    Marianna Zelenak

    2012-01-01

    Full Text Available Cavernous sinus syndrome is a rare entity in oncology reported only in occasional case reports. Optimal therapy is thus poorly defined with rapidly progressive disease dominating the picture. Management includes prompt diagnosis, attempts at stabilization of cranial nerve function, and aggressive control of central pain syndrome. Here, we report cavernous sinus syndrome secondary to the original squamous cell carcinoma of the lung. With common presenting causes of this syndrome being infection, thrombosis or tumor, it might seem that metastatic tumor would be expected in a patient with a cancer diagnosis. What was not so expected was the extremely rapid progression from mild headache and mild trigeminal neuralgia with negative-contrast head CT to a massive, destructive lesion involving several skull bones and skull base, only 3 weeks later. In addition, the patient was severely immunosuppressed at the completion of induction chemotherapy. Infectious processes, although unlikely, were considered, as aggressive cancer therapy (including high-dose steroids and radiation therapy had no impact on this disease. Despite accurate localization, the aggressive nature of this disease with massive bone destruction and dural thickening limited any chance of a durable control. We discuss the process of evaluation, diagnosis and treatment of symptoms and the importance of a team approach to best palliate these unfortunate patients.

  14. Shunt for bypass graft of the cavernous carotid artery: an anatomical and technical study.

    Science.gov (United States)

    al-Mefty, O; Khalil, N; Elwany, M N; Smith, R R

    1990-11-01

    During direct surgery of neoplastic and vascular lesions of the cavernous sinus, the intracavernous carotid artery may be injured beyond repair, or its total isolation may be necessary for surgical management of these lesions. The newly developed procedure of a saphenous vein graft bypass of the cavernous carotid artery allows re-establishment of carotid circulation. Patients with poor collateral circulation are at high risk for ischemic complications induced by the prolonged temporary occlusion required to perform the bypass graft. Optimal management of these patients is to perform the venous bypass graft for permanent vascularization while maintaining carotid cerebral circulation through an intraoperative shunt. We studied this procedure in cadavers, and three shunt types were evaluated: the external intrapetrous-supraclinoid shunt (Type A), the internal intrapetrous-supraclinoid shunt (Type B), and the neck internal carotid-supraclinoid shunt (Type C). Anatomical landmarks, techniques, distances, caliber, and materials used are presented. The rationale and candidates for such a procedure are discussed. The specifications of an optimal balloon shunt are presented, and the three procedures are compared.

  15. A retrospective review of cases preoperatively diagnosed by radiologic imaging as cavernous venous malformations.

    Science.gov (United States)

    Jayaram, Anupam; Cohen, Liza M; Lissner, Gary S; Karagianis, Achilles G

    2017-04-03

    The purpose of this study is to examine orbital lesions identified on preoperative radiologic imaging as cavernous venous malformations (CVMs), identify their imaging characteristics, and determine if these may help differentiate CVMs from other intraorbital masses. An IRB-approved retrospective chart review over 30 years was undertaken identifying lesions "consistent with cavernous hemangioma" on radiologic studies, which were subsequently surgically resected with a tissue diagnosis. All radiologic images (CT and MRI) obtained preoperatively were re-reviewed by a single masked neuroradiologist. The pattern of contrast enhancement on sequential MRI views was used to determine whether the enhancing characteristics helped identify CVMs compared to other intraorbital masses. Fifty-seven orbital lesions consistent with a CVM were identified on imaging. Fourteen (25%) of them were resected, of which nine (64%) were found to be CVMs on pathologic examination. Five (36%) were found to be a different lesion, most commonly schwannoma (21%). On imaging, CVMs tended to display heterogeneous progressive enhancement, whereas other tumors, in particular schwannomas, enhanced at their maximum level immediately. Based on these characteristics, on re-review, the masked neuroradiologist was able to differentiate a CVM versus other tumors for all 14 imaging cases. This study suggests that examining the pattern of contrast enhancement may help to correctly differentiate a CVM from other isolated, encapsulated orbital lesions on CT/MR imaging.

  16. Vascular lesions of the lumbar epidural space: magnetic resonance imaging features of epidural cavernous hemangioma and epidural hematoma

    Directory of Open Access Journals (Sweden)

    Basile Júnior Roberto

    1999-01-01

    Full Text Available The authors report the magnetic resonance imaging diagnostic features in two cases with respectively lumbar epidural hematoma and cavernous hemangioma of the lumbar epidural space. Enhanced MRI T1-weighted scans show a hyperintense signal rim surrounding the vascular lesion. Non-enhanced T2-weighted scans showed hyperintense signal.

  17. Prognostic analysis and complications of traumatic carotid cavernous fistulas after treatment with detachable balloon and/or coil embolization

    Institute of Scientific and Technical Information of China (English)

    杨振九; 李宏伟; 吴良贵; 郑俊宁; 张佳栋; 史锡文; 楚功仁

    2004-01-01

    Objective:To explore the causes of the formation of traumatic carotid-cavernous fistulas and the therapeutic effect of detachable balloon and/or coil embolization and the prevention of its complications.Methods: From October, 1992 to March, 2002, 17patients with traumatic carotid-cavernous fistulas were treated with detachable balloon and/or coil embolization in our hospital. The clinical data and imaging features of CT, MR and selective angiogram of these patients were analyzed.Results: One week after treatment with embolization, the clinical symptoms of the 17 patients were remitted, and optic cacophony, nystagmus, exophthalmos and dropsy of conjunctiva disappeared. Two patientsmanifested surgical complications, one patient died. Sixteen patients survived. They were all followed up for more than 2 years, which showed one patient had handicap in movement, and in one patient the signs and symptoms of traumatic carotid-cavernous fistulas reoccurred 2 months after treatment.Conclusions: The detachable balloon and/or coil embolization is safe and reliable. It is a good method to treat traumatic carotid-cavernous fistulas.

  18. Tailored keyhole surgery for basal ganglia cavernous malformation with preoperative three-dimensional pyramidal tracts assessment and intraoperative electrophysiological monitoring

    Institute of Scientific and Technical Information of China (English)

    Kai Quan; Geng Xu; Fan Zhao; Wei Zhu

    2016-01-01

    Background:Accurately mapping the pyramidal tracts preoperatively and intraoperatively is the primary concern when operating on cavernous malformations (CMS) in the basal ganglia.We have conducted new methods for preoperative planning and have tailored lesion resection to prevent the damage of pyramidal tracts.Patients and methods:Eleven patients harboring cavernous malformations in basal ganglia were treated surgically from April 2008 to January 2015.Surgical planning was based on three-dimensional diffusion tensor pyramidal tractography and Virtual Reality system.Intraoperative detecting of pyramidal tracts with subcortical stimulation mapping and motor evoked potential monitoring were performed.The extent of resection and postoperative neurological function were assessed in each case.Results:Total removal of the cavernous malformations were achieved in each case.Four of the total eleven cases presented temporary neurological deficits,including one occurrence of hemiparesis and three occurrences of hemianesthesia.No permanent neurological deficit was developed in this series of cases.Conclusion:Three-dimensional diffusion tensor pyramidal tractography is quite helpful for preoperative planning of basal ganglia cavernous malformations,especially in choosing a suitable surgical approach.Intraoperative detection of pyramidal tracts with subcortical stimulation mapping and motor evoked potential monitoring play important roles in preventing damage to pyramidal tracts during lesion resection.

  19. Stability analysis and determination of rock pillar between two adjacent caverns in different regions of Asmari formation in Iran

    Institute of Scientific and Technical Information of China (English)

    Abdollahipour Abolfazl a; ⇑; Ghannadshirazi Hossein b

    2014-01-01

    Large underground caverns are commonly used in variety of applications. In many cases, because of the geomechanical limitations of dimensions and requirement of high volume, several parallel caverns are used. Plastic zone integration requires a larger rock pillar distance of theses adjacent caverns while eco-nomic and access reasons require smaller distance. In Iran many underground projects are located in West and South West. Asmari formation covers a large part of these regions. The stability of underground spaces that are constructed or will be constructed in this formation has been investigated. A proper cross section based on plastic analysis and a stability criterion has been proposed for each region. Finally, in each case, allowable rock pillar between adjacent caverns with similar dimension was determined with two methods (numerical analysis and fire service law). Results show that Fire Service Law uses a very con-servative safety factor and it was proposed to use a correction factor for allowable distance based on application of underground space.

  20. The Effect of Audio Tours on Learning and Social Interaction: An Evaluation at Carlsbad Caverns National Park

    Science.gov (United States)

    Novey, Levi T.; Hall, Troy E.

    2007-01-01

    Auditory forms of nonpersonal communication have rarely been evaluated in informal settings like parks and museums. This study evaluated the effect of an interpretive audio tour on visitor knowledge and social behavior at Carlsbad Caverns National Park. A cross-sectional pretest/posttest quasi-experimental design compared the responses of audio…

  1. Relaxation of rabbit cavernous smooth muscle to 17β-estradiol: a non-genomic, NO-independent mechanism

    Institute of Scientific and Technical Information of China (English)

    Sae-ChulKim; Kyung-KunSeo; Soon-ChulMyung; MooYeolLee

    2004-01-01

    Aim: To investigate whether estrogen was involved in relaxation of rabbit cavernous smooth muscle.Methods: Relaxation response of the rabbit cavernous smooth muscles to 17β-estradiol (0.3, 3, 30 and 300 nmol/L) were observed in vitro. The response of the muscle strips to estrogen after incubation with either actinomycin D (10μmol/L) or L-NAME (10μmol/L) were also evaluated. Inside-out mode of patch clamp in a single smooth muscle cell was applied to investigate the Maxi-K channel activities. Results: Estrogen caused a dose-dependent relaxation of the strips precontracted with norepinephrine. The maximal response was noted about 10 minutes after treatment. Theestrogen-induced relaxation was prevented by neither actinomycin D nor L-NAME, suggesting that the response was not mediated by gene transcription or nitric oxide (NO). Application of 17β-estradiol increased the Maxi-K channelactivities. Conclusion: 17β-estradiol may be involved in relaxation of rabbit cavernous smooth muscles via a nongenomic and NO independent mechanism. 17β-estradiol stimulates Maxi-K channel of the rabbit cavernous myocyte.

  2. Two cystic cavernous angiomas after radiotherapy for atypical meningioma in adult woman : case report and literature review.

    Science.gov (United States)

    Ruggeri, Andrea Gennaro; Donnarumma, Pasquale; Pichierri, Angelo; Delfini, Roberto

    2014-01-01

    A correlation between radiation therapy and cavernoma has been suspected since 1994. Since then, only a few cases of radio-induced cavernomas have been reported in the literature (85 patients). Most of them were children, and the most frequent original tumour had been medulloblastoma. The authors report a case of two cystic cavernous angiomas after radiation therapy for atypical meningioma in adult woman. This is the first case of cavernous angioma after radiotherapy for low grade meningioma. A 39-year-old, Latin american woman was operated on for a frontal atypical meningioma with intradiploic component and adjuvant radiotherapy was delivered (6000 cGy local brain irradiation, fractionated over 6 weeks). Follow-up MR imaging showed no recurrences of the tumour and no other lesions. Ten years later, at the age of 49, she consulted for progressive drug-resistant headache. MR imaging revealed two new well defined areas of different signal intensity at the surface of each frontal pole. Both lesions were surgically removed; the histopathological diagnosis was cavernous angioma. This is the first case of cavernous angioma after radiation therapy for atypical meningioma : it confirms the development of these lesions after standard radiation therapy also in patients previously affected by non-malignant tumours.

  3. Feasibility report on alternative methods for cooling cavern oils at the U.S. Strategic Petroleum Reserve.

    Energy Technology Data Exchange (ETDEWEB)

    Levin, Bruce L.; Lord, David L.; Hadgu, Teklu

    2005-06-01

    Oil caverns at the U.S. Strategic Petroleum Reserve (SPR) are subjected to geothermal heating from the surrounding domal salt. This process raises the temperature of the crude oil from around 75 F upon delivery to SPR to as high as 130 F after decades of storage. While this temperature regime is adequate for long-term storage, it poses challenges for offsite delivery, with warm oil evolving gases that pose handling and safety problems. SPR installed high-capacity oil coolers in the mid-1990's to mitigate the emissions problem by lowering the oil delivery temperature. These heat exchanger units use incoming raw water as the cooling fluid, and operate only during a drawdown event where incoming water displaces the outgoing oil. The design criteria for the heat exchangers are to deliver oil at 100 F or less under all drawdown conditions. Increasing crude oil vapor pressures due in part to methane intrusion in the caverns is threatening to produce sufficient emissions at or near 100 F to cause the cooled oil to violate delivery requirements. This impending problem has initiated discussion and analysis of alternative cooling methods to bring the oil temperature even lower than the original design basis of 100 F. For the study described in this report, two alternative cooling methods were explored: (1) cooling during a limited drawdown, and (2) cooling during a degas operation. Both methods employ the heat exchangers currently in place, and do not require extra equipment. An analysis was run using two heat transfer models, HEATEX, and CaveMan, both developed at Sandia National Laboratories. For cooling during a limited drawdown, the cooling water flowrate through the coolers was varied from 1:1 water:oil to about 3:1, with an increased cooling capacity of about 3-7 F for the test cavern Bryan Mound 108 depending upon seasonal temperature effects. For cooling in conjunction with a degas operation in the winter, cavern oil temperatures for the test cavern Big Hill 102

  4. Design and operation problems related to water curtain system for underground water-sealed oil storage caverns

    Institute of Scientific and Technical Information of China (English)

    Zhongkui Li; Baoqi Lu; Jing Zou; Bin Xu; Zhizeng Zhang

    2016-01-01

    The underground water-sealed storage technique is critically important and generally accepted for the national energy strategy in China. Although several small underground water-sealed oil storage caverns have been built in China since the 1970s, there is still a lack of experience for large-volume underground storage in complicated geological conditions. The current design concept of water curtain system and the technical instruction for system operation have limitations in maintaining the stability of surrounding rock mass during the construction of the main storage caverns, as well as the long-term stability. Although several large-scale underground oil storage projects are under construction at present in China, the design concepts and construction methods, especially for the water curtain system, are mainly based on the ideal porosity medium flow theory and the experiences gained from the similar projects overseas. The storage projects currently constructed in China have the specific features such as huge scale, large depth, multiple-level arrangement, high seepage pressure, complicated geological conditions, and high in situ stresses, which are the challenging issues for the stability of the storage caverns. Based on years’ experiences obtained from the first large-scale (millions of cubic meters) underground water-sealed oil storage project in China, some design and operation problems related to water curtain system during project construction are discussed. The drawbacks and merits of the water curtain system are also presented. As an example, the conventional concept of“filling joints with water”is widely used in many cases, as a basic concept for the design of the water curtain system, but it is immature. In this paper, the advantages and disadvantages of the conventional concept are pointed out, with respect to the long-term stability as well as the safety of construction of storage caverns. Finally, new concepts and principles for design and

  5. Characterizing Excavation Damaged Zone and Stability of Pressurized Lined Rock Caverns for Underground Compressed Air Energy Storage

    Science.gov (United States)

    Kim, Hyung-Mok; Rutqvist, Jonny; Jeong, Ju-Hwan; Choi, Byung-Hee; Ryu, Dong-Woo; Song, Won-Kyong

    2013-09-01

    In this paper, we investigate the influence of the excavation damaged zone (EDZ) on the geomechanical performance of compressed air energy storage (CAES) in lined rock caverns. We conducted a detailed characterization of the EDZ in rock caverns that have been excavated for a Korean pilot test program on CAES in (concrete) lined rock caverns at shallow depth. The EDZ was characterized by measurements of P- and S-wave velocities and permeability across the EDZ and into undisturbed host rock. Moreover, we constructed an in situ concrete lining model and conducted permeability measurements in boreholes penetrating the concrete, through the EDZ and into the undisturbed host rock. Using the site-specific conditions and the results of the EDZ characterization, we carried out a model simulation to investigate the influence of the EDZ on the CAES performance, in particular related to geomechanical responses and stability. We used a modeling approach including coupled thermodynamic multiphase flow and geomechanics, which was proven to be useful in previous generic CAES studies. Our modeling results showed that the potential for inducing tensile fractures and air leakage through the concrete lining could be substantially reduced if the EDZ around the cavern could be minimized. Moreover, the results showed that the most favorable design for reducing the potential for tensile failure in the lining would be a relatively compliant concrete lining with a tight inner seal, and a relatively stiff (uncompliant) host rock with a minimized EDZ. Because EDZ compliance depends on its compressibility (or modulus) and thickness, care should be taken during drill and blast operations to minimize the damage to the cavern walls.

  6. Hemangioma cavernoso intramedular: relato de caso Spinal cord intramedullary cavernous haemangioma: case report

    Directory of Open Access Journals (Sweden)

    Juliano Colonetti

    2003-09-01

    Full Text Available O hemangioma cavernoso intramedular é anomalia vascular de baixo fluxo, curável através de ressecção cirúrgica. Entretanto, se não forem instituídos o diagnóstico precoce e a terapêutica adequada, pode levar à graves sequelas neurológicas. É extremamente raro a ocorrência de um angioma cavernoso intramedular. É relatado o caso de uma paciente de 33 anos, com um angioma cavernoso intramedular no nível de T6 - T7, que apresentava quadro clínico de compressão medular lenta e progressiva, com piora recente importante. A ressonância magnética da coluna torácica demonstrou, entre a sexta e a sétima vértebras dorsais, lesão expansiva intramedular que se apresentava hipointensa em T1 e discretamente hiperintensa em T2, com pequeno halo hipointenso à sua volta nas duas sequências. A paciente foi submetida a tratamento cirúrgico tardio e não apresentou recuperação neurológica. Os achados clínicos, de imagem e a importância de instituir precocemente o tratamento adequado são analisados e discutidos.The intramedullary cavernous haemangioma is a low flow vascular anomaly curable through surgical resection, howewer if the precocious diagnosis and the appropriate therapeutics are not done it can cause serious neurological sequels.It is extremely rare the occurrence of intramedullary cavernous haemangioma. We report the case of a 33 year-old woman patient with an intramedullary cavernous angioma at T6-T7, that presented a clinical picture of slow and progressive spinal cord compression , with an important recent worsening.The magnetic resonance of the thoracic column demonstrated a T6 - T7 a intramedullary expansive lesion wich presented hypointense on T1 and discretely hyperintense on T2 with a small hypointense area in the two sequences.The patient was submitted to late surgical treatment and did not presented neurological recovery. The clinical and imagelogy pictures, and the importance of instituing precociously the

  7. Stability and support issues in the construction of large span caverns for physics

    Energy Technology Data Exchange (ETDEWEB)

    Laughton, C.; /Fermilab

    2008-05-01

    New physics experiments, proposed to study neutrinos and protons, call for the use of large underground particle detectors. In the United States, such detectors would be housed in the US Deep Underground Science and Engineering Laboratory (DUSEL), sited within the footprint of the defunct Homestake Mine, South Dakota. Although the experimental proposals differ in detail, all rely heavily upon the ability of the mined and reinforced rock mass to serve as a stable host for the detector facilities. Experimental proposals, based on the use of Water Cherenkov detector technology, specify rock caverns with excavated volumes in excess of half a million cubic meters, spans of at least 50 m, sited at depths of approximately one to 1.5 kilometers. Although perhaps sited at shallower depth, proposals based on the use of Liquid Argon (LAr) detector technology are no less challenging. LAr proposals not only call for the excavation of large span caverns, but have an additional need for the safe management of large quantities (kilo-tonnes) of cryogenic liquid, including critical provisions for the fail-safe egress of underground personnel and the reliable exhaust of Argon gas in the event of a catastrophic release. These multi-year, high value physics experiments will provide the key experimental data needed to support the research of a new generation of physicists as they probe the behavior of basic particles and the fundamental laws of nature. The rock engineer must deliver caverns that will reliably meet operational requirements and remain stable for periods conservatively estimated to be in excess of twenty years. This paper provides an overview of the DUSEL site conditions and discusses key end-user requirements and design criteria likely to dominate in determining the viability of experimental options. The paper stresses the paramount importance of collecting adequate site-specific data to inform early siting, dimensioning and layout decisions. Given the large-scale of the

  8. Simulations of argon accident scenarios in the ATLAS experimental cavern a safety analysis

    CERN Document Server

    Balda, F

    2002-01-01

    Some characteristic accidents in the ATLAS experimental cavern (UX15) are simulated by means of STAR-CD, a code using the "Finite-Volume" method. These accidents involve different liquid argon leaks from the barrel cryostat of the detector, thus causing the dispersion of the argon into the Muon Chamber region and the evaporation of the liquid. The subsequent temperature gradients and distribution of argon concentrations, as well as their evolution in time are simulated and discussed, with the purpose of analysing the dangers related to asphyxiation and to contact with cryogenic fluids for the working personnel. A summary of the theory that stands behind the code is also given. In order to validate the models, an experimental test on a liquid argon spill performed earlier is simulated, showing that the program is able to output reliable results. At the end, some safety-related recommendations are listed.

  9. Spontaneous Carotid-Cavernous Fistula in the Type IV Ehlers-Danlos Syndrome.

    Science.gov (United States)

    Kim, Jeong Gyun; Cho, Won-Sang; Kang, Hyun-Seung; Kim, Jeong Eun

    2014-02-01

    Ehlers-Danlos syndrome (EDS) is a rare inherited connective disease. Among several subgroups, type IV EDS is frequently associated with spontaneous catastrophic bleeding from a vascular fragility. We report on a case of carotid-cavernous fistula (CCF) in a patient with type IV EDS. A 46-year-old female presented with an ophthalmoplegia and chemosis in the right eye. Subsequently, seizure and cerebral infarction with micro-bleeds occurred. CCF was completely occluded with transvenous coil embolization without complications. Thereafter, the patient was completely recovered. Transvenous coil embolization can be a good treatment of choice for spontaneous CCF with type IV EDS. However, every caution should be kept during invasive procedure.

  10. [Cranio-orbital zygomatic extradural approach for cavernous sinus or Meckel's cave tumors].

    Science.gov (United States)

    Kinjo, T; Mukawa, J; Mekaru, S; Koga, H

    1996-06-01

    Direct surgery to cavernous sinus (CS) lesions has become one of the optimal treatments based on advancement in microsurgical anatomy and imaging modality, and the progress of microsurgical techniques. We have removed the CS or Meckel's cave tumors extradurally when they do not extend intradurally, using modified Al-Mefty's cranio-orbital zygomatic craniotomy. Three CS tumors; trigeminal neurofibroma, squamous cell carcinoma and chondrosarcoma, and a Meckel's cave meningioma were reported. Total removal was achieved in all but one (case 4). Postoperative complications were permanent ophthalmoplegia in one, transient ophthalmoplegia in one, subcutaneous CSF accumulation in two and trigeminal dysfunction in one. The extradural approach can be the first choice of methods for total removal of tumors when they are confined to the CS or Meckel's cave.

  11. Immune complex formation and in situ B-cell clonal expansion in human cerebral cavernous malformations.

    Science.gov (United States)

    Shi, Changbin; Shenkar, Robert; Kinloch, Andrew; Henderson, Scott G; Shaaya, Mark; Chong, Anita S; Clark, Marcus R; Awad, Issam A

    2014-07-15

    Cerebral cavernous malformations (CCMs) represent clusters of dilated vascular channels, predisposing to hemorrhagic stroke and seizures. They are associated with defective blood brain barrier, hemorrhages of different ages and a robust inflammatory cell infiltrate. We report for the first time evidence of co-localized IgG and complement membrane attack complexes in CCM lesions. CD4(+) and CD8(+) T-cells are aggregated with CD20(+) B-cells. And IgG repertoire analyses demonstrate in situ B-cell clonal expansion and antigen-driven affinity maturation in CCMs. These results suggest an organ-intrinsic adaptive immune response in CCMs that should be further characterized as a potential therapeutic target.

  12. [The impact of endovascular intervention on visual functions in patients with traumatic carotid-cavernous anastomosis].

    Science.gov (United States)

    Ryzhova, I P

    1997-01-01

    In 217 patients with traumatic carotid-cavernous anastomosis (TCCA) the visual functions investigation before and after endovascular intervention conduction for the anastomosis exclusion was done. Cessation of the noise in the head synchronous with a pulse, decrease of disappearance of an exophthalmus of an eye or superior optical vein pulsation, of congestional appearance in the orbit, were the signs of the complete anastomosis exclusion. Rehabilitation or increase of visual acuity, improvement of an eye fundus ophthalmological picture, vascular index normalization were noted during deep ophthalmological investigation. Decrease of the blind spot parameters was an objective index of the visual functions rehabilitation, witnessing the disappearance of optical nerve disc (OND) oedema, contrast frequential characteristics normalization, critical frequency of light flashings radiance (CFLFR) rise, decrease of a papillary cycle time (PCT). Studying of the parameters mentioned have special significance for the estimation of postoperative conservative therapy efficiency.

  13. Therapeutic embolization of cavernous sinus dural arteriovenous fistulas via transvenous approach

    Institute of Scientific and Technical Information of China (English)

    侯凯; 罗祺; 陈强; 王宏磊; 罗毅男; 王长坤

    2003-01-01

    Objective To describe the transvenous catheterization technique for the treatment of cavernous sinus dural arteriovenous fistulas (CSdAVFs), including its indications, complications and efficacy.Methods Eight patients with symptomatic CSdAVFs were treated by endovascular embolization with platinum coils, via the inferior petrosal sinus (IPS) in 6 patients, and via the Sylvian vein after surgical exposure in other 2 patients.Results Complete angiographic resolution of the fistula was obtained in six patients immediately after the procedures, and a complete resolution of symptoms and signs was achieved in all patients. The residual fistulas in two patients disappeared completely in the follow-up angiography.Conclusion Transvenous embolization is a useful and safe approach in the management of CSdAVFs.

  14. A locus for cerebral cavernous malformations maps to chromosome 7q in two families

    Energy Technology Data Exchange (ETDEWEB)

    Marchuk, D.A.; Gallione, C.J. [Duke Univ. Medical Center, Durham, NC (United States); Morrison, L.A.; Davis, L.E.; Clericuzio, C.L. [Univ. of New Mexico School of Medicine, Albuquerque, NM (United States)] [and others

    1995-07-20

    Cavernous malformations (angiomas) affecting the central nervous system and retina can be inherited in autosomal dominant pattern (OMIM 116860). These vascular lesions may remain clinically silent or lead to a number of neurological symptoms including seizure, intracranial hemorrhage, focal neurological deficit, and migraine. We have mapped a gene for this disorder in two families, one of Italian-American origin and one of Mexican-American origin, to markers on proximal 7q, with a combined maximum lod score of 3.92 ({theta} of zero) with marker D7S479. Haplotype analysis of these families places the locus between markers D7S502 proximally and D7S515 distally, an interval of approximately 41 cM. The location distinguishes this disorder from an autosomal dominant vascular malformation syndrome where lesions are primarily cutaneous and that maps to 9p21. 16 refs., 3 figs., 1 tab.

  15. Characterization of bedded salt for storage caverns -- A case study from the Midland Basin, Texas

    Energy Technology Data Exchange (ETDEWEB)

    Hovorka, Susan D.; Nava, Robin

    2000-06-13

    The geometry of Permian bedding salt in the Midland Basin is a product of interaction between depositional facies and postdepositional modification by salt dissolution. Mapping high-frequency cycle patterns in cross section and map view using wireline logs documents the salt geometry. Geologically based interpretation of depositional and dissolution processes provides a powerful tool for mapping and geometry of salt to assess the suitability of sites for development of solution-mined storage caverns. In addition, this process-based description of salt geometry complements existing data about the evolution of one of the best-known sedimentary basins in the world, and can serve as a genetic model to assist in interpreting other salts.

  16. Aeromonas cavernicola sp. nov., isolated from fresh water of a brook in a cavern.

    Science.gov (United States)

    Martínez-Murcia, Antonio; Beaz-Hidalgo, Roxana; Svec, Pavel; Saavedra, Ma José; Figueras, Ma José; Sedlacek, Ivo

    2013-02-01

    Aeromonas P2973 was isolated from the water of a brook in a cavern in the Czech Republic. This isolate could not be biochemically identified at the species level, considering all updated species descriptions. Subsequent extensive phenotypic characterisation, DNA-DNA hybridisation, 16S rRNA gene sequencing and a Multi-Locus Phylogenetic Analysis (MLPA) of the concatenated sequence of 7 housekeeping genes (gyrB, rpoD, recA, dnaJ, gyrA, dnaX and atpD; 4705 bp) was employed in an attempt to ascertain the taxonomy of this isolate. Based on this polyphasic approach, we describe a novel species of the genus Aeromonas, for which the name Aeromonas cavernicola sp. nov. is proposed, with strain CCM7641(T) (DSM24474(T), CECT7862(T)) as the type strain.

  17. Cavernous Transformation of the Portal Vein Might Increase the Risk of Liver Abscess

    Directory of Open Access Journals (Sweden)

    Xin-Bo Ai

    2010-09-01

    Full Text Available Cavernous transformation of the portal vein (CTPV is not quite common in adults, and cases with CTPV and acute liver abscess are lacking. We report a patient with CTPV inducing extrahepatic and intrahepatic obstruction, finally leading to acute liver abscess due to bile duct infection. We aim to find out the possible relationship between CTPV and acute liver abscess. A 45-year-old female patient was admitted to our hospital for recurrent upper abdominal pain and distension for one year, aggravated with fever for three years. A diagnosis of CTPV and liver abscess was made by 16-slice computed tomography. Effective antibiotics and drainage were used for this patients, and she was eventually cured. When treating patients with CTPV, extrahepatic and intrahepatic obstruction, one should be aware of the presence of acute liver abscess, and empirical antibiotics might be valuable.

  18. Emerging neuromodulatory molecules for the treatment of neurogenic erectile dysfunction caused by cavernous nerve injury

    Institute of Scientific and Technical Information of China (English)

    Anthony J. Bella; Guiting Lin; Ilias Cagiannos; Tom F. Lue

    2008-01-01

    Advances in the neurobiology of growth factors, neural development, and prevention of cell death have resulted in a heightened clinical interest for the development of protective and regenerative neuromodulatory strategies for the cavernous nerves (CNs), as therapies for prostate cancer and other pelvic malignancies often result in neuronal damage and debilitating loss of sexual function. Nitric oxide released from the axonal end plates of these nerves within the corpora cavernosa causes relaxation of smooth muscle, initiating the haemodynamic changes of penile erection as well as contributing to maintained tumescence; the loss of CN function is primarily responsible for the development of erectile dysfunction (ED) after pelvic surgery and serves as the primary target for potential neuroprotective or regenerative strategies. Evidence from pre-clinical studies for select neuromodulatory approaches is reviewed, including neurotrophins, glial cell line-derived neurotrophic factors (GDNF), bone morphogenic proteins, immunophilin ligands,erythropoetin (EPO), and stem cells.

  19. CNS cavernous haemangioma: 'popcorn' in the brain and spinal cord

    Energy Technology Data Exchange (ETDEWEB)

    Hegde, A.N. [Department of Neuroradiology, National Neuroscience Institute (Singapore); Department of Diagnostic Imaging, National University Hospital (Singapore); Mohan, S. [Department of Neuroradiology, National Neuroscience Institute (Singapore); Department of Radiology, University of Pennsylvania School of Medicine, Philadelphia (United States); Lim, C.C.T., E-mail: Tchoyoson_lim@nni.com.sg [Department of Neuroradiology, National Neuroscience Institute (Singapore); Department of Neurology, Duke NUS Graduate Medical School (Singapore)

    2012-04-15

    Cavernous haemangiomas (CH) are relatively uncommon non-shunting vascular malformations of the central nervous system and can present with seizures or with neurological deficits due to haemorrhage. Radiologists can often suggest the diagnosis of CH based on characteristic magnetic resonance imaging (MRI) features, thus avoiding further invasive procedures such as digital subtraction angiography or surgical biopsy. Although typical MRI appearance combined with the presence of multiple focal low signal lesions on T2*-weighted images or the presence of one or more developmental venous anomaly within the brain can improve the diagnostic confidence, serial imaging studies are often required if a solitary CH presents at a time when the imaging appearances had not yet matured to the typical 'popcorn' appearance.

  20. Unilateral facial palsy in an infant: an unusual presentation of familial multiple cerebral cavernous malformation.

    LENUS (Irish Health Repository)

    Zakaria, Zaitun

    2012-01-01

    Cerebral cavernous malformation (CCM) in infants tends to have genetic predisposition. These cavernomas have a progressive course of events and associated neurological symptoms with increase in age. They most commonly present with seizure and syndrome of increased intracranial pressure comprising of headache, vomiting and focal neurological signs. We describe a case of a 7-month-old infant who presented with an acute onset of right facial paralysis with a background of familial CCM. The CT and MRI scan revealed fresh haemorrhage in the right cerebellar and pontine cavernomas with surrounding oedema and no evidence of obstructive hydrocephalus. These two cavernomas re-bled in a week duration causing episodes of incessant crying and irritability. After discussing the pros and cons of treatment, owing to stable clinical status, the patient is currently been managed conservatively.

  1. Transvenous embolization with a combination of detachable coils and Onyx for a complicated cavernous dural arteriovenous fistula

    Institute of Scientific and Technical Information of China (English)

    HE Hong-wei; JIANG Chu-han; WU Zhong-xue; LI You-xiang; LU Xian-li; WANG Zhong-cheng

    2008-01-01

    Background Treatment of cavemous dural arteriovenous fistulas (DAVF) is usually made by a transartedal approach.However,in many complicated patients,treatments via transarterial approaches can not be achieved,and only an operation via a transvenous approach is feasible.We aimed to study the feasibility of transarterial embolJzation of cavernous dural arteriovenous fistulas with a combination detachable coils and Onyx to embolize a complicated cavemous DAVF via a transvenous approach.Methods From August 2006 to August 2007,six cases of complicated cavernous DAVF were embolized with a combination of detachable coils and Onyx via a transvenous approach.Three cases were male and the other three were female.Their ages ranged from 36 to 69 years old.The fistula was in the right lateral cavernous sinus in one case,in the left lateral cavernous sinus in another,and in the bilateral cavernous sinus in 4 cases.One fistula was fed by the right internal carotid artery and its meningohypophyseal trunk;one was fed by the branches of the left internal carotid artery and left extemal carotid artery;four were fed by the branches of the bilateral internal carotid artery and/or the bilateral external carotid artery.One case was drained via one lateral inferior petrosal sinus;three were drained via bilateral inferior petrosal sinuses;one was drained via one lateral ophthalmic and facial veins;one was drained via the infedor petrosal sinus and the ophthalmic and facial veins.Four were embolized via the inferior petrosal sinus,and two were embolized via the ophthalmic and facial veins.Results Among six cases of complicated cavernous DAVF,four were fully embolized with Onyx by a single operation,and two cases were fully embolized with Onyx following two operations.Transient headache was found after operation in all patients,but was cured after several days by the symptomatic treatments.In one case,the first operation via the inferior petrosal sinus was a failure;the feeding branches of

  2. Feasibility study for lowering the minimum gas pressure in solution-mined caverns based on geomechanical analyses of creep-induced damage and healing

    Energy Technology Data Exchange (ETDEWEB)

    Ratigan, J.L.; Nieland, J.D.; Devries, K.L.

    1998-12-31

    Geomechanical analyses were made to determine the minimum gas pressure allowable based on an existing stress-based criterion (Damage Potential) and an advanced constitutive model (MDCF model) capable of quantifying the level of damage and healing in rock salt. The MDCF model is a constitutive model developed for the WIPP to provide a continuum description of the dislocation and damage deformation of salt. The purpose of this study was to determine if the MDCF model is applicable for evaluating the minimum gas pressure of CNG storage caverns. Specifically, it was to be determined if this model would predict that the minimum gas pressure in the caverns could be lowered without compromising the stability of the cavern. Additionally, the healing behavior of the salt was analyzed to determine if complete healing of the damaged rock zone would occur during the period the cavern was at maximum gas pressure. Significant findings of this study are reported.

  3. Intracerebral cavernous hemangioma after cranial irradiation in childhood. Incidence and risk factors

    Energy Technology Data Exchange (ETDEWEB)

    Strenger, V.; Sovinz, P.; Lackner, H.; Dornbusch, H.J.; Moser, A.; Urban, C. [Graz Medical Univ. (Austria). Div. of Pediatric Hematology and Oncology; Lingitz, H. [Graz Medical Univ. (Austria). Dept. of Therapeutic Radiology and Oncology; Eder, H.G. [Graz Medical Univ. (Austria). Dept. of Neurosurgery

    2008-05-15

    Background and Purpose: Radiotherapy is an integral part of various therapeutic regimens in pediatric and adult oncology. Endocrine dysfunction, neurologic and psychiatric deficits, secondary malignancies and radiation-induced necrosis are well-known possible late effects of cranial irradiation. However, only sporadic cases of radiation-induced cavernous hemangiomas (RICH) have been reported so far. Patients and Methods: Pediatric patients who underwent cranial radiation therapy for malignant diseases between January 1980 and December 2003 were retrospectively analyzed. After the end of therapy they entered a detailed follow-up program. Results: Of 171 patients, eight (three patients with medulloblastoma, three patients with acute lymphoblastic leukemia, and one patient each with ependymoma and craniopharyngioma) developed intracerebral cavernoma 2.9-18.4 years after irradiation representing a cumulative incidence (according to the Kaplan-Meier method) of 2.24%, 3.86%, 4.95%, and 6.74% within 5, 10, 15, and 20 years following radiation therapy, respectively. In patients treated in the first 10 years of life, RICH occurred with shorter latency and significantly more often (p = 0.044) resulting in an even higher cumulative incidence. Conclusion: These findings and previously published cases show that cavernous hemangiomas may occur after irradiation of the brain several years after the end of therapy irrespective of the radiation dose and type of malignancy. Particularly children < 10 years of age at the time of irradiation are at higher risk. Since patients with RICH frequently do not show symptoms but hemorrhage is a possible severe complication, imaging of the central nervous system should be performed routinely for longer follow- ups, particularly in patients who were treated as young children. (orig.)

  4. Spontaneous carotid cavernous sinus fistulas: Correlation between clinical findings and venous drainage; Fistole carotido-cavernose spontanee: Correlazione tra quadri clinici e drenaggio venoso

    Energy Technology Data Exchange (ETDEWEB)

    Calzolari, Ferdinando [Arcispedale S. Anna, Ferrara (Italy). Servizio di Neuroradilogia; Ravalli, Luca [Ferrara, Univ. (Italy). Clinica Oculistica

    1997-04-01

    They reviewed retrospectively 6 cases of spontaneous carotid cavernous fistulas to discuss the differences in clinical findings depending on venous patterns. Orbit US was performed in all patients but one and all patients were examined with CT and intraarterial digital subtraction angiography (DSA). CT was performed to demonstrate possible lesions of the orbit apex or skull base and showed dilation of the superior ophthalmic vein in 4 patients, bilateral in only one case. Moreover, CT detected enlargement of the cavernous sinuses in 4 cases (3 unilateral, one bilateral). Dynamic CT, performed in 2 patients, showed early opacification of both cavernous sinuses. DSA was carried out on the basis of clinical data and US and CT findings. It diagnosed carotid cavernous fistulas in all cases. The fistulas were bilateral in 3 subjects. In all the patients with exophthalmos, conjunctival chemosis and dilated episcleral veins, the superior ophthalmic vein was the main venous drainage from the cavernous sinus. Only 4 of these patients had abduction nerve palsy: bruit was present in 2 cases only. The ocular signs were contralateral to the fistula in one patient. In the patient presenting III, IV and VI nerve palsy, the venous drainage was direct from the cavernous sinus to pericarotid plexus, plexus and inferior petrosal sinus; in this case there were no ocular signs. The clinical findings of spontaneous cavernous fistulas are caused by the arterial supply and by the venous drainage of the fistula: for the early diagnosis and treatment is important to know that some patients do not exhibit the classic triad of symptoms, characterized by pulsating bruit and conjunctival chemosis. Their experience has confirmed that spontaneous carotid cavernous fistulas may be characterized by atypical clinical findings, such as ocular signs contralateral to the fistula side or palsies of cranial nerves only.

  5. Urgent treatment of severe symptomatic direct carotid cavernous fistula caused by ruptured cavernous internal carotid artery aneurysm using high-flow bypass, proximal ligation, and direct distal clipping: Technical case report

    Directory of Open Access Journals (Sweden)

    Hirotaka Hasegawa

    2014-01-01

    Full Text Available Background: Direct carotid cavernous fistula (CCF secondary to ruptured carotid cavernous aneurysms (CCAs is rare, but patients with this condition who develop acutely worsening and severe neuro-ophthalmic symptoms require urgent treatment. Endovascular methods are the first-line option, but this modality may not be available on an urgent basis. Case Description: In this article, we report a 45-year-old female with severe direct CCF due to rupture of the CCA. She presented with intractable headache and acute worsening of double vision and visual acuity. Emergent radiographic study revealed high-flow fistula tracked from the CCA toward the contralateral cavernous sinus and drained into the engorged left superior orbital vein. To prevent permanent devastating neuro-ophthalmic damages, urgent high-flow bypass with placement of a radial artery graft was performed followed by right cervical internal carotid artery (ICA ligation and the clipping of the ICA at the C3 portion, proximal to the ophthalmic artery. In the immediate postoperative period, her symptoms resolved and angiography confirmed patency of the high-flow bypass and complete occlusion of the CCF. Conclusion: With due consideration of strategy and techniques to secure safety, open surgical intervention with trapping and bypass is a good treatment option for direct severe CCF when the endovascular method is not available, not possible, or is unsuccessful.

  6. Study of the ventilation at ATLAS cavern UX15 air velocity and temperature around the muon chambers

    CERN Document Server

    Vigo-Castellví, E

    2000-01-01

    The Muon Chambers of ATLAS detector cannot work under temperature differences between two opposed faces above 3 K. In addition, a low velocity of the air around the Muon Chambers is essential to avoid vibration problems. The CV group at the ST division is involved in an airflow simulation inside UX15 cavern to check air temperature and velocity profiles around the ATLAS Muon Chambers. In this paper, the status and the content of the performed theoretical studies will be explained. Three simulation models, which helped to understand the Muon Spectrometer thermal environment and the efficiency of the ventilation system at ATLAS cavern, will be presented. Besides, it will be shown how these studies support the proposal of a deeper individual Muon Chamber study.

  7. Transarterial detachable coil embolization combined with ipsilateral intermittent carotid oppression for traumatic carotid-cavernous fistula with small fistula

    Institute of Scientific and Technical Information of China (English)

    Qing Huang; Hongbing Zhang; Gang Wang; Jun Yang; Yanlong Hu; Jianxin Liu

    2015-01-01

    One case of traumatic carotid-cavernous fistula (TCCF) with small fistula treated by transarterial detachable coil embolization was reported.The intermittent ipsilateral carotid compression was used to identify the final blocking of the residual fistula.The follow-up digital subtraction angiography showed that the TCCF was cured finally, From this case, we conclude that this method may be an effective way to treat TCCF with small fistula.

  8. Rare cavernous lymphangioma of the bladder in an adult female:treatment and review of the literature

    Institute of Scientific and Technical Information of China (English)

    Feng Qu; Jinyu Zheng; Yajun Xiao; Yifei Xing; Chuanguo Xiao

    2006-01-01

    Objective: Lymphangioma is a benign tumor representing a congenital malformation of the lymphatic channels. The cavernous lymphangioma of the bladder did not report before. Here we report 1 case of cavernous lymphangioma of the bladder in an adult female and review the literature in order to accumulate the experience of diagnosis and treatment for these diseases. Methods: In our case a 50-year-old woman presented with irritative voiding symptoms and had painless macroscopic hematuria at times. Cystoscopy showed a non-papillary tumor at apex vesicae and mucous membrane hyperaemia between the two orifices within the trigone. The pathologic diagnosis was cystitis glandularis with hyperplasia of urothelium and cavernous lymphangioma in lamina propria. Transurethral resection was performed and then bleomycin A5 was injected into lesion multipoint applying ureteral catheter with puncture needle. Results: Two months after operation the irritative voiding symptoms improved and the urine analysis was normal. Cystoscopy showed no residual tumor. Bleomycin A5 was injected into the lesion area again just like the operation before. All symptoms disappeared completely when the patient was examined a month later. There was no side effect after injection and no recurrence during the follow-up of 1 year. Conclusion: Lymphangioma of the bladder can be diagnosed exactly by cystoscopy and pathological examination. Surgery may be the best treatment. The bleomycin A5 intralesional sclerosant is also an effective therapy for the disease after surgical removal.

  9. Principle of gas storage in salt caverns; Principe du stockage de gaz en cavites creusees dans le sel

    Energy Technology Data Exchange (ETDEWEB)

    Durup, J.G. [Mining Research Institute, CA (United States)]|[Gaz de France (GDF), 75 - Paris (France)

    2001-08-15

    The principle of the exploitation of a gas storage cavity is analogue to the one of a cylinder of compressed gas. Such a reservoir has remarkable dimensions with a volume of several thousands of m{sup 3}, a height of few hundred meters and a diameter of about 100 m. The mechanical resistance with respect to the gas pressure is ensured by the 'pre-stress' corresponding to the weight of the geologic strata. Salt (halite) is the ideal material for the digging out of such facilities because of its excellent tightness, its solubility in water (allowing the dissolution digging technique), and its good mechanical resistance. Natural gas storage is in general performed in natural porous and permeable environments, like depleted hydrocarbon fields or aquifers. The storage in salt caverns has the advantage of allowing important emission flow rates with respect to the quantities of immobilized gases. In some Northern Europe countries, like Germany, the salt deposits are well developed and abundant, in particular near the North Sea and its important natural gas fields. In France, there exists 3 gas storage sites in salt caverns, with about 40 cavities as a whole. This document briefly presents the main elements of the gas storage technique in salt caverns: characteristics and geology of salt deposits, geo-technique, wells, dissolution digging, gas injection and exploitation. (J.S.)

  10. Genetically diagnosed Birt-Hogg-Dubé syndrome and familial cerebral cavernous malformations in the same individual: a case report.

    Science.gov (United States)

    Whitworth, James; Stausbøl-Grøn, Brian; Skytte, Anne-Bine

    2017-01-01

    When faced with an unusual clinical feature in a patient with a Mendelian disorder, the clinician may entertain the possibilities of either the feature representing a novel manifestation of that disorder or the co-existence of a different inherited condition. Here we describe an individual with a submandibular oncocytoma, pulmonary bullae and renal cysts as well as multiple cerebral cavernous malformations and haemangiomas. Genetic investigations revealed constitutional mutations in FLCN, associated with Birt-Hogg-Dubé syndrome (BHD) and CCM2, associated with familial cerebral cavernous malformation. Intracranial vascular pathologies (but not cerebral cavernous malformation) have recently been described in a number of individuals with BHD (Kapoor et al. in Fam Cancer 14:595-597, 10.1007/s10689-015-9807-y , 2015) but it is not yet clear whether they represent a genuine part of that conditions' phenotypic spectrum. We suggest that in such instances of potentially novel clinical features, more extensive genetic testing to consider co-existing conditions should be considered where available. The increased use of next generation sequencing applications in diagnostic settings is likely to lead more cases such as this being revealed.

  11. Cirurgia estereotáxica guiada para angiomas cavernosos Stereotactic-guided surgery for cavernous angioma

    Directory of Open Access Journals (Sweden)

    MURILO S. MENESES

    2000-03-01

    Full Text Available Os angiomas cavernosos intracerebrais são lesões que podem causar hemorragias, crises convulsivas e déficits neurológicos. Essa patologia passou a ter diagnóstico mais precoce com o advento da ressonância magnética. A remoção radical por cirurgia é o melhor método de tratamento. Devido a frequente localização subcortical ou profunda, a utilização de métodos de localização por imagem como a estereotaxia apresentam várias vantagens como: menor incisão de pele, craniotomia e manipulação do tecido cerebral, consequentemente com menor morbidade. Apresentamos uma série de nove angiomas cavernosos tratados por ressecção cirúrgica radical guiada por estereotaxia. Em todos os casos o diagnóstico foi realizado por ressonância magnética e houve confirmação anátomo-patológica. A média de idade dos pacientes foi 30 anos, variando entre 20 e 54 anos. Como morbidade transitória, um paciente teve uma crise convulsiva no 3° dia pós-operatório e uma paciente apresentou disfasia e hemiparesia no 2° dia pós-operatório, com recuperação total na evolução. No total, a remoção foi radical em todos os casos e os pacientes permanecem sem nenhum déficit neurológico relacionado à cirurgia.Intracerebral cavernous angiomas may cause hemorrhage, epileptic seizures and neurological deficits. The diagnosis of these lesions became easier with the advent of the magnetic resonance image (MRI. Radical resection is the treatment of choice. Due to frequent subcortical or deep location, image-guided techniques, such as stereotactic-guided surgery, offer many advantages as smaller skin incision and craniotomy, less brain manipulation with consequently lower morbidity. We present a series of nine cavernous angiomas treated by stereotactic-guided radical surgical resection. The diagnosis was done by MRI and confirmed by pathologic studies in all cases. Mean age of patients was 30 years old (range 20-54 years. Postoperative morbidity

  12. Possible role of the cavernous sinus veins in cerebrospinal fluid absorption

    Directory of Open Access Journals (Sweden)

    Koh Lena

    2007-04-01

    Full Text Available Abstract The purpose of this investigation was to enhance our understanding of cerebrospinal fluid (CSF absorption pathways. To achieve this, Microfil (a coloured silastic material was infused into the subarachnoid space (cisterna magna of sheep post mortem, and the relevant tissues examined macroscopically and microscopically. The Microfil was taken up by an extensive network of extracranial lymphatic vessels in the olfactory turbinates. In addition however, Microfil also passed consistently through the dura at the base of the brain. Microfil was noted in the spaces surrounding the venous network that comprises the cavernous sinus, in the adventitia of the internal carotid arteries and adjacent to the pituitary gland. Additionally, Microfil was observed within the endoneurial spaces of the trigeminal nerve and in lymphatic vessels emerging from the epineurium of the nerve. These results suggest several unconventional pathways by which CSF may be removed from the subarachnoid space. The movement of CSF to locations external to the cranium via these routes may lead to its absorption into veins and lymphatics outside of the skull. The physiological importance of these pathways requires further investigation.

  13. Installation of the Liquid Argon Calorimater Barrel in the ATLAS Experimental Cavern

    CERN Multimedia

    Vandoni, G.

    On the 27th of October, the Liquid Argon Barrel cryostat was transported from Building 180 to point 1. The next day, the Barrel was lowered into the cavern, and was placed on jacks close to its final position inside the completed lower half of the Tile calorimeter. After a day of precise adjustment, it was resting within a few millimetres of its nominal final position, waiting for the upper half of the Tile calorimeter to be installed. Tight requests had been issued by the Liquid Argon collaboration for the whole transport. It was foreseen that the cryostat should not see any acceleration larger than 0.15g along its axis, 0.08g transversally and 0.3g in the vertical direction. In addition, no acceleration higher than 0.03g (or even 0.003g for permanent oscillation) would be allowed at 20Hz, to avoid the risk of damaging the absorbers at this spontaneous vibration frequency. The difficulty would arise when coping these demands with the tortuous route, its slopes and curbs, vibration transmission from the engi...

  14. Stabiliztin of VEGFR2 Signaling by Cerebral Cavernous Malformation 3 is Critical for Vascular Development

    Energy Technology Data Exchange (ETDEWEB)

    Y He; H Zhang; L Yu; M Gunel; T Boggon; H Chen; W Min

    2011-12-31

    Cerebral cavernous malformations (CCMs) are human vascular malformations caused by mutations in three genes of unknown function: CCM1, CCM2, and CCM3. CCM3, also known as PDCD10 (programmed cell death 10), was initially identified as a messenger RNA whose abundance was induced by apoptotic stimuli in vitro. However, the in vivo function of CCM3 has not been determined. Here, we describe mice with a deletion of the CCM3 gene either ubiquitously or specifically in the vascular endothelium, smooth muscle cells, or neurons. Mice with global or endothelial cell-specific deletion of CCM3 exhibited defects in embryonic angiogenesis and died at an early embryonic stage. CCM3 deletion reduced vascular endothelial growth factor receptor 2 (VEGFR2) signaling in embryos and endothelial cells. In response to VEGF stimulation, CCM3 was recruited to and stabilized VEGFR2, and the carboxyl-terminal domain of CCM3 was required for the stabilization of VEGFR2. Indeed, the CCM3 mutants found in human patients lacking the carboxyl-terminal domain were labile and were unable to stabilize and activate VEGFR2. These results demonstrate that CCM3 promotes VEGFR2 signaling during vascular development.

  15. Quantitative Susceptibility Mapping and Dynamic Contrast Enhanced Quantitative Perfusion in Cerebral Cavernous Angiomas

    Science.gov (United States)

    Mikati, Abdul Ghani; Tan, Huan; Shenkar, Robert; Li, Luying; Zhang, Lingjiao; Guo, Xiaodong; Shi, Changbin; Liu, Tian; Wang, Yi; Shah, Akash; Edelman, Robert; Christoforidis, Gregory; Awad, Issam

    2015-01-01

    Background Hyperpermeability and iron deposition are two central pathophysiological phenomena in human cerebral cavernous malformation (CCM) disease. Here we used two novel magnetic resonance imaging (MRI) techniques to establish a relationship between these phenomena. Methods Subjects with CCM disease (4 sporadic and 18 familial) underwent MRI imaging using the Dynamic Contrast Enhanced Quantitative Perfusion (DCEQP) and Quantitative Susceptibility Mapping (QSM) techniques that measure hemodynamic factors of vessel leak and iron deposition respectively, previously demonstrated in CCM disease. Regions of interest encompassing the CCM lesions were analyzed using these techniques Results Susceptibility measured by QSM was positively correlated with permeability of lesions measured using DCEQP (r=0.49, p=<0.0001). The correlation was not affected by factors including familial predisposition, lesion volume, the contrast agent and the use of statin medication. Susceptibility was correlated with lesional blood volume (r=0.4, p=0.0001), but not with lesional blood flow. Conclusion The correlation between QSM and DCEQP suggests that the phenomena of permeability and iron deposition are related in CCM; hence “more leaky lesions” also manifest a more cumulative iron burden. These techniques might be used as biomarkers to monitor the course of this disease and the effect of therapy. PMID:24302484

  16. Cerebral cavernous malformations proteins inhibit Rho kinase to stabilize vascular integrity.

    Science.gov (United States)

    Stockton, Rebecca A; Shenkar, Robert; Awad, Issam A; Ginsberg, Mark H

    2010-04-12

    Endothelial cell-cell junctions regulate vascular permeability, vasculogenesis, and angiogenesis. Familial cerebral cavernous malformations (CCMs) in humans result from mutations of CCM2 (malcavernin, OSM, MGC4607), PDCD10 (CCM3), or KRIT1 (CCM1), a Rap1 effector which stabilizes endothelial cell-cell junctions. Homozygous loss of KRIT1 or CCM2 produces lethal vascular phenotypes in mice and zebrafish. We report that the physical interaction of KRIT1 and CCM2 proteins is required for endothelial cell-cell junctional localization, and lack of either protein destabilizes barrier function by sustaining activity of RhoA and its effector Rho kinase (ROCK). Protein haploinsufficient Krit1(+/-) or Ccm2(+/-) mouse endothelial cells manifested increased monolayer permeability in vitro, and both Krit1(+/-) and Ccm2(+/-) mice exhibited increased vascular leak in vivo, reversible by fasudil, a ROCK inhibitor. Furthermore, we show that ROCK hyperactivity occurs in sporadic and familial human CCM endothelium as judged by increased phosphorylation of myosin light chain. These data establish that KRIT1-CCM2 interaction regulates vascular barrier function by suppressing Rho/ROCK signaling and that this pathway is dysregulated in human CCM endothelium, and they suggest that fasudil could ameliorate both CCM disease and vascular leak.

  17. Blunt abdominal injury with rupture of giant hepatic cavernous hemangioma and laceration of the spleen

    Institute of Scientific and Technical Information of China (English)

    Lung-YunKang; Fong-DeeHuang; Yuan-YuarnLiu

    2015-01-01

     A 41-year-old woman with blunt abdominal trau-ma due to a motor vehicle accident presented to our emergency department. The patient had a history of a giant hepatic cavern-ous hemangioma. Emergency exploratory laparotomy was per-formed for suspected intra-abdominal bleeding with abdominal compartment syndrome, and more than 4 liters of blood and blood clots were removed. An active bleeding laceration (5 cm) of a hepatic cavernous hemangioma was detected in segment III of the liver. The bleeding was controlled by sutures, Teflon patches and tamponade. The abdomen was closed temporarily using the vacuum-assisted method. Because of the presence of persistent  fresh  blood  through  abdominal  drainage  at  a  rate of  >1  L/h,  splenectomy  was  performed  to  control  the  bleed-ing again by sutures and Teflon patches. Finally, the abdomen was closed using a biologic mesh. The patient was discharged home 30 days after trauma. Bleeding of trauma-caused hepatic hemangioma is rare, but splenic injury due to blunt abdominal trauma is common. An in-depth investigation is necessary to avoid second intervention.

  18. Is portal vein cavernous transformation a component of congenital hepatic fibrosis?

    Institute of Scientific and Technical Information of China (English)

    Ozlem Yonem; Yusuf Bayraktar

    2007-01-01

    Congenital hepatic fibrosis (CHF) is an autosomal recessive disorder that belongs to the family of fibropolycystic liver diseases. This family includes a spectrum of disorders which are usually found in combination with each other and are usually inherited.Clinically fibropolycystic diseases have three effects being present in different proportions, those of a space occupying lesion, of portal hypertension and of cholangitis. In most patients, the first manifestations of CHF are signs and symptoms related to portal hypertension such as splenomegaly and varices. Portal hypertension in these patients has been attributed to the hypoplasia or compression of the portal vein radicles in the fibrous bands. Cavernous transformation of the portal vein (CTPV) is a relatively rare condition resulting from extrahepatic portal vein obstruction with recanalization or collateral vein formation to bypass the obstruction. It has been found that patients with CHF having an accompanying CTPV have relatively large splenomegaly and suffers more frequent episodes of bleeding from esophageal varices. We believe that CTPV is a congenital component of CHF and also one of the important causative factors of portal hypertension in these patients.

  19. A novel CCM2 gene mutation associated with family cerebral cavernous malformation

    Directory of Open Access Journals (Sweden)

    Wen-Qing Huang

    2016-09-01

    Full Text Available Background: Cerebral cavernous malformations (CCMs are common vascular malformations that predominantly arise in the central nervous system and are mainly characterized by enlarged vascular cavities without intervening brain parenchyma. Familial CCMs (FCCMs is inherited in an autosomal dominant pattern with incomplete penetrance and variable symptoms. Methods: Mutations of three pathogenic genes, CCM1, CCM2 and CCM3, were investigated by direct DNA sequencing in a Chinese family with multiple CCM lesions. Results: Four heterozygous variants in the CCM2 gene, including one deletion (c.95delC, a missense mutation (c.358G>A, p.V120I, one silent mutation (c.915G>A, p.T305T, and a substitution (c. *1452 T>C, were identified in the subjects with multiple CCM lesions, but not in a healthy sibling. Among these variants, the c.95delC deletion is a novel mutation which is expected to cause a premature termination codon. It is predicted to produce a truncated CCM2 protein lacking the PTB and C-terminal domains, thus disrupting the molecular functions of CCM2. Conclusions: The novel truncating mutation in the CCM2 gene, c.95delC, may be responsible for multiple CCM lesions in a part of FCCM. In addition, it may represent a potential genetic biomarker for early diagnosis of FCCM.

  20. Sporadic Cerebral Cavernous Malformations: Report of Further Mutations of CCM Genes in 40 Italian Patients

    Directory of Open Access Journals (Sweden)

    Rosalia D’Angelo

    2013-01-01

    Full Text Available Cerebral cavernous malformations (CCMs are vascular lesions characterized by abnormally enlarged capillary cavities, affecting the central nervous system. CCMs can occur sporadically or as a familial autosomal dominant condition with incomplete penetrance and variable clinical expression attributable to mutations in three different genes: CCM1 (K-Rev interaction trapped 1 (KRIT1, CCM2 (MGC4607, and CCM3 (PDCD10. CCMs occur as a single or multiple malformations that can lead to seizures, focal neurological deficits, hemorrhagic stroke, and headache. However, patients are frequently asymptomatic. In our previous mutation screening, performed in a cohort of 95 Italian patients, both sporadic and familial, we have identified several mutations in CCM genes, three of which in three distinct sporadic patients. In this study, representing further molecular screening of the three CCM genes, in a south Italian cohort of CCM patients enrolled by us in the last three years, we report the identification of other four new mutations in 40 sporadic patients with either single or multiple CCM.

  1. Update on Novel CCM Gene Mutations in Patients with Cerebral Cavernous Malformations.

    Science.gov (United States)

    Scimone, Concetta; Bramanti, Placido; Alafaci, Concetta; Granata, Francesca; Piva, Francesco; Rinaldi, Carmela; Donato, Luigi; Greco, Federica; Sidoti, Antonina; D'Angelo, Rosalia

    2017-02-01

    Cerebral cavernous malformations (CCMs) are lesions affecting brain microvessels. The pathogenesis is not clearly understood. Conventional classification criterion is based on genetics, and thus, familial and sporadic forms can be distinguished; however, classification of sporadic cases with multiple lesions still remains uncertain. To date, three CCM causative genes have been identified: CCM1/KRIT1, CCM2/MGC4607 and CCM3/PDCD10. In our previous mutation screening, performed in a cohort of 95 Italian patients, with both sporadic and familial cases, we identified several mutations in CCM genes. This study represents further molecular screening in a cohort of 19 Italian patients enrolled by us in the few last years and classified into familial, sporadic and sporadic with multiple lesions cases. Direct sequencing and multiplex ligation-dependent probe amplification (MLPA) analysis were performed to detect point mutations and large genomic rearrangements, respectively. Effects of detected mutations and single-nucleotide polymorphisms (SNPs) were evaluated by an in silico approach and by western blot analysis. A novel nonsense mutation in CCM1 and a novel missense mutation in CCM2 were detected; moreover, several CCM2 gene polymorphisms in sporadic CCM patients were reported. We believe that these data enrich the mutation spectrum of CCM genes, which is useful for genetic counselling to identify both familial and sporadic CCM cases, as early as possible.

  2. Sporadic Cerebral Cavernous Malformations: Report of Further Mutations of CCM Genes in 40 Italian Patients

    Science.gov (United States)

    D'Angelo, Rosalia; Alafaci, Concetta; Scimone, Concetta; Ruggeri, Alessia; Salpietro, Francesco Maria; Bramanti, Placido; Tomasello, Francesco; Sidoti, Antonina

    2013-01-01

    Cerebral cavernous malformations (CCMs) are vascular lesions characterized by abnormally enlarged capillary cavities, affecting the central nervous system. CCMs can occur sporadically or as a familial autosomal dominant condition with incomplete penetrance and variable clinical expression attributable to mutations in three different genes: CCM1 (K-Rev interaction trapped 1 (KRIT1)), CCM2 (MGC4607), and CCM3 (PDCD10). CCMs occur as a single or multiple malformations that can lead to seizures, focal neurological deficits, hemorrhagic stroke, and headache. However, patients are frequently asymptomatic. In our previous mutation screening, performed in a cohort of 95 Italian patients, both sporadic and familial, we have identified several mutations in CCM genes, three of which in three distinct sporadic patients. In this study, representing further molecular screening of the three CCM genes, in a south Italian cohort of CCM patients enrolled by us in the last three years, we report the identification of other four new mutations in 40 sporadic patients with either single or multiple CCM. PMID:24058906

  3. Craniocervical junction venous anatomy around the suboccipital cavernous sinus: evaluation by MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Takahashi, Satoshi; Sakuma, Ikuo; Omachi, Koichi; Otani, Takahiro; Tomura, Noriaki; Watarai, Jiro [Akita University School of Medicine, Department of Radiology, Akita (Japan); Mizoi, Kazuo [Akita University School of Medicine, Department of Neurosurgery, Akita (Japan)

    2005-08-01

    The present study evaluated the venous anatomy of the craniocervical junction, focusing on the suboccipital cavernous sinus (SCS), a vertebral venous plexus surrounding the horizontal portion of the vertebral artery at the skull base. MR imaging was reviewed to clarify the venous anatomy of the SCS in 33 patients. Multiplanar reconstruction MR images were obtained using contrast-enhanced three-dimensional fast spoiled gradient-recalled acquisition in the steady state (3-D fast SPGR) with fat suppression. Connections with the SCS were evaluated for the following venous structures: anterior condylar vein (ACV); posterior condylar vein (PCV); lateral condylar vein (LCV); vertebral artery venous plexus (VAVP); and anterior internal vertebral venous plexus (AVVP). The SCS connected with the ACV superomedially, with the VAVP inferolaterally, and with the AVVP medially. The LCV connected with the external orifice of the ACV and superoanterior aspect of the SCS. The PCV connected with the posteromedial aspect of the jugular bulb and superoposterior aspect of the SCS. The findings of craniocervical junction venography performed in eight patients corresponded with those on MR imaging, other than with regard to the PCV. Contrast-enhanced 3-D fast SPGR allows visualization of the detailed anatomy of these venous structures, and this technique facilitates interventions and description of pathologies occurring in this area. (orig.)

  4. Cerebral Cavernous Malformation: A Portuguese Family with a Novel CCM1 Mutation

    Science.gov (United States)

    Marto, João Pedro; Gil, Inês; Calado, Sofia; Viana-Baptista, Miguel

    2016-01-01

    Introduction Cerebral cavernous malformation (CCM) is a vascular disorder characterized by the presence of central nervous system cavernomas. In familial forms, mutations in three genes (CCM1/KRIT1, CCM2/MGC4607 and CCM3/PDCD10) were identified. We describe a Portuguese family harboring a novel CCM1 mutation. Case Presentation The proband is a woman who at the age of 55 years started to have complex partial seizures and episodic headache. Although nothing was found during her neurological examination, brain MRI showed bilateral, supra- and infratentorial cavernomas. She had a sister who, at the age 61 years, suffered a tonic-clonic seizure. Neurological examination was normal and imaging investigation demonstrated a right frontal intracerebral hemorrhage and multiple cavernomas. In the following years, she suffered several complex partial seizures and had a new intracerebral hemorrhage located in the right temporal lobe. Genetic analysis was performed and a novel nucleotide substitution, i.e. c.1927C>T (p.Gln643*) within the exon 17 of the CCM1 gene, was detected in both sisters. The substitution encodes a stop codon, with a consequent truncated KRIT1 protein, therefore supporting its pathogenic role. Further affected family members were detected, suggesting an autosomal dominant pattern of inheritance. Conclusion We report a Portuguese family with a novel CCM1 (KRIT1) mutation – c.1927C>T (p.Gln643*). A better knowledge of the phenotype-genotype correlation is needed to improve the management of CCM patients.

  5. Effects of vascular endothelial growth factor on angiogenesis of the endothelial cells isolated from cavernous malformations

    Institute of Scientific and Technical Information of China (English)

    TAN YuZhen; ZHAO Yao; WANG HaiJie; ZHOU LiangFu; MAO Ying; LIU Rui; SHU Jia; WANG YongFei

    2008-01-01

    Human cerebral cavernous malformation (CM) is a common vascular malformation of the central nervous system. We have investigated the biological characteristics of CM endothelial cells and the cellular and molecular mechanisms of CM angiogenesis to offer new insights into exploring effective measures for treatment of this disease. The endothelial cells were isolated from CM tissue masses dissected during operation and expanded in vitro. Expression of VEGFR-1 and VEGFR-2 was examined with immunocytochemical staining. Proliferation, migration and tube formation of CM endothelial cells were determined using MTT, wounding and transmigration assays, and three-dimensional collagen type Ⅰ gel respectively. The endothelial cells were successfully isolated from the tissue specimens of 25 CMs dissected without dipolar electrocoagulation. The cells show the general characteristics of the vascular endothelial cells. Expression of VEGFR-1 and VEGFR-2 on the cells is higher than that on the normal cerebral microvascular endothelial cells. After treatment with VEGF, numbers of the proliferated and migrated cells, the maximal distance of cell migration and the length and area of capillary-like struc-tures formed in the three-dimensional collagen gel increase significantly. These results demonstrate that expression of VEGFR-1 and VEGFR-2 on CM endothelial cells is up-regulated. By binding to re-ceptors, VEGF may activate the downstream signaling pathways and promote proliferation, migration and tube formation of CM endothelial cells. VEGF/VEGFR signaling pathways play important regulating roles in CM angiogenesis.

  6. Dubin-Johnson syndrome with multiple liver cavernous hemangiomas: report of a familial case.

    Science.gov (United States)

    Li, Peifeng; Wang, Yingmei; Zhang, Jinmei; Geng, Ming; Li, Zengshan

    2013-01-01

    Dubin-Johnson syndrome (DJS) is a rare autosomal recessive inheritance disorder of bilirubin metabolism. Herein we reported a complicated but interesting case which is readily resulted in misdiagnosis or an indefinite diagnosis, and this is the first reported familial case of DJS with multiple liver cavernous hemangiomas. A 49-year-old man was referred to our hospital for jaundice and multiple low-density liver masses. Extensive laboratory investigations showed conjugated hyperbilirubinaemia and positive urine bilirubin. Microscopically, lesions were composed of blood-filled vascular channels of various sizes lined by a single layer of flat endothelial cells supported by fibrous tissue. Coarse brown granules presented in the hepatocytes of the liver lobules locating beside the tumor, particularly in the centrilobular hepatocytes, and the granules showed blue-green with Schmorl's reaction lipofuscin staining. Interestingly, one of the patient's six siblings (female) shared the same condition with him. The relationship between DJS and hemangiomas remains unclear, and it might be contributed to some hereditary factors, or probably occurred simultaneously by chance. It was certified that the true reason for the long-term unclear jaundice was DJS, which was presumed clinically to be caused by bile excretion obstacles associated with the hemangiomas. Liver biopsy and histochemical stain may be helpful to identify the reason of jaundice and avoid misdiagnosis or an indefinite diagnosis.

  7. Structure and vascular function of MEKK3–cerebral cavernous malformations 2 complex

    Energy Technology Data Exchange (ETDEWEB)

    Fisher, Oriana S. [Yale Univ., New Haven, CT (United States); Deng, Hanqiang [Shanghai Jiao Tong Univ. School of Medicine (SJTU-SM), Shanghai (China); Liu, Dou [Yale Univ. School of Medicine, New Haven, CT (United States); Zhang, Ya [Yale Univ. School of Medicine, New Haven, CT (United States); Wei, Rong [Shanghai Jiao Tong Univ. School of Medicine (SJTU-SM), Shanghai (China); Deng, Yong [Yale Univ. School of Medicine, New Haven, CT (United States); Zhang, Fan [Yale Univ. School of Medicine, New Haven, CT (United States); Louvi, Angeliki [Yale Univ. School of Medicine, New Haven, CT (United States); Turk, Benjamin E. [Yale Univ., New Haven, CT (United States); Boggon, Titus J. [Yale Univ., New Haven, CT (United States); Su, Bing [Shanghai Jiao Tong Univ. School of Medicine (SJTU-SM), Shanghai (China)

    2015-08-03

    Cerebral cavernous malformations 2 (CCM2) loss is associated with the familial form of CCM disease. The protein kinase MEKK3 (MAP3K3) is essential for embryonic angiogenesis in mice and interacts physically with CCM2, but how this interaction is mediated and its relevance to cerebral vasculature are unknown. Here we report that Mekk3 plays an intrinsic role in embryonic vascular development. Inducible endothelial Mekk3 knockout in neonatal mice is lethal due to multiple intracranial haemorrhages and brain blood vessels leakage. We discover direct interaction between CCM2 harmonin homology domain (HHD) and the N terminus of MEKK3, and determine a 2.35 Å cocrystal structure. We find Mekk3 deficiency impairs neurovascular integrity, which is partially dependent on Rho–ROCK signalling, and that disruption of MEKK3:CCM2 interaction leads to similar neurovascular leakage. We conclude that CCM2:MEKK3-mediated regulation of Rho signalling is required for maintenance of neurovascular integrity, unravelling a mechanism by which CCM2 loss leads to disease.

  8. First cosmic ray results of the RPC commissioning in the ATLAS cavern

    CERN Document Server

    Solfaroli, E

    2008-01-01

    The first commissioning test of three muon towers of the ATLAS Muon Spectrometer, installed in the cavern, was carried out. The stations under test belong to the barrel sector 13, which is a large sector. A muon tower consists of three stations: the Inner, the Middle and the Outer, starting from the interaction point. The Barrel Inner Large (BIL) stations are constituted by MDT chambers; the Barrel Middle Large (BML) stations by MDTs assembled between two RPC chambers; and the Barrel Outer Large (BOL) stations by MDTs with only one RPC mounted downstream. Specific Level-1 trigger algorithms have been studied to trigger on cosmic rays and implemented to commission the muon stations. Comparison between the measured trigger rate and the simulated results will be presented. Moreover, the RPC performances have been studied by comparing the MDT track extrapolations with the firing RPC readout strips. The RPC detection efficiency is evaluated in the eta measuring view, resulting as a combination of gas volume effici...

  9. Crystal Structure of CCM3, a Cerebral Cavernous Malformation Protein Critical for Vascular Integrity

    Energy Technology Data Exchange (ETDEWEB)

    Li, X.; Zhang, R; Zhang, H; He, Y; Ji, W; Min, W; Boggon, T

    2010-01-01

    CCM3 mutations are associated with cerebral cavernous malformation (CCM), a disease affecting 0.1-0.5% of the human population. CCM3 (PDCD10, TFAR15) is thought to form a CCM complex with CCM1 and CCM2; however, the molecular basis for these interactions is not known. We have determined the 2.5 {angstrom} crystal structure of CCM3. This structure shows an all {alpha}-helical protein containing two domains, an N-terminal dimerization domain with a fold not previously observed, and a C-terminal focal adhesion targeting (FAT)-homology domain. We show that CCM3 binds CCM2 via this FAT-homology domain and that mutation of a highly conserved FAK-like hydrophobic pocket (HP1) abrogates CCM3-CCM2 interaction. This CCM3 FAT-homology domain also interacts with paxillin LD motifs using the same surface, and partial CCM3 co-localization with paxillin in cells is lost on HP1 mutation. Disease-related CCM3 truncations affect the FAT-homology domain suggesting a role for the FAT-homology domain in the etiology of CCM.

  10. Female urethral cavernous hemangioma - An unusual cause of hematuria: A rare case report

    Directory of Open Access Journals (Sweden)

    Shivraj N Kanthikar

    2015-01-01

    Full Text Available Hemangiomas are benign vascular lesion, most commonly seen in liver and skin whereas rarely found in genitourinary system. Urethral hemangiomas are mostly found in males. To the best of our knowledge, in females only handful of case reports has been described in the literature. We report a case of urethral hemangioma in a 28-year-old female presented with history of intermittent hematuria. Cystourethroscopy examination revealed vascular mass of 2 cm Χ 2 cm at anterior urethral meatus. Surgical excision of mass with fulguration of base with diathermy was performed under general anesthesia. Final diagnosis on histopathology was given as cavernous type of urethral hemangioma. In spite of its benign nature, these lesions have a tendency to recur. In more extensive lesions or recurrence, open exploration with resection of involved tissue is always needed. Treatment of hemangiomas depends on size and site of the lesion and follow-up is needed to avoid recurrence. Histomorphological diagnosis of the lesion is always warranted in view of different treatment modalities.

  11. Quantitative analysis of anatomical relationship between cavernous segment internal carotid artery and pituitary macroadenoma

    Science.gov (United States)

    Lin, Bon-Jour; Chung, Tzu-Tsao; Lin, Meng-Chi; Lin, Chin; Hueng, Dueng-Yuan; Chen, Yuan-Hao; Hsia, Chung-Ching; Ju, Da-Tong; Ma, Hsin-I; Liu, Ming-Ying; Tang, Chi-Tun

    2016-01-01

    Abstract Cavernous segment internal carotid artery (CSICA) injury during endoscopic transsphenoidal surgery for pituitary tumor is rare but fatal. The aim of this study is to investigate anatomical relationship between pituitary macroadenoma and corresponding CSICA using quantitative means with a sense to improve safety of surgery. In this retrospective study, a total of 98 patients with nonfunctioning pituitary macroadenomas undergoing endoscopic transsphenoidal surgeries were enrolled from 2005 to 2014. Intercarotid distances between bilateral CSICAs were measured in the 4 coronal levels, namely optic strut, convexity of carotid prominence, median sella turcica, and dorsum sellae. Parasellar extension was graded and recorded by Knosp–Steiner classification. Our findings indicated a linear relationship between size of pituitary macroadenoma and intercarotid distance over CSICA. The correlation was absent in pituitary macroadenoma with Knosp–Steiner grade 4 parasellar extension. Bigger pituitary macroadenoma makes more lateral deviation of CSICA. While facing larger tumor, sufficient bony graft is indicated for increasing surgical field, working area and operative safety. PMID:27741111

  12. Discovery Mondays: 'The civil engineering genius of the 100-metre deep underground caverns'

    CERN Multimedia

    2004-01-01

    CERN is first and foremost a place where physicists study particle collisions. But to be able to observe the infinitely small, they need huge pieces of equipment, the accelerators and detectors, whose construction, some 100 metres below the earth's surface calls on the services of other fascinating disciplines. Take civil engineering, for example. For the construction of the LHC some 420 000 cubic metres of rock have had to be excavated for the 6500 metres of tunnel, 6 new shafts and 32 underground chambers and caverns. To avoid disrupting other experiments in progress, the work on these exceptional structures has had to be done without creating vibrations. The ATLAS experiment hall, a huge cathedral-like structure 100 metres below ground, is another mind-blowing feat of civil engineering. Its construction involved the use of ground-breaking technology, such as the system for suspending the ceiling put in place during the excavation work. At the next Discovery Monday, the specialists responsible for...

  13. Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature

    Science.gov (United States)

    Giotakis, A.; Kral, F.; Riechelmann, H.; Freund, M.

    2015-01-01

    We report a case of a 90-year-old patient with intractable posterior epistaxis presenting as the only symptom of a nontraumatic low-flow carotid-cavernous sinus fistula. Purpose of this case report is to introduce low-flow carotid-cavernous sinus fistula in the differential diagnosis of intractable posterior epistaxis. We provide a literature review for the sequence of actions for the confrontation of posterior epistaxis. We also emphasize the significance of the radiological diagnostic and therapeutic procedures in the management of posterior epistaxis due to pathology of the cavernous sinus. The gold-standard diagnostic procedure of carotid-cavernous sinus fistula is digital subtraction angiography (DSA). DSA with coils is also the state-of-the-art therapy. By failure of DSA, neurosurgery or stereotactic radiosurgery (SRS) may be used as alternatives. SRS may also be used as enhancement procedure of the DSA. Considering the prognosis of a successfully closed carotid-cavernous sinus fistula, recanalization occurs only in a minority of patients. Close follow-up is advised. PMID:26839726

  14. Comparison of relaxation responses of cavernous and trigonal smooth muscles from rabbits by alpha1-adrenoceptor antagonists; prazosin, terazosin, doxazosin, and tamsulosin.

    Science.gov (United States)

    Seo, K. K.; Lee, M. Y.; Lim, S. W.; Kim, S. C.

    1999-01-01

    Alpha1a-adrenergic receptor (AR) primarily mediates the contraction of the prostatic and cavernous smooth muscles. Among clinically available alpha1-AR antagonists for the medical management of benign prostatic hyperplasia (BPH), tamsulosin has a modest selectivity for alpha1A- and alpha1D- over alpha1B-ARs. To compare the effects of various alpha1-AR antagonists on relaxation responses of cavernous and trigonal smooth muscles, isometric tension studies with relatively selective (tamsulosin) and non-selective (prazosin, doxazosin, and terazosin) alpha1A-AR antagonists, were conducted in the cavernous and trigonal muscle strips of rabbits (n=10 each). Tamsulosin had the strongest inhibitory effect on contraction of trigonal smooth muscle among the various alpha1-AR antagonists, and the inhibitory activities of prazosin, doxazosin, and terazosin were not statistically different. All alpha1-AR antagonists caused concentration-dependent relaxation of the cavernous muscle strips. Tamsulosin was shown to have greater potency than prazosin (more than 100-fold), doxazosin (more than 1000-fold), and terazosin (more than 1000-fold), in relaxation of cavernous smooth muscle. In conclusion, tamsulosin might be the most effective drug among the four commonly used alpha1-AR antagonists for the medical management of BPH. Tamsulosin might be a potential substitute for phentolamine in combination with vasoactive agents as an intracavernous injection therapy for patients with erectile dysfunction. PMID:10102527

  15. Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature

    Directory of Open Access Journals (Sweden)

    A. Giotakis

    2015-01-01

    Full Text Available We report a case of a 90-year-old patient with intractable posterior epistaxis presenting as the only symptom of a nontraumatic low-flow carotid-cavernous sinus fistula. Purpose of this case report is to introduce low-flow carotid-cavernous sinus fistula in the differential diagnosis of intractable posterior epistaxis. We provide a literature review for the sequence of actions for the confrontation of posterior epistaxis. We also emphasize the significance of the radiological diagnostic and therapeutic procedures in the management of posterior epistaxis due to pathology of the cavernous sinus. The gold-standard diagnostic procedure of carotid-cavernous sinus fistula is digital subtraction angiography (DSA. DSA with coils is also the state-of-the-art therapy. By failure of DSA, neurosurgery or stereotactic radiosurgery (SRS may be used as alternatives. SRS may also be used as enhancement procedure of the DSA. Considering the prognosis of a successfully closed carotid-cavernous sinus fistula, recanalization occurs only in a minority of patients. Close follow-up is advised.

  16. Practical experience with the gas lift method during the gas first fill in the Etzel cavern field and further possible applications; Praktische Erfahrungen mit dem Gasliftverfahren bei der Gaserstbefuellung im Kavernenfeld Etzel und weitere Einsatzmoeglichkeiten

    Energy Technology Data Exchange (ETDEWEB)

    Bernhardt, H.; Boor, S. [KBB UT, Hannover (Germany); Reekers, C. [IVG Caverns GmbH, Bonn (Germany)

    2011-11-15

    The further development of the Etzel cavern field by IVG Caverns GmbH involves converting crude oil caverns to natural gas storage caverns. The planning and technical supervision of the conversion project is managed by KBB Underground Technologies GmbH. The large heights of the oil caverns meant that the brine-filled caverns could not be completely filled with natural gas in the conventional way i. e. injecting natural gas to displace the brine. This is because the maximum permissible gas injection pressure has to be exceeded when the gas / brine interface drops beyond a certain depth. The maximum permissible gas pressure is primarily determined by the depth of the last cemented casing shoe and limits the gas pressure that can be safely used during brine displacement. In the case presented here, the limit meant that the brine could not be removed from the lower part of the cavern using conventional means, which would have left valuable cavern volume unutilised. (orig.)

  17. 内镜经鼻海绵窦病变活检术%Endoscopic transnal biopsy for diagnosis of cavernous sinus lesions

    Institute of Scientific and Technical Information of China (English)

    刘海生; 张秋航; 陈国强; 王世杰; 左焕琮

    2009-01-01

    Objective To study the surgical technique of endoscopic transnasal biopsy for the diagnosis of cavernous sinus lesions.Methods Ten patients with cavernous sinus lesions were diagnosed by endoscopic transnasal biopsy.Retrospectively the clinical data of 10 patients were reviewed.Results The accuracy of diagnosis with this technique WSS 100%.Postoperative results included:5 patients with malignant tumors received radiotherapy,1 pauent with meningioma underwent yknife treatment,and 1 patient received antifungal therapy.2 patients with benign lesion and 1 patient underwent local radiotherapy were followed.Postoperative complications included:one patient with internal carotid artery injury was treated by interventional ballon occlusion and one with transient eerebrospinal leakage.Conclusion Endoscopic transrmsal biopsy is an effective.safe and mini-invssive approach for the diagnosis of cavernous sinus lesions.

  18. SU-E-I-91: Quantitative Assessment of Early Hepatocellular Carcinoma and Cavernous Hemangioma of Live Using In-Line Phase-Contrast X-Ray Imaging

    Energy Technology Data Exchange (ETDEWEB)

    Duan, J [Department of Radiation Oncology, Shandong Tumor Hospital, Jinan (China)

    2015-06-15

    Purpose: To investigate the potential utility of in-line phase-contrast imaging (ILPCI) technique with synchrotron radiation in detecting early hepatocellular carcinoma and cavernous hemangioma of live using in vitro model system. Methods: Without contrast agents, three typical early hepatocellular carcinoma specimens and three typical cavernous hemangioma of live specimens were imaged using ILPCI. To quantitatively discriminate early hepatocellular carcinoma tissues and cavernous hemangioma tissues, the projection images texture feature based on gray level co-occurrence matrix (GLCM) were extracted. The texture parameters of energy, inertia, entropy, correlation, sum average, sum entropy, difference average, difference entropy and inverse difference moment, were obtained respectively. Results: In the ILPCI planar images of early hepatocellular carcinoma specimens, vessel trees were clearly visualized on the micrometer scale. Obvious distortion deformation was presented, and the vessel mostly appeared as a ‘dry stick’. Liver textures appeared not regularly. In the ILPCI planar images of cavernous hemangioma of live specimens, typical vessels had not been found compared with the early hepatocellular carcinoma planar images. The planar images of cavernous hemangioma of live specimens clearly displayed the dilated hepatic sinusoids with the diameter of less than 100 microns, but all of them were overlapped with each other. The texture parameters of energy, inertia, entropy, correlation, sum average, sum entropy, and difference average, showed a statistically significant between the two types specimens image (P<0.01), except the texture parameters of difference entropy and inverse difference moment(P>0.01). Conclusion: The results indicate that there are obvious changes in morphological levels including vessel structures and liver textures. The study proves that this imaging technique has a potential value in evaluating early hepatocellular carcinoma and cavernous

  19. Modeling of coupled thermodynamic and geomechanical performance of underground compressed air energy storage (CAES) in lined rock caverns

    Energy Technology Data Exchange (ETDEWEB)

    Rutqvist, J.; Kim, H. -M.; Ryu, D. -W.; Synn, J. -H.; Song, W. -K.

    2012-02-01

    We applied coupled nonisothermal, multiphase fluid flow and geomechanical numerical modeling to study the coupled thermodynamic and geomechanical performance of underground compressed air energy storage (CAES) in concrete-lined rock caverns. The paper focuses on CAES in lined caverns at relatively shallow depth (e.g., 100 m depth) in which a typical CAES operational pressure of 5 to 8 MPa is significantly higher than both ambient fluid pressure and in situ stress. We simulated a storage operation that included cyclic compression and decompression of air in the cavern, and investigated how pressure, temperature and stress evolve over several months of operation. We analyzed two different lining options, both with a 50 cm thick low permeability concrete lining, but in one case with an internal synthetic seal such as steel or rubber. For our simulated CAES system, the thermodynamic analysis showed that 96.7% of the energy injected during compression could be recovered during subsequent decompression, while 3.3% of the energy was lost by heat conduction to the surrounding media. Our geomechanical analysis showed that tensile effective stresses as high as 8 MPa could develop in the lining as a result of the air pressure exerted on the inner surface of the lining, whereas thermal stresses were relatively smaller and compressive. With the option of an internal synthetic seal, the maximum effective tensile stress was reduced from 8 to 5 MPa, but was still in substantial tension. We performed one simulation in which the tensile tangential stresses resulted in radial cracks and air leakage though the lining. This air leakage, however, was minor (about 0.16% of the air mass loss from one daily compression) in terms of CAES operational efficiency, and did not significantly impact the overall energy balance of the system. However, despite being minor in terms of energy balance, the air leakage resulted in a distinct pressure increase in the surrounding rock that could be

  20. [Treatment of carotid-cavernous fistula using a detachable balloon catheter--a case report and review].

    Science.gov (United States)

    Chono, Y; Abe, H; Sasaki, H; Abe, S; Takei, H; Koiwa, M; Saito, H

    1983-01-01

    A case of post-traumatic carotid cavernous fistula, successfully treated by a detachable balloon catheter, is reported. A 55-year-old housewife was admitted to the author's department on 25th August, 1980. Three months prior to admission, she complained of right tinnitus following a traffic accident and then developed right chemosis and exophthalmus. A selective right internal carotid angiography revealed rapid filling of the carotid cavernous fistula. Under general anesthesia, the patient was treated by the maneuver after Debrun. Since it appeared necessary to employ the second balloon, the first one was released gently being inflated only with the contrast medium. During the procedure, the neck of the balloon was incidentally snapped upward and, then, the fistula was eventually occluded preserving the carotid flow as was verified by a control angiography. The bruit was abolished immediately after the procedure and all ocular symptoms disappeared during the following a few weeks. A skull film showed a deflation of the balloon at 4 weeks postoperatively, but clinical and angiographic follow-up examinations at 9 months thereafter revealed no signs or symptoms of recurrence. This Debrun's procedure is being widely accepted for a carotid cavernous fistula as a relatively simpler, safer, and more effective one comparing with the conventional methods. Our experiment on dogs, however, indicated that rupture of the balloon is not always avoidable even with a smaller volume than its maximum capacity and some resistance was felt during introduction of the co-axial catheter. Thus, it appeared mandatory to improve and quality control the balloon and the catheter. In the case presented here, a follow-up angiography showed no recurrence of the fistula except for an asymptomatic pseud-aneurysmal pouch, even though the balloon was inflated only with the contrast medium and was deflated within 4 weeks. These findings suggest possibility of successful, and long-lasting outcome

  1. Direct traumatic carotid cavernous fistula: angiographic classification and treatment strategies. Study of 172 cases.

    Science.gov (United States)

    Chi, Cuong Tran; Nguyen, Dang; Duc, Vo Tan; Chau, Huynh Hong; Son, Vo Tan

    2014-01-01

    We report our experience in treatment of traumatic direct carotid cavernous fistula (CCF) via endovascular intervention. We hereof recommend an additional classification system for type A CCF and suggest respective treatment strategies. Only type A CCF patients (Barrow's classification) would be recruited for the study. Based on the angiographic characteristics of the CCF, we classified type A CCF into three subtypes including small size, medium size and large size fistula depending on whether there was presence of the anterior carotid artery (ACA) and/or middle carotid artery (MCA). Angiograms with opacification of both ACA and MCA were categorized as small size fistula. Angiograms with opacification of either ACA or MCA were categorized as medium size fistula and those without opacification of neither ACA nor MCA were classified as large size fiatula. After the confirm angiogram, endovascular embolization would be performed impromptu using detachable balloon, coils or both. All cases were followed up for complication and effect after the embolization. A total of 172 direct traumatic CCF patients were enrolled. The small size fistula was accountant for 12.8% (22 cases), medium size 35.5% (61 cases) and large size fistula accountant for 51.7% (89 cases). The successful rate of fistula occlusion under endovascular embolization was 94% with preservation of the carotid artery in 70%. For the treatment of each subtype, a total of 21/22 cases of the small size fistulas were successfully treated using coils alone. The other single case of small fistula was defaulted. Most of the medium and large size fistulas were cured using detachable balloons. When the fistula sealing could not be obtained using detachable balloon, coils were added to affirm the embolization of the cavernous sinus via venous access. There were about 2.9% of patient experienced direct carotid artery puncture and 0.6% puncture after carotid artery cut-down exposure. About 30% of cases experienced

  2. Microsurgical resectability, outcomes, and tumor control in meningiomas occupying the cavernous sinus.

    Science.gov (United States)

    Nanda, Anil; Thakur, Jai Deep; Sonig, Ashish; Missios, Symeon

    2016-08-01

    OBJECTIVE Cavernous sinus meningiomas (CSMs) represent a cohort of challenging skull base tumors. Proper management requires achieving a balance between optimal resection, restoration of cranial nerve (CN) function, and maintaining or improving quality of life. The objective of this study was to assess the pre-, intra-, and postoperative factors related to clinical and neurological outcomes, morbidity, mortality, and tumor control in patients with CSM. METHODS A retrospective review of a single surgeon's experience with microsurgical removal of CSM in 65 patients between January 1996 and August 2013 was done. Sekhar's classification, modified Kobayashi grading, and the Karnofsky Performance Scale were used to define tumor extension, tumor removal, and clinical outcomes, respectively. RESULTS Preoperative CN dysfunction was evident in 64.6% of patients. CN II deficits were most common. The greatest improvement was seen for CN V deficits, whereas CN II and CN IV deficits showed the smallest degree of recovery. Complete resection was achieved in 41.5% of cases and was not significantly associated with functional CN recovery. Internal carotid artery encasement significantly limited the complete microscopic resection of CSM (p < 0.0001). Overall, 18.5% of patients showed symptomatic recurrence after their initial surgery (mean follow-up 60.8 months [range 3-199 months]). The use of adjuvant stereotactic radiosurgery (SRS) after microsurgery independently decreased the recurrence rate (p = 0.009; OR 0.036; 95% CI 0.003-0.430). CONCLUSIONS Modified Kobayashi tumor resection (Grades I-IIIB) was possible in 41.5% of patients. CN recovery and tumor control were independent of extent of tumor removal. The combination of resection and adjuvant SRS can achieve excellent tumor control. Furthermore, the use of adjuvant SRS independently decreases the recurrence rates of CSM.

  3. Vascular permeability and iron deposition biomarkers in longitudinal follow-up of cerebral cavernous malformations.

    Science.gov (United States)

    Girard, Romuald; Fam, Maged D; Zeineddine, Hussein A; Tan, Huan; Mikati, Abdul Ghani; Shi, Changbin; Jesselson, Michael; Shenkar, Robert; Wu, Meijing; Cao, Ying; Hobson, Nicholas; Larsson, Henrik B W; Christoforidis, Gregory A; Awad, Issam A

    2016-08-05

    OBJECTIVE Vascular permeability and iron leakage are central features of cerebral cavernous malformation (CCM) pathogenesis. The authors aimed to correlate prospective clinical behavior of CCM lesions with longitudinal changes in biomarkers of dynamic contrast-enhanced quantitative permeability (DCEQP) and quantitative susceptibility mapping (QSM) assessed by MRI. METHODS Forty-six patients with CCMs underwent 2 or more permeability and/or susceptibility studies in conjunction with baseline and follow-up imaging and clinical surveillance during a mean 12.05 months of follow-up (range 2.4-31.27 months). Based on clinical and imaging features, cases/lesions were classified as stable, unstable, or recovering. Associated and predictive changes in quantitative permeability and susceptibility were investigated. RESULTS Lesional mean permeability and QSM values were not significantly different in stable versus unstable lesions at baseline. Mean lesional permeability in unstable CCMs with lesional bleeding or growth increased significantly (+85.9% change; p = 0.005), while mean permeability in stable and recovering lesions did not significantly change. Mean lesional QSM values significantly increased in unstable lesions (+44.1% change; p = 0.01), decreased slightly with statistical significance in stable lesions (-3.2% change; p = 0.003), and did not significantly change in recovering lesions. Familial cases developing new lesions during the follow-up period showed a higher background brain permeability at baseline (p = 0.001), as well as higher regional permeability (p = 0.003) in the area that would later develop a new lesion as compared with the homologous contralateral brain region. CONCLUSIONS In vivo assessment of vascular permeability and iron deposition on MRI can serve as objective and quantifiable biomarkers of disease activity in CCMs. This may be applied in natural history studies and may help calibrate clinical trials. The 2 techniques are likely applicable in

  4. Cerebral cavernous malformations arise from endothelial gain of MEKK3-KLF2/4 signalling.

    Science.gov (United States)

    Zhou, Zinan; Tang, Alan T; Wong, Weng-Yew; Bamezai, Sharika; Goddard, Lauren M; Shenkar, Robert; Zhou, Su; Yang, Jisheng; Wright, Alexander C; Foley, Matthew; Arthur, J Simon C; Whitehead, Kevin J; Awad, Issam A; Li, Dean Y; Zheng, Xiangjian; Kahn, Mark L

    2016-04-07

    Cerebral cavernous malformations (CCMs) are common inherited and sporadic vascular malformations that cause strokes and seizures in younger individuals. CCMs arise from endothelial cell loss of KRIT1, CCM2 or PDCD10, non-homologous proteins that form an adaptor complex. How disruption of the CCM complex results in disease remains controversial, with numerous signalling pathways (including Rho, SMAD and Wnt/β-catenin) and processes such as endothelial-mesenchymal transition (EndMT) proposed to have causal roles. CCM2 binds to MEKK3 (refs 7, 8, 9, 10, 11), and we have recently shown that CCM complex regulation of MEKK3 is essential during vertebrate heart development. Here we investigate this mechanism in CCM disease pathogenesis. Using a neonatal mouse model of CCM disease, we show that expression of the MEKK3 target genes Klf2 and Klf4, as well as Rho and ADAMTS protease activity, are increased in the endothelial cells of early CCM lesions. By contrast, we find no evidence of EndMT or increased SMAD or Wnt signalling during early CCM formation. Endothelial-specific loss of Map3k3 (also known as Mekk3), Klf2 or Klf4 markedly prevents lesion formation, reverses the increase in Rho activity, and rescues lethality. Consistent with these findings in mice, we show that endothelial expression of KLF2 and KLF4 is increased in human familial and sporadic CCM lesions, and that a disease-causing human CCM2 mutation abrogates the MEKK3 interaction without affecting CCM complex formation. These studies identify gain of MEKK3 signalling and KLF2/4 function as causal mechanisms for CCM pathogenesis that may be targeted to develop new CCM therapeutics.

  5. Cerebral cavernous malformations arise from endothelial gain of MEKK3-KLF2/4 signaling

    Science.gov (United States)

    Zhou, Zinan; Tang, Alan T.; Wong, Weng-Yew; Bamezai, Sharika; Goddard, Lauren M.; Shenkar, Robert; Zhou, Su; Yang, Jisheng; Wright, Alexander C.; Foley, Matthew; Arthur, J. Simon C.; Whitehead, Kevin J.; Awad, Issam A.; Li, Dean Y.; Zheng, Xiangjian; Kahn, Mark L.

    2016-01-01

    Cerebral cavernous malformations (CCMs) are common inherited and sporadic vascular malformations that cause stroke and seizures in younger individuals1. CCMs arise from endothelial cell loss of KRIT1, CCM2, or PDCD10, non-homologous proteins that form an adaptor complex2. How disruption of the CCM complex results in disease remains controversial, with numerous signaling pathways (including Rho3,4, SMAD5 and Wnt/β-catenin6) and processes such as endothelial-mesenchymal transition (EndMT)5 proposed to play causal roles. CCM2 binds MEKK37–11, and we have recently demonstrated that CCM complex regulation of MEKK3 is essential during vertebrate heart development12. Here, we investigate this mechanism in CCM disease pathogenesis. Using a neonatal mouse model of CCM disease, we find that expression of the MEKK3 target genes KLF2 and KLF4, as well as Rho and ADAMTS protease activity, are increased in the endothelial cells of early CCM lesions. In contrast, we find no evidence of EndMT or increased SMAD or Wnt signaling during early CCM formation. Endothelial-specific loss of Mekk3, Klf2, or Klf4 dramatically prevents lesion formation, reverses the increase in Rho activity, and rescues lethality. Consistent with these findings in mice, we demonstrate that endothelial expression of KLF2 and KLF4 is elevated in human familial and sporadic CCM lesions, and that a disease-causing human CCM2 mutation abrogates MEKK3 interaction without affecting CCM complex formation. These studies identify gain of MEKK3 signaling and KLF2/4 function as causal mechanisms for CCM pathogenesis that may be targeted to develop new CCM therapeutics. PMID:27027284

  6. B-Cell Depletion Reduces the Maturation of Cerebral Cavernous Malformations in Murine Models.

    Science.gov (United States)

    Shi, Changbin; Shenkar, Robert; Zeineddine, Hussein A; Girard, Romuald; Fam, Maged D; Austin, Cecilia; Moore, Thomas; Lightle, Rhonda; Zhang, Lingjiao; Wu, Meijing; Cao, Ying; Gunel, Murat; Louvi, Angeliki; Rorrer, Autumn; Gallione, Carol; Marchuk, Douglas A; Awad, Issam A

    2016-06-01

    Cerebral cavernous malformations (CCMs) are relatively common vascular malformations, characterized by increased Rho kinase (ROCK) activity, vascular hyper-permeability and the presence of blood degradation products including non-heme iron. Previous studies revealed robust inflammatory cell infiltration, selective synthesis of IgG, in situ antigen driven B-cell clonal expansion, and deposition of immune complexes and complement proteins within CCM lesions. We aimed to evaluate the impact of suppressing the immune response on the formation and maturation of CCM lesions, as well as lesional iron deposition and ROCK activity. Two murine models of heterozygous Ccm3 (Pdcd10), which spontaneously develop CCM lesions with severe and milder phenotypes, were either untreated or received anti-mouse BR3 to deplete B cells. Brains from anti-mouse BR3-treated mice exhibited significantly fewer mature CCM lesions and smaller lesions compared to untreated mice. B cell depletion halted the progression of lesions into mature stage 2 lesions but did not prevent their genesis. Non-heme iron deposition and ROCK activity was decreased in lesions of B cell depleted mice. This represents the first report of the therapeutic benefit of B-cell depletion in the development and progression of CCMs, and provides a proof of principle that B cells play a critical role in CCM lesion genesis and maturation. These findings add biologics to the list of potential therapeutic agents for CCM disease. Future studies would characterize the putative antigenic trigger and further define the mechanism of immune response in the lesions.

  7. Cranial Nerve Dysfunction Associated with Cavernous Dural Arteriovenous Fistulas After Transvenous Embolization with Onyx

    Energy Technology Data Exchange (ETDEWEB)

    Li, Chuanhui; Wang, Yang; Li, Youxiang; Jiang, Chuhan; Wu, Zhongxue; Yang, Xinjian, E-mail: yang-xj@163.net [Capital Medical University, Beijing Neurosurgical Institute and Beijing Tiantan Hospital (China)

    2015-10-15

    PurposeCranial nerve dysfunction (CND) is not uncommon in patients with cavernous dural arteriovenous fistulas (cDAVFs), and may represent an initial manifestation or a complication after endovascular treatment. This study evaluated the outcome of CND associated with cDAVFs after transvenous embolization (TVE) using Onyx.Materials and MethodsForty-one patients with cDAVFs were treated with TVE in our department between April 2009 and October 2013. For each patient, clinical and radiologic records were retrospectively reviewed and evaluated, with an emphasis placed on evaluating the outcomes of the pre-existing cDAVF-induced CND and the TVE-induced CND.ResultsOf the 41 cases, 25 had a history of preoperative CND. Postoperatively, gradual remission to complete recovery (CR) within 8 months was observed in 17 of these cases, transient aggravation in 7, and significant improvement to be better than preoperative function but no CR in 1. All aggravation of CND occurred immediately or within 1 day after TVE and resolved completely within 5 months. Nine patients developed new CND after TVE. New CND occurred during the perioperative period in 8 cases, but all cases resolved completely within 15 days–6 months. Delayed CND was observed in 3 cases with a time lag of 3–25 months after TVE. Two of these completely resolved within 20 days–1 month and the remaining case significantly improved.ConclusionBoth the pre-existing cDAVF-induced CND and the TVE-induced new or aggravated CND completely resolved in almost all cases after embolization with Onyx.

  8. Bacteria, fungi and biokarst in Lechuguilla Cave, Carlsbad Caverns National Park, New Mexico

    Science.gov (United States)

    Cunningham, K. I.; Northup, D. E.; Pollastro, R. M.; Wright, W. G.; Larock, E. J.

    1995-02-01

    Lechuguilla Cave is a deep, extensive, gypsumand sulfur-bearing hypogenic cave in Carlsbad Caverns National Park, New Mexico, most of which (>90%) lies more than 300 m beneath the entrance. Located in the arid Guadalupe Mountains, Lechuguilla's remarkable state of preservation is partially due to the locally continuous Yates Formation siltstone that has effectively diverted most vadose water away from the cave. Allocthonous organic input to the cave is therefore very limited, but bacterial and fungal colonization is relatively extensive: (1) Aspergillus sp. fungi and unidentified bacteria are associated with iron-, manganese-, and sulfur-rich encrustations on calcitic folia near the suspected water table 466 m below the entrance; (2) 92 species of fungi in 19 genera have been identified throughout the cave in oligotrophic (nutrient-poor) “soils” and pools; (3) cave-air condensate contains unidentified microbes; (4) indigenous chemoheterotrophic Seliberius and Caulobacter bacteria are known from remote pool sites; and (5) at least four genera of heterotrophic bacteria with population densities near 5×105 colony-forming units (CFU) per gram are present in ceiling-bound deposits of supposedly abiogenic condensation-corrosion residues. Various lines of evidence suggest that autotrophic bacteria are present in the ceiling-bound residues and could act as primary producers in a unique subterranean microbial food chain. The suspected autotrophic bacteria are probably chemolithoautotrophic (CLA), utilizing trace iron, manganese, or sulfur in the limestone and dolomitic bedrock to mechanically (and possibly biochemically) erode the substrate to produce residual floor deposits. Because other major sources of organic matter have not been detected, we suggest that these CLA bacteria are providing requisite organic matter to the known heterotrophic bacteria and fungi in the residues. The cavewide bacterial and fungal distribution, the large volumes of corrosion residues

  9. Culturable microbial diversity and the impact of tourism in Kartchner Caverns, Arizona.

    Science.gov (United States)

    Ikner, Luisa A; Toomey, Rickard S; Nolan, Ginger; Neilson, Julia W; Pryor, Barry M; Maier, Raina M

    2007-01-01

    Kartchner Caverns in Benson, AZ, was opened for tourism in 1999 after a careful development protocol that was designed to maintain predevelopment conditions. As a part of an ongoing effort to determine the impact of humans on this limestone cave, samples were collected from cave rock surfaces along the cave trail traveled daily by tour groups (200,000 visitors year-1) and compared to samples taken from areas designated as having medium (30-40 visitors year-1) and low (2-3 visitors year-1) levels of human exposure. Samples were also taken from fiberglass moldings installed during cave development. Culturable bacteria were recovered from these samples and 90 unique isolates were identified by using 16S rRNA polymerase chain reaction and sequencing. Diversity generally decreased as human impact increased leading to the isolation of 32, 27, and 22 strains from the low, medium, and high impact areas, respectively. The degree of human impact was also reflected in the phylogeny of the isolates recovered. Although most isolates fell into one of three phyla: Actinobacteria, Firmicutes, or Proteobacteria, the Proteobacteria were most abundant along the cave trail (77% of the isolates), while Firmicutes predominated in the low (66%) and medium (52%) impact areas. Although the abundance of Proteobacteria along the cave trail seems to include microbes of environmental rather than of anthropogenic origin, it is likely that their presence is a consequence of increased organic matter availability due to lint and other organics brought in by cave visitors. Monitoring of the cave is still in progress to determine whether these bacterial community changes may impact the future development of cave formations.

  10. Long-Term Outcomes of Stereotactic Radiosurgery for Treatment of Cavernous Sinus Meningiomas

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Marcos Antonio dos, E-mail: marcosrxt@gmail.com [Radiotherapy Department, Instituto Madrileno de Oncologia/Grupo IMO, Madrid (Spain); Bustos Perez de Salcedo, Jose; Gutierrez Diaz, Jose Angel [Radiotherapy Department, Instituto Madrileno de Oncologia/Grupo IMO, Madrid (Spain); Neurosurgery Department, Sanatorio San Francisco de Asis, Madrid (Spain); Calvo, Felipe A. [Radiotherapy Department, Instituto Madrileno de Oncologia/Grupo IMO, Madrid (Spain); Department of Oncology, Hospital General Universitario Gregorio Maranon, Madrid (Spain); Samblas, Jose [Radiotherapy Department, Instituto Madrileno de Oncologia/Grupo IMO, Madrid (Spain); Neurosurgery Department, Sanatorio San Francisco de Asis, Madrid (Spain); Marsiglia, Hugo [Radiotherapy Department, Instituto Madrileno de Oncologia/Grupo IMO, Madrid (Spain); Sallabanda, Kita [Radiotherapy Department, Instituto Madrileno de Oncologia/Grupo IMO, Madrid (Spain); Neurosurgery Department, Sanatorio San Francisco de Asis, Madrid (Spain)

    2011-12-01

    Purpose: Patients with cavernous sinus meningiomas (CSM) have an elevated risk of surgical morbidity and mortality. Recurrence is often observed after partial resection. Stereotactic radiosurgery (SRS), either alone or combined with surgery, represents an important advance in CSM management, but long-term results are lacking. Methods and Materials: A total of 88 CSM patients, treated from January 1991 to December 2005, were retrospectively reviewed. The mean follow-up was 86.8 months (range, 17.1-179.4 months). Among the patients, 22 were followed for more than 10 years. There was a female predominance (84.1%). The age varied from 16 to 90 years (mean, 51.6). In all, 47 patients (53.4%) received SRS alone, and 41 patients (46.6%) had undergone surgery before SRS. A dose of 14 Gy was prescribed to isodose curves from 50% to 90%. In 25 patients (28.4%), as a result of the proximity to organs at risk, the prescribed dose did not completely cover the target. Results: After SRS, 65 (73.8%) patients presented with tumor volume reduction; 14 (15.9%) remained stable, and 9 (10.2%) had tumor progression. The progression-free survival was 92.5% at 5 years, and 82.5% at 10 years. Age, sex, maximal diameter of the treated tumor, previous surgery, and complete target coverage did not show significant associations with prognosis. Among the 88 treated patients, 17 experienced morbidity that was related to SRS, and 6 of these patients spontaneously recovered. Conclusions: SRS is an effective and safe treatment for CSM, feasible either in the primary or the postsurgical setting. Incomplete coverage of the target did not worsen outcomes. More than 80% of the patients remained free of disease progression during long-term follow-up.

  11. Determination of hydraulic conductivity of fractured rock masses:A case study for a rock cavern project in Singapore

    Institute of Scientific and Technical Information of China (English)

    Zhipeng Xu; Zhiye Zhao; Jianping Sun; Ming Lu

    2015-01-01

    In order to reduce the risk associated with water seepage in an underground rock cavern project in Singapore, a reliable hydro-geological model should be established based on the in situ investigation data. The key challenging issue in the hydro-geological model building is how to integrate limited geological and hydro-geological data to determine the hydraulic conductivity of the fractured rock masses. Based on the data obtained from different stages (feasibility investigation stage, construction stage, and post-construction stage), suitable models and methods are proposed to determine the hy-draulic conductivities at different locations and depths, which will be used at other locations in the future.

  12. A New Type of Paper-frame Cavernous Material and Its Application in Energy Efficiency in Buildings

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    This paper introduces a new type of paper-frame cavernous material, which is a made-up hollow material, by using silicate-cinder size to drench and daub.It possesses excellent performances such as light-weight, high-intensity, fire-resistance, sound-insulation, heat-insulation and no-pollution. Composed with concrete materials, a new type of bearing and energy-efficient block can be gained, which is a kind of excellent wall materials and has a wide application prospect.

  13. Subsurface extensions of natural gas storage caverns Empelde. Technical challenges; Technische Herausforderungen bei der untertaegigen Erweiterung des Erdgas-Kavernenspeichers Empelde

    Energy Technology Data Exchange (ETDEWEB)

    Pawlitza, P.; Drewes, F. [GHG - Gasspeicher Hannover GmbH, Ronnenberg (Germany); Walden, S. [ESK GmbH (Germany)

    2013-11-15

    The gas cavern storage facility in Empelde came into operation with three caverns between the early and the middle nineteen-eighties and is subject to a surface and subsurface extension since 2004. The subsurface extension comprises the construction of two new caverns (K4 is operated since 2009, K5 in leaching process since 2010) and the leaching extension as well as repair works of both existing caverns K2 (since 2012 in gas operation again) and K1 (is being re-leached since the end of 2012). The volumetric extension process of cavern K2 took place in three steps: flooding, releaching, gas re-filling. The flooding with water through a 4 1/2'' tubing were implemented discontinuously alternating with phases of gas withdrawal through the annulus 4 1/2'' x 9 5/8'' in order to minimize the risk of hydrate formation. The length of the individual phases mainly depended on the gas demand/consumption of the storage users. Water injection has been made in a gas well-head pressure range above the hydrostatic pressure of the water column in order to keep it stable at any time and to keep the cavern pressure high. The cavern volume increased by 12% because of the flooding. For the re-leaching process the existing 9 5/8'' tubing was pulled out and the permanent packer was milled. By using leaching strings 6 5/8'' x 10 3/4'' a maximum leaching rate of 300 m{sup 3}/h was realized and within 10 months an additional volume of 212,500 m{sup 3} was created according to the evaluation of the leaching process. Due to the geological affected development of the cavern shape the 6 5/8'' leaching string had to be pulled from sump level to the middle of the cavern height. In the course of the repair process and the new completion of cavern K2 with considerable time consumption the lower 33 m of the 13 3/8'' casing were milled for integrity purposes and the packer with the 9 5/8'' welded tubing was

  14. COMPAC: Optimization of the energy storage in salt caverns. COMPAC: Optimalisatie van energie-opslag in zoutholten

    Energy Technology Data Exchange (ETDEWEB)

    Grupping, A.W.

    1991-12-01

    The NOVEM (Netherlands Agency for Energy and the Environment) studied large-scale energy storage in the Netherlands in the mid-eighties. Two variants of the BOPAC-concept (a system with two salt caverns in an underground salt formation) are discussed. One variant is called COMPAC (COMbination of a Pump-Accumulator Centre). In this system the circulation of the brine is used next to the circulation of natural gas to store energy. When the brine circulation does not run via the ground level, but is flushed into the salt, then the pressure drop in the brine circulation is zero. This storage system is called SUCCESS. Both systems are compared for different depths of the salt caverns. Pump-accumulation systems in underground salt formations with constant pressure are preferred to systems with constant volume. SUCCESS appears to be the most interesting system when it is combined with temporary storage of natural gas. COMPAC is preferred when using surface brine reservoirs in thick salt formations right beneath the surface level. 7 figs., 1 tab., 8 refs.

  15. Costs for off-site disposal of nonhazardous oil field wastes: Salt caverns versus other disposal methods

    Energy Technology Data Exchange (ETDEWEB)

    Veil, J.A.

    1997-09-01

    According to an American Petroleum Institute production waste survey reported on by P.G. Wakim in 1987 and 1988, the exploration and production segment of the US oil and gas industry generated more than 360 million barrels (bbl) of drilling wastes, more than 20 billion bbl of produced water, and nearly 12 million bbl of associated wastes in 1985. Current exploration and production activities are believed to be generating comparable quantities of these oil field wastes. Wakim estimates that 28% of drilling wastes, less than 2% of produced water, and 52% of associated wastes are disposed of in off-site commercial facilities. In recent years, interest in disposing of oil field wastes in solution-mined salt caverns has been growing. This report provides information on the availability of commercial disposal companies in oil-and gas-producing states, the treatment and disposal methods they employ, and the amounts they charge. It also compares cavern disposal costs with the costs of other forms of waste disposal.

  16. Dynamic subsidence prediction of ground surface above salt cavern gas storage considering the creep of rock salt

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    A new model is proposed to predict the dynamic subsidence of ground surface above salt cavern gas storage during the leaching and storage, which takes into account the creep of rock salt. In the model, the extended form of Gaussian curve is adopted to figure out the shape of subsidence areas. The corresponding theoretical formulas are derived. In addition, parameters are studied to investigate the surface subsidence as a function of the salt ejection rate, internal pressure, buried depth, diameter, height, running time, etc. Through an example, the subsidence of the salt cavern gas storage located at Jiangsu of China obtained by the new model was compared with those by Peter A F formula, Schober & Sroka formula and FLAC3D through simulation. The results showed the proposed model is precise and correct, and can meet the actual engineering demands. The surface subsidence is equidirectional with the increase of salt ejection rate, depth, diameter, height, and running time, but reverse to the increase of internal pressure. The depth, diameter, running time and internal pressure have great effects on the subsidence, whereas the salt ejection rate and height have little influences on it.

  17. Structural Stability Monitoring of a Physical Model Test on an Underground Cavern Group during Deep Excavations Using FBG Sensors

    Directory of Open Access Journals (Sweden)

    Yong Li

    2015-08-01

    Full Text Available Fiber Bragg Grating (FBG sensors are comprehensively recognized as a structural stability monitoring device for all kinds of geo-materials by either embedding into or bonding onto the structural entities. The physical model in geotechnical engineering, which could accurately simulate the construction processes and the effects on the stability of underground caverns on the basis of satisfying the similarity principles, is an actual physical entity. Using a physical model test of underground caverns in Shuangjiangkou Hydropower Station, FBG sensors were used to determine how to model the small displacements of some key monitoring points in the large-scale physical model during excavation. In the process of building the test specimen, it is most successful to embed FBG sensors in the physical model through making an opening and adding some quick-set silicon. The experimental results show that the FBG sensor has higher measuring accuracy than other conventional sensors like electrical resistance strain gages and extensometers. The experimental results are also in good agreement with the numerical simulation results. In conclusion, FBG sensors could effectively measure small displacements of monitoring points in the whole process of the physical model test. The experimental results reveal the deformation and failure characteristics of the surrounding rock mass and make some guidance for the in situ engineering construction.

  18. Neuroradiological diagnosis and interventional therapy of carotid cavernous fistulas; Neuroradiologische Diagnostik und interventionelle Therapie bei Carotis-cavernosus-Fisteln

    Energy Technology Data Exchange (ETDEWEB)

    Struffert, T.; Engelhorn, T.; Doelken, M.; Doerfler, A. [Universitaetsklinikum Erlangen, Abteilung fuer Neuroradiologie, Erlangen (Germany); Holbach, L. [Universitaetsklinikum Erlangen, Augenklinik, Erlangen (Germany)

    2008-12-15

    Carotid cavernous fistulas are pathologic connections between the internal and/or external carotid artery and the cavernous sinus. According to Barrow one can distinguish between direct (high flow) and indirect (low flow) fistulas, whereby direct fistulas are often traumatic while indirect fistulas more frequently occur spontaneously in postmenopausal women. Diagnosis can easily be established using MRI and angiography, which allow exact visualization of the anatomy of fistulas to plan the interventional neurological therapy that in recent years has replaced surgical therapy. This article provides an overview on imaging findings, diagnosis using MRI and angiography as well as interventional treatment strategies. (orig.) [German] Bei Carotis-cavernosus-Fisteln handelt es sich um pathologische Verbindungen zwischen der A. carotis interna und/oder externa und dem Sinus cavernosus. Nach Barrow kann zwischen direkten und indirekten Fisteln unterschieden werden. Direkte Fisteln sind oftmals traumatische Fisteln und zeigen ein hohes Shuntvolumen (''high flow''), waehrend indirekte Fisteln ein geringeres Shuntvolumen (''low flow'') zeigen und gehaeuft bei postmenopausalen Patientinnen spontan auftreten. Die neuroradiologische Diagnostik mit MRT und Angiographie erlaubt die Darstellung der genauen Gefaessarchitektur der Fistel und ist damit Grundlage der interventionellen neuroradiologischen Therapie, die in den letzten Jahren die chirurgische Therapie praktisch abgeloest hat. In diesem Beitrag werden die klinischen Befunde, die Diagnostik mittels MRT und Angiographie sowie interventionelle Strategien vorgestellt. (orig.)

  19. Neuromedin B Restores Erectile Function by Protecting the Cavernous Body and the Nitrergic Nerves from Injury in a Diabetic Rat Model.

    Directory of Open Access Journals (Sweden)

    Hiroaki Nishimatsu

    Full Text Available Erectile dysfunction (ED is a major health problem worldwide and affects approximately 75% of diabetic patients, likely due to severely damaged cavernous body. While screening for cytokines produced by adipose tissue-derived stem cells, we detected neuromedin B (NMB. To explore a potential treatment option for ED, we examined whether NMB was capable of restoring erectile function. We also examined the potential mechanism by which NMB could restore erectile function. Male Wistar rats were injected with streptozotocin (STZ to induce diabetes. An adenovirus expressing NMB (AdNMB was injected into the penis 6 weeks after STZ administration. Four weeks after the injection of AdNMB, erectile function, penile histology, and protein expression were analyzed. As assessed by the measurement of intracavernous pressure, AdNMB injection significantly restored erectile function compared with the injection of an adenovirus expressing green fluorescent protein. This restoration was associated with conservation of the cavernous body structure and neural nitric oxide synthase (nNOS-expressing nerves, together with recovery of α-smooth muscle actin, vascular endothelial-cadherin, and nNOS expression. Furthermore, NMB significantly stimulated the survival of SH-SY5Y cells derived from human neuroblastoma tissue with characteristics similar to neurons. Collectively, these results suggested that NMB restored erectile function via protection of the cavernous body from injury and stimulation of the survival of the associated nerves. NMB may be useful to treat ED patients with a severely damaged cavernous body.

  20. Transnasal endoscopic anatomy and approaches to the cavernous sinus%海绵窦的内镜解剖以及手术入路

    Institute of Scientific and Technical Information of China (English)

    刘剑锋; 曲秋懿; 杨大章; 韩军; 张秋航; Carl H.Snyderman; Juan C.Fernandez-Miranda; Paul A.Gardner

    2013-01-01

    目的 探讨内镜下海绵窦的解剖特点以及手术入路.方法 6例(12侧)新鲜尸头,有色硅胶灌注血管.行内镜经鼻-蝶入路和经筛-翼-蝶入路,完成蝶窦开放,蝶窦后壁切除,翼突部分切除和蝶窦外侧壁切除.充分暴露海绵窦及其周围结构.应用Stroz Image l高清系统采集图像.结果 颈内动脉海绵窦段穿行海绵窦将海绵窦分为5个部分,即内侧海绵窦、外侧海绵窦、海绵窦后上腔隙、海绵窦后下腔隙和海绵窦前下腔隙.海绵窦段颈内动脉的分支包括:脑膜垂体干、McConnell包膜动脉和下外侧干.颅神经Ⅲ、Ⅳ走行于海绵窦外侧壁的上部;颅神经Ⅴ1自Meckel腔向眶上裂斜行;颅神经Ⅵ自海绵窦后下腔隙底部从颈内动脉后膝部的内侧绕行到外侧,穿过海绵窦窦腔,向外上前至眶上裂.内镜经鼻海绵窦手术入路分为经蝶-鞍-内侧海绵窦入路(颈内动脉内侧入路)和经筛-翼-蝶-外侧海绵窦入路(颈内动脉外侧入路).前者可以暴露海绵窦段颈内动脉的内侧部,部分海绵窦后上、后下腔隙.后者可以暴露海绵窦前下腔隙、外侧海绵窦以及外侧壁的颅神经.结论 海绵窦的解剖非常复杂,颈内动脉以及颅神经Ⅲ、Ⅳ、Ⅴ1、Ⅵ穿行其内,与周同重要静脉窦相交通.熟悉掌握内镜下海绵窦解剖以及手术入路对于内镜下处理海绵窦以及海绵窦相关的病变有重要意义.%Objective The goal of the current study is to describe the transnasal endoscopic anatomy of the cavernous sinus and to provide the surgical approaches to this area.Methods Six siliconinjected adult cadaveric heads (12 sides) were dissected through endoscopic endonasal approach.The cavernous sinus and adjacent structures were exposed; detailed anatomies were demonstrated.High-quality pictures were produced.Results The cavernous sinus had four walls,namely medial,lateral,posterior and superior walls.Five venous spaces within the sinus

  1. Recompletion of gas filled caverns at underground storage facilities of Verbundnetz Gas AG; Umruestungen gasgefuellter Kavernen auf Untergrundspeichern der Verbundnetz Gas AG

    Energy Technology Data Exchange (ETDEWEB)

    Pischner, M.; Rehmer, K.P. [Untergrundspeicher- und Geotechnologie-Systeme GmbH, Mittenwalde (Germany); Arnold, C. [VNG Verbundnetz Gas AG, Leipzig (Germany)

    2007-11-15

    In 1991 the Verbundnetz Gas AG (VNG AG) has started to modernize outdated installations of the underground gas storage cavern near Bernburg and Bad Lauchstaedt (Germany). On 33 caverns, which were mostly leached during the 70s and 80s of the last century, the old wellheads have been replaced by new ones. In some cases even the production string has been replaced or a new head housing was installed. The reasons and technical suppositions for these measures will be explained. Most of the modifications have been made above gas filled caverns and have been safe despite of the high pressures. The packer-system developed by Untergrundspeicher- und Geotechnologie-Systeme GmbH (UGS GmbH) and VNG AG will be presented. Furthermore the technical procedures are grouped and described. Experiences and development over the years will be outlined. Working above gas filled caverns instead of flooding them before, allowed to reduce the total costs to less than one third. (orig.)

  2. Long-Term Outcome of Endonasal Transsphenoidal Approach for the Treatment of Pontine Cavernous Malformation: Case Report with 11 Years of Follow-Up.

    Science.gov (United States)

    Banczerowski, Péter; Czigléczki, Gábor; Gádor, Ildikó; Nyáry, István

    2016-05-01

    Ventromedial localized cavernous malformations in the pons pose a difficult problem because of their surgical access and the high risk of deleterious consequences due to damage of the surrounding tissues. We report an endonasal transsphenoidal approach for the treatment of ventromedial pontine cavernomas that also follows principles of optimal access known as the "two-point method" for the resection of cavernous malformations. A 31-year-old woman presented with sudden left hemiparesis, nausea, and headache. Radiologic findings demonstrated a ventral pontine cavernous malformation in the midline slightly extending to the right, together with signs of acute hemorrhage. Surgical intervention was performed, and the cavernoma was completely resected via a transnasal transsphenoidal approach. Cerebrospinal fluid (CSF) rhinorrhea that ensued postoperatively needed an additional reconstructive surgery using the same approach. No further CSF leakage was evident, and an 11-year follow-up examination revealed neither signs of neurologic deficit nor recurrence of the resected pontine cavernoma. The long-term outcome proves the effectiveness and safety of this novel surgical route in the treatment of ventromedial cavernous malformations in the pons.

  3. Inspection programme for checking the integrity of the production pipes of a gas storage cavern; Untersuchungsprogramm zur Ueberpruefung der Integritaet der Produktionsrohrtour einer Erdgasspeicherkaverne

    Energy Technology Data Exchange (ETDEWEB)

    Nickel, F. [Untergrundspeicher- und Geotechnologie-Systeme GmbH, Mittenwalde (Germany); Arnold, C. [VNG Verbundnetz Gas AG, Leipzig (Germany)

    2007-09-13

    In autumn 2005, a novelty project was initiated in a storage cavern of VNG - Verbundnetz Gas AG. The storage cavern had been operated for 25 years, and the piping had to be exchanged. Load tests and gas tightness tests were carried out. A pressure gradient was obtained for which there were no geomechanical reasons, i.e. there was no reliable information on the pressure resistance of the cover rock. In an extensive test programme carried out for the first time in a storage cavern, the integrity of the gas well was proved. High safety requirements were set during operations as all work had to be carried out above a gas-filled cavern. The complexity of the task both permitted and necessitated the planning and implementation of a complex test programme comprising many new features. The work was carried out successfully in cooperation with the responsible licensing authorities, the Sachsen-Anhalt mines inspectorate, and the Environmental Office of the State of Sachsen at Halle/Saale. (orig.)

  4. Microsurgical anatomy of the arterial compartment of the cavernous sinus: analysis of 24 cavernous sinus Microanatomia do compartimento arterial do seio cavernoso e suas variações: análise de 24 seios cavernosos

    Directory of Open Access Journals (Sweden)

    Gustavo Isolan

    2005-06-01

    Full Text Available The cavernous sinus is a complex compartment situated in both sides of the sella turcica, being its microsurgical anatomy knowledge of fundamental importance when consider to approach surgically. We studied the arterial microanatomy of 24 cavernous sinus at the microsurgical laboratory, considering that in all the internal carotid artery were filled with colored latex. The meningohypophyseal trunk was present in 18 cases (75% with its origin in intracavernous portion of the internal carotid artery. In relation to the 18 presented cases with meningohypophyseal trunk, 14 (77.7% had a trifurcate and 4 (23.3% had a bifurcate pattern. The tentorial artery was present in all. Its origin was observed, arising from the meningohypophyseal trunk in 17 (70.8% and as an isolated artery in some extension of the intracavernous portion in 7 (29.1%. An accessory tentorial artery was found in one specimen. The dorsal meningeal artery was present in 22 cases (91.6%. Its origin was in the meningohypophyseal trunk in 17 cases (77.2%, arising from internal carotid artery in 4 cases (18.1% and from inferior hypophyseal artery in one case (4.1%.The inferior hypophyseal artery was present in all cases, having its origin at the meningohypophyseal trunk in 16 cases (66.6%. In the remaining 8 cases (33.3% the artery was found arising alone from the intracavernous portion also. The artery of the inferior cavernous sinus or inferolateral trunk was present in all cases and had its origin from internal carotid artery in its intracavernous segment. The McConnell's artery was not found in any cavernous sinus.O seio cavernoso é estrutura complexa localizada de cada lado da sela túrcica, sendo seu conhecimento microanatômico indispensável quando se considera abordar cirurgicamente esta região. Estudaramos em laboratório de microcirurgia a microanatomia dos componentes arteriais deste espaço em 24 seios cavernosos, sendo que em todos a artéria carótida interna estava

  5. A variant epidemic methicillin resistant Staphylococcus aureus-15 cavernous sinus thrombosis and meningitis: A rare occurrence with unusual presentation

    Directory of Open Access Journals (Sweden)

    Veena Kumari H

    2010-01-01

    Full Text Available Septic cavernous sinus thrombosis (CST is an uncommon clinical syndrome. Although Staphylococcus aureus (S aureus is the most common bacterial pathogen causing CST, it is infrequent as a cause of meningitis. We report the first case of CST and meningitis from Bengaluru, Karnataka, caused by community-acquired epidemic methicillin resistant Staphylococcus aureus-15 (EMRSA-15, in a previously healthy individual without known risk factors; the patient recovered following treatment with vancomycin. The isolate was genotyped as belonging to staphylococcal cassette chromosome mec type IV and sequence type 22 and carried the panton-valentine leucocidin gene. It is the first Indian EMRSA-15 disease isolate from a case of meningitis. EMRSA-15 has been a major problem in hospitals in UK and it is a cause for great concern in Indian hospitals too.

  6. On the use of hydrate inhibitors for operating natural gas caverns; Zum Einsatz von Hydratinhibitoren beim Betrieb von Erdgasspeichern

    Energy Technology Data Exchange (ETDEWEB)

    Kleinitz, W.; Lissanon, S.J.; Luehn, H.G. [Preussag Energie GmbH, Lingen/Ems (Germany)

    1997-12-31

    One way to prevent gas hydrates in natural gas caverns is to use thermodynamic or kinetic inhibitors in a defined temperature / pressure range. The present contribution describes the temperature conditions prevailing in the tubing string. It also discusses bacterial processes around wells arising in association with methanol digesting bacteria, diethylene glycol digesting bacteria, and kinetic inhibitors. Further topics include inhibitor dosage and absorption drying. (MSK) [Deutsch] Zur Vermeidung von Gashydraten im Erdgasspeicherbereich werden thermodynamische oder kinetische Inhibitoren in einem definierten Temperatur/Druckbereich eingesetzt. Im Folgenden werden die Temperaturbedingungen im Steigrohrsystem erlaeutert. Ebenso werden die bakteriellen Vorgaenge im Bohrlochsbereich in folgenden Einzelheiten: Methanol-verwertenden Bakterien, Diethylenglykol-verwertende Bakterien sowie kinetische Inhibitoren diskutiert. Weitere Themenpunkte sind die Inhibitordosierung und die Adsorptionstrocknung.

  7. Renal cavernous hemangioma: robot-assisted partial nephrectomy with selective warm ischemia. Case report and review of the literature.

    Science.gov (United States)

    Ceccarelli, G; Codacci Pisanelli, M; Patriti, A; Biancafarina, A

    2015-01-01

    Renal hemangioma is a relatively rare benign tumor with a wide range of clinical and radiological presentation, not easy to differentiate preoperatively from a renal cancer. Due to its benign nature complete surgical resection is the recommended therapy and is considered curative. A 73-year old male patient followed-up for a lung carcinoma and a chronic renal failure underwent a CT scan showing a 35-mm mass of the inferior pole of the left kidney. The patient underwent robot-assisted partial nephrectomy with left inferior pole selective warm ischemia. The outcome was favorable and no repercussions on the renal reserve were observed postoperatively. Histopathological characteristics of the surgical specimen were consistent with renal cavernous hemangioma. A robot-assisted operation allows the fine dissection required to carry out a bloodless nephron-sparing surgery without a complete warm ischemia. The use of robot could be noteworthy for nephron-sparing surgery in cases of concomitant chronic renal failure.

  8. [The effect of extrapleural thoracoplasty on the mechanical properties of lungs and ventilation indices in advanced fibrous-cavernous tuberculosis].

    Science.gov (United States)

    Strelis, A K; Lenskaia, L G

    1994-01-01

    Basing on clinical data obtained on 42 patients, the authors prove the existence of changes in all the respiratory biomechanical parameters, primarily viscosity, in response to development of advanced fibrous-cavernous tuberculosis in the lungs. Disorders in the bronchopulmonary mechanics depend on the terms of collapsosurgical intervention and its efficacy. The viscosity-induced resistance to respiration results basically from inflammation of the tracheobronchial tree and bronchospasm. An increase in the bronchial resistance in the early postoperative period occurs both in effective and uneffective extrapleural thoracoplasty, while later on it is observed only after uneffective and corrective collapsosurgical interventions. Basic biomechanical parameters of respiration (total performance, extensibility, bronchial resistance) together with spirographic and clinicoroentgenological evidence can be of help in predicting the effect of the surgery itself. A positive response of collapsosurgical interventions on respiratory biomechanics can be judged from a persistent fall in total respiratory performance irrespective of surgical effectivity.

  9. Asymptomatic aneurysm of the cavernous and supraclinoid internal carotid artery in a patient with Balamuthia mandrillaris encephalitis.

    Science.gov (United States)

    Orozco, Ludwig D; Khan, Majid A; Fratkin, Jonathan D; Hanigan, William C

    2011-08-01

    This is the first report to our knowledge of the successful treatment of an asymptomatic mycotic aneurysm associated with Balamuthia mandrillaris encephalitis. A 27-year-old male with end-stage renal disease presented with generalized seizures following renal transplantation. MRI demonstrated multiple brain masses and an aneurysm of the cavernous and supraclinoid carotid artery. Autopsy of the donor's brain revealed Balamuthia encephalitis. The patient was placed on an anti-amebic regimen, his condition improved, and 126 days after the kidney transplant, MRI brain showed resolution of the aneurysm and improvement of the enhancing lesions. Balamuthia mandrillaris has been shown to cause a granulomatous encephalitis, with prominent vasculitis. This is the first report to demonstrate the risk of aneurysm formation associated with this infection. Prolonged anti-amebic treatment resulted in resolution of the aneurysm without clinical evidence of subarachnoid hemorrhage.

  10. Transorbital Approach for Endovascular Occlusion of Carotid-Cavernous Fistulas: Technical Note and Review of the Literature

    Science.gov (United States)

    Chen, Ching-Jen; Caruso, James P; Ding, Dale; Schmitt, Paul J; Buell, Thomas J; Raper, Daniel M; Evans, Avery; Newman, Steven A; Jensen, Mary E

    2017-01-01

    Carotid-cavernous fistulas (CCFs) pose an anatomically and physiologically challenging problem for clinicians. The most common method of treatment for these lesions is transvenous endovascular embolization via the inferior petrosal sinus or the facial vein. When transvenous access is not possible, an alternate approach must be devised. We describe a case example with bilateral Barrow Type B CCFs, which were inaccessible using the traditional transvenous approach. Hence, a direct transorbital approach, performed under fluoroscopic guidance, was employed to successfully obliterate the CCF. At five months follow-up, the patient was recovering without complications. This case delineates the technical aspects of transorbital CCF embolization and demonstrates that this approach is a viable alternative to conventional transvenous methods for appropriately selected CCF cases. We supplement our case example and technical note with a literature review of this approach. PMID:28191380

  11. 09 September 2013 - Japanese Members of Internal Affairs and Communications Committee House of Representatives visiting the ATLAS experimental cavern with ATLAS Spokesperson D. Charlton. T. Kondo and K. Yoshida present.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    09 September 2013 - Japanese Members of Internal Affairs and Communications Committee House of Representatives visiting the ATLAS experimental cavern with ATLAS Spokesperson D. Charlton. T. Kondo and K. Yoshida present.

  12. His Excellency Mr Valery Loshchinin Extraordinary and plenipotentiary Ambassador Permanent Representative of the Russian Federation to the United Nations Office in Geneva visit the ATLAS experiment in the cavern at Point 1 introducted by Prof. Peter Jenni.

    CERN Multimedia

    Maximilien Brice

    2007-01-01

    His Excellency Mr Valery Loshchinin Extraordinary and plenipotentiary Ambassador Permanent Representative of the Russian Federation to the United Nations Office in Geneva visit the ATLAS experiment in the cavern at Point 1 introducted by Prof. Peter Jenni.

  13. 19 September 2012 - Indonesian Members of Parliament visiting the CMS control room and experimental cavern at Point 5 with Former Deputy Spokesperson A. De Roeck and International Relations Adviser E. Tsesmelis.

    CERN Multimedia

    Jean-Claude Gadmer

    2012-01-01

    19 September 2012 - Indonesian Members of Parliament visiting the CMS control room and experimental cavern at Point 5 with Former Deputy Spokesperson A. De Roeck and International Relations Adviser E. Tsesmelis.

  14. 12 April 2013 - The British Royal Academy of Engineering visiting the LHC superconducting magnet test hall with R. Veness and the ATLAS experimental cavern with Collaboration Spokesperson D. Charlton.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    12 April 2013 - The British Royal Academy of Engineering visiting the LHC superconducting magnet test hall with R. Veness and the ATLAS experimental cavern with Collaboration Spokesperson D. Charlton.

  15. 18 MArch 2008 - Director, Basic and Generic Research Division, Research Promotion Bureau, Japanese Ministry of Education, Culture, Sports, Science and Technology Prof.Ohtake visiting ATLAS cavern with Spokesperson P. Jenni.

    CERN Multimedia

    Maximilien Brice

    2008-01-01

    18 MArch 2008 - Director, Basic and Generic Research Division, Research Promotion Bureau, Japanese Ministry of Education, Culture, Sports, Science and Technology Prof.Ohtake visiting ATLAS cavern with Spokesperson P. Jenni.

  16. 21 October 2008 - LHC Inauguration - Deputy Minister for Environment, Physical Planning and Public Works T. Xanthopulos welcomed by CERN Director-General R. Aymar, visiting the ATLAS cavern and LHC tunnel and signing the electronic guest book with E. Tsesmelis.

    CERN Multimedia

    CERN Photo Service

    2008-01-01

    21 October 2008 - LHC Inauguration - Deputy Minister for Environment, Physical Planning and Public Works T. Xanthopulos welcomed by CERN Director-General R. Aymar, visiting the ATLAS cavern and LHC tunnel and signing the electronic guest book with E. Tsesmelis.

  17. March 2008 - ITER Organization Director-General K.Ikeda and Deputy Director-General N. Holtkamp, visiting the ATLAS cavern with Spokesperson P. Jenni, Accelerators Technology Department Head P. Lebrun and LHC Mangnets Group Leader L. Rossi.

    CERN Multimedia

    Claudia Marcelloni

    2008-01-01

    March 2008 - ITER Organization Director-General K.Ikeda and Deputy Director-General N. Holtkamp, visiting the ATLAS cavern with Spokesperson P. Jenni, Accelerators Technology Department Head P. Lebrun and LHC Mangnets Group Leader L. Rossi.

  18. 17 September 2013 - Polish Members of Parliament visiting the Tunnel at Point 2 with Senior Engineer, Technology Department A. Siemko and visiting the ALICE cavern with ALICE Collaboration, B. Erazmus

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    17 September 2013 - Polish Members of Parliament visiting the Tunnel at Point 2 with Senior Engineer, Technology Department A. Siemko and visiting the ALICE cavern with ALICE Collaboration, B. Erazmus

  19. A novel mouse model of cerebral cavernous malformations based on the two-hit mutation hypothesis recapitulates the human disease.

    Science.gov (United States)

    McDonald, David A; Shenkar, Robert; Shi, Changbin; Stockton, Rebecca A; Akers, Amy L; Kucherlapati, Melanie H; Kucherlapati, Raju; Brainer, James; Ginsberg, Mark H; Awad, Issam A; Marchuk, Douglas A

    2011-01-15

    Cerebral cavernous malformations (CCMs) are vascular lesions of the central nervous system appearing as multicavernous, blood-filled capillaries, leading to headache, seizure and hemorrhagic stroke. CCM occurs either sporadically or as an autosomal dominant disorder caused by germline mutation of one of the three genes: CCM1/KRIT1, CCM2/MGC4607 and CCM3/PDCD10. Surgically resected human CCM lesions have provided molecular and immunohistochemical evidence for a two-hit (germline plus somatic) mutation mechanism. In contrast to the equivalent human genotype, mice heterozygous for a Ccm1- or Ccm2-null allele do not develop CCM lesions. Based on the two-hit hypothesis, we attempted to improve the penetrance of the model by crossing Ccm1 and Ccm2 heterozygotes into a mismatch repair-deficient Msh2(-/-) background. Ccm1(+/-)Msh2(-/-) mice exhibit CCM lesions with high penetrance as shown by magnetic resonance imaging and histology. Significantly, the CCM lesions range in size from early-stage, isolated caverns to large, multicavernous lesions. A subset of endothelial cells within the CCM lesions revealed somatic loss of CCM protein staining, supporting the two-hit mutation mechanism. The late-stage CCM lesions displayed many of the characteristics of human CCM lesions, including hemosiderin deposits, immune cell infiltration, increased endothelial cell proliferation and increased Rho-kinase activity. Some of these characteristics were also seen, but to a lesser extent, in early-stage lesions. Tight junctions were maintained between CCM lesion endothelial cells, but gaps were evident between endothelial cells and basement membrane was defective. In contrast, the Ccm2(+/-)Msh2(-/-) mice lacked cerebrovascular lesions. The CCM1 mouse model provides an in vivo tool to investigate CCM pathogenesis and new therapies.

  20. Features of a Chinese family with cerebral cavernous malformation induced by a novel CCM1 gene mutation

    Institute of Scientific and Technical Information of China (English)

    WANG Xue; LIU Xue-wu; Nora Lee; LIU Qi-ji; LI Wen-na; HAN Tao; WEI Kun-kun

    2013-01-01

    Background Familial cerebral cavernous malformations (CCMs),characterized by hemorrhagic stroke,recurrent headache and epilepsy,are congenital vascular anomalies of the central nervous system.Familial CCMs is an autosomal dominant inherited disorder and three CCM genes have been identified.We report a Chinese family with CCMs and intend to explore clinical,pathological,magnetic resonance imaging (MRI) features and pathogenic gene mutation of this family.Methods Totally 25 family members underwent brain MRI examination and clinical check.Two patients with surgical indications had surgical treatment and the specimens were subjected to histopathological and microstructural examination.In addition,polymerase chain reaction (PCR) and direct sequencing were performed with genomic DNA extracted from 25 family members' blood samples for mutation detection.Results Brain MRI identified abnormal results in seven family members.All of them had multiple intracranial lesions and four cases had skin cavernous hemangioma.T2-weighted sequence showed that the lesions were typically characterized by an area of mixed signal intensity.Gradient-echo (GRE) sequence was more sensitive to find microcavernous hemangiomas.There was a wide range in the clinical manifestations as well as the age of onset in the family.The youngest patient was an 8-year-old boy with least intracranial lesions.Histopathological and microstructural examination showed that CCMs were typically discrete multi-sublobes of berry-like lesions,with hemorrhage in various stages of illness evolution.They were formed by abnormally enlarged sinusoids and the thin basement membranes.A novel T deletion mutation in exon 14 of CCM1 gene was identified by mutation detection in the seven patients.But unaffected members and healthy controls did not carry this mutation.Conclusions The clinical manifestations were heterogenic within this family.We identified a novel mutation (c.1396delT) was the disease-causing mutation for this

  1. 10 September 2013 - Italian Minister for Economic Development F. Zanonato visiting the ATLAS cavern with Collaboration Spokesperson D. Charlton and Italian scientists F. Gianotti and A. Di Ciaccio; signing the guest book with CERN Director-General R. Heuer and Director for Research and Scientific Computing S. Bertolucci; in the LHC tunnel with S. Bertolucci, Technology Deputy Department Head L. Rossi and Engineering Department Head R. Saban; visiting CMS cavern with Scientists G. Rolandi and P. Checchia.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    10 September 2013 - Italian Minister for Economic Development F. Zanonato visiting the ATLAS cavern with Collaboration Spokesperson D. Charlton and Italian scientists F. Gianotti and A. Di Ciaccio; signing the guest book with CERN Director-General R. Heuer and Director for Research and Scientific Computing S. Bertolucci; in the LHC tunnel with S. Bertolucci, Technology Deputy Department Head L. Rossi and Engineering Department Head R. Saban; visiting CMS cavern with Scientists G. Rolandi and P. Checchia.

  2. Morphology of the walls of the cavernous sinus of Cebus apella (tufted capuchin monkey Morfologia das paredes do seio cavernoso em Cebus apella (macaco-prego

    Directory of Open Access Journals (Sweden)

    ROBSON JOSÉ DE SOUSA DOMINGUES

    1999-09-01

    Full Text Available The morphology of the dura mater and its relationship with the structures of the cavernous sinus were analyzed in five tufted capuchin monkeys (Cebus apella using histological sections, showing that the walls of the cavernous sinus of this species are similar to those of other primates, including man. Except for the medial wall of the cavernous sinus, the remaining walls consist of two distinct dura mater layers. The deep layer of the lateral wall of the cavernous sinus is contiguous to the sheath of the oculomotor, trochlear and ophthalmic nerves. Arterioles, venules, venous spaces, neuronal bodies and nervous fiber bundles are found on this lateral wall.A morfologia da dura-máter e sua relação com as estruturas do seio cavernoso, analisadas em cinco macacos-prego (Cebus apella através de cortes histológicos, mostrou que as paredes do seio cavernoso nessa espécie são semelhantes a de outros primatas, inclusive o homem. Com exceção da parede medial do seio cavernoso as demais paredes são formadas de duas camadas distintas de dura-máter. A camada profunda da parede lateral do seio cavernoso está em continuidade com a bainha dos nervos oculomotor, troclear e oftálmico. Nesta parede lateral são encontradas arteríolas, vênulas, espaços venosos, corpos de neurônios e feixes de fibras nervosas.

  3. Control Effect of a Large Geological Discontinuity on the Seismic Response and Stability of Underground Rock Caverns: A Case Study of the Baihetan #1 Surge Chamber

    Science.gov (United States)

    Cui, Zhen; Sheng, Qian; Leng, Xianlun

    2016-06-01

    In this paper, the seismic stability of the #1 surge chamber of the Baihetan hydropower plant, which is influenced by a large dominating geological discontinuity [the interlayer shear weakness zone (ISWZ) C2)], is studied. An advanced, nonlinear, continuously yielding (CY) model was adopted to describe the complex mechanical properties of ISWZ C2. This model considers a power function type, normal stress dependent behavior and the progressive damage that occurred during shear tests. The applicability of the CY model is proved via a comparison with field test results and the theoretical solution. Verification work was conducted in 3DEC code to show that the 3DEC software is suitable for implementing this model. Three ground motion waveforms were utilized to conduct a seismic analysis of the #1 surge chamber after a special response spectrum matching process. The seismic analysis confirmed the control effect of ISWZ C2 on the seismic stability of the cavern. The majority of the cavern's seismic displacement consists of elastic body movement, while the plastic deformation is relatively limited. Further, most of the deformations were caused by the contact deformation of C2. For the contact deformation of C2, the magnitude of permanent shear deformation is larger than that of the normal deformation. The magnitude of permanent shear deformation is more notable along the strike direction of C2, and the permanent normal displacement n of C2 mainly occurs along the dip direction of C2. Finally, the seismic stability of the cavern is assessed via the overload method. The seismic safety factor of the cavern is approximately 2-3.

  4. Measures for controlling large deformations of underground caverns under high in-situ stress condition-A case study of Jinping I hydropower station

    Institute of Scientific and Technical Information of China (English)

    Shengwu Song; Xuemin Feng; Chenggang Liao; Dewen Cai; Zhongxu Liu; Yunhao Yang

    2016-01-01

    The Jinping I hydropower station is a huge water conservancy project consisting of the highest concrete arch dam to date in the world and a highly complex and large underground powerhouse cavern. It is located on the right bank with extremely high in-situ stress and a few discontinuities observed in sur-rounding rock masses. The problems of rock mass deformation and failure result in considerable chal-lenges related to project design and construction and have raised a wide range of concerns in the fields of rock mechanics and engineering. During the excavation of underground caverns, high in-situ stress and relatively low rock mass strength in combination with large excavation dimensions lead to large deformation of the surrounding rock mass and support. Existing experiences in excavation and support cannot deal with the large deformation of rock mass effectively, and further studies are needed. In this paper, the geological conditions, layout of caverns, and design of excavation and support are first introduced, and then detailed analyses of deformation and failure characteristics of rocks are presented. Based on this, the mechanisms of deformation and failure are discussed, and the support adjustments for controlling rock large deformation and subsequent excavation procedures are proposed. Finally, the effectiveness of support and excavation adjustments to maintain the stability of the rock mass is verified. The measures for controlling the large deformation of surrounding rocks enrich the practical experiences related to the design and construction of large underground openings, and the construction of caverns in the Jinping I hydropower station provides a good case study of large-scale excavation in highly stressed ground with complex geological structures, as well as a reference case for research on rock mechanics. © 2016 Institute of Rock and Soil Mechanics, Chinese Academy of Sciences. Production and hosting by Elsevier B.V. This is an open access article

  5. 海绵窦内侧壁的显微解剖与扩大经蝶窦入路治疗侵袭海绵窦的垂体腺瘤%TThe Therapy of Cavernous Sinus Parietal Microdissection and Expand Sphenoid Sinus Approach in Invasion Cavernous Sinus Pituitary Adenoma

    Institute of Scientific and Technical Information of China (English)

    王志恩

    2016-01-01

    目的:研究海绵窦内侧壁的显微解剖与扩大经蝶窦入路治疗侵袭海绵窦的垂体腺瘤方法。方法随机选取2013年1月~2015年12月我院收治的22例垂体腺瘤患者临床资料,应用海绵窦内侧壁的显微解剖与扩大经蝶窦入路治疗侵袭海绵窦的手术方法。结果22例垂体腺瘤患者均顺利完成手术,19例垂体腺瘤全部切除,3例垂体腺瘤次全切除,未发生感染、昏迷和死亡病例。结论海绵窦内侧壁的显微解剖与扩大经蝶窦入路治疗侵袭海绵窦的垂体腺瘤手术效果理想。%Objective To study the therapy of cavernous sinus parietal microdissection and expand sphenoid sinus approach in invasion cavernous sinus pituitary adenoma.Methods Randomly selected 22 patients with pituitary adenoma clinical data from January 2013 to December 2015 in our hospital, which were application therapy of cavernous sinus parietal microdissection and expand sphenoid sinus approach.Results 22 patients with pituitary adenoma patients were successfully operated, 19 patients total removal of pituitary adenoma, 3 patients subtotal resection of pituitary adenoma, infection did not occur, coma and death.Conclusion Expansion of the cavernous sinus microdissection transsphenoidal approach over the side wall of the treatment of pituitary adenomas invading the cavernous effect.

  6. 煤矿井下避难硐室建设探讨%Discussion on Coal Mine Asylum Cavern Construction Scheme

    Institute of Scientific and Technical Information of China (English)

    赵纯发; 何飞

    2014-01-01

    本文通过分析避难硐室钻孔、专用管路、自备氧等不同供氧方式的特点,认为专用管路供氧方式具有安全可靠、操作简单、投资少、维护、运行费用低等优点,同时指出避难硐室专用管路的布置应与矿井压风自救系统紧密结合,使避难硐室成为煤矿安全生产的助推器。%This article through the analysis of drilling,dedicated line,should bring along their own oxygen asylum cavern,such as the characteristics of the different ways of oxygen,oxygen to dedicated line method is safe and reliable, simple operation,less investment,maintenance,and low operation cost,at the same time points out that the asylum cavern dedicated line layout should be combined with mine pressure wind self -help system closely,make asylum cavern of coal mine safety production of the booster.

  7. Identification of mechanisms involved in the relaxation of rabbit cavernous smooth muscle by a new nitric oxide donor ruthenium compound

    Directory of Open Access Journals (Sweden)

    João Batista Gadelha de Cerqueira

    2012-10-01

    Full Text Available PURPOSE: The aim of this study was to evaluate the relaxation in vitro of cavernous smooth muscle induced by a new NO donor of the complex nitrosil-ruthenium, named trans-[Ru(NH34(caffeine(NO]C13 (Rut-Caf and sodium nitroprusside (SNP. MATERIALS AND METHODS: The tissues, immersed in isolated bath systems, were pre-contracted with phenilephrine (PE (1 µM and then concentration-response curves (10-12 - 10-4 M were obtained. To clarify the mechanism of action involved, it was added to the baths ODQ (10 µM, 30 µM, oxyhemoglobin (10 µM, L-cysteine (100 µM, hydroxicobalamine (100 µM, glibenclamide, iberotoxin and apamine. Tissue samples were frozen in liquid nitrogen to measure the amount of cGMP and cAMP produced. RESULTS: The substances provoked significant relaxation of the cavernous smooth muscle. Both Rut-Caf and SNP determined dose-dependent relaxation with similar potency (pEC50 and maximum effect (Emax. The substances showed activity through activation of the soluble guanylyl cyclase (sGC, because the relaxations were inhibited by ODQ. Oxyhemoglobin significantly diminished the relaxation effect of the substances. L-cysteine failed to modify the relaxations caused by the agents. Hydroxicobalamine significantly diminished the relaxation effect of Rut-Caf. Glibenclamide significantly increased the efficacy of Rut-Caf (pEC50 4.09 x 7.09. There were no alterations of potency or maximum effect of the substances with the addition of the other ion channel blockers. Rut-Caf induced production of significant amounts of cGMP and cAMP during the relaxation process. CONCLUSIONS: In conclusion, Rut-Caf causes relaxation of smooth muscle of corpus cavernosum by means of activation of sGC with intracellular production of cGMP and cAMP; and also by release of NO in the intracellular environment. Rut-Caf releases the NO free radical and it does not act directly on the potassium ion channels.

  8. Clinical and angiographic characteristics of cavernous sinus dural arteriovenous fistulas manifesting as venous infarction and/or intracranial hemorrhage

    Energy Technology Data Exchange (ETDEWEB)

    Miyamoto, Naoko; Naito, Isao; Takatama, Shin; Shimizu, Tatsuya; Iwai, Tomoyuki [Geriatrics Research Institute and Hospital, Department of Neurosurgery, Maebashi (Japan); Shimaguchi, Hidetoshi [Gunma University Graduate School of Medicine, Department of Neurosurgery, Maebashi (Japan)

    2009-01-15

    Cavernous sinus (CS) dural arteriovenous fistulas (DAVFs) rarely cause venous infarction (VI) and/or intracranial hemorrhage (ICH) despite the presence of cortical venous drainage (CVD). The present study investigated the characteristics of CS DAVFs manifesting as VI/ICH. Fifty-four patients treated for CS DAVFs were retrospectively studied. Six patients presented with VI/ICH. Two of the three patients presenting with ICH had CVD only to the superficial sylvian vein (SSV) or the deep sylvian vein (DSV). Three patients presenting with VI had multiple drainages, and angiography of these patients showed a varix on the SSV, drainage into the DSV with agenesis of the second and third segment of basal vein of Rosenthal, and thrombosis of the distal petrosal vein. CS DAVF with CVD only carries higher risk of VI/ICH than multiple drainages. Many CS DAVFs presenting with VI, especially those with drainage into the petrosal vein, have multiple drainages in the early stage. Thrombosis of the inferior and superior petrosal sinuses and superior orbital vein gradually increases pressure of the CVD, and then, VI may occur. In contrast, CS DAVFs with CVD only from the beginning, common in the patients with drainage into the SSVs and DSVs, are likely to cause ICH. Angiographic risk factors causing VI/ICH are CVD only, varix formation, agenesis of the second and third segment of basal vein of Rosenthal, and thrombosis of the superior orbital vein, lateral half of the superior petrosal sinus, and distal CVD. (orig.)

  9. The transport of nonindigenous microorganisms into caves by human visitation: a case study at Carlsbad Caverns National Park

    Science.gov (United States)

    Griffin, Dale W.; Gray, Michael A.; Lyles, Michael B.; Northup, Diana E.

    2014-01-01

    A series of atmospheric investigations was conducted in Carlsbad Cavern to determine if human visitation is a possible cause for the contamination of the cave system with non-indigenous microorganisms. In 2004, site-specific culture-based data demonstrated that Staphylococcus spp. colony-forming units (CFUs) were the most prevalent members of the atmospheric community along the paved visitor trail (avg. 18.8% of CFU), while Knoellia spp. CFUs dominated off-trail locations (40.1% of CFU). Fungal culture data revealed that Penicillium and Aspergillus were prevalent in the Lunch Room where food is stored, sold, and consumed. Ubiquitous genera such as Cladosporium and Alternaria were prevalent near the Natural Entrance of the cave, and the general trend was a decrease in fungal CFUs with progression into the cave system, except for the area near the Lunch Room. Management practices such as prohibition of crumb-generating types of foods could be considered to protect cave health. In 2009, nonculture-based analyses demonstrated that Enterobacteriaceae were the dominant microbiota at sites along the descent trail and within the Lunch Room. Dominance of Enterobacteriaceae has not been previously demonstrated in caves. Either they are naturally occurring indigenous members, or their presence is a marker of anthropogenic contamination.

  10. Metachronous occurrence of nonradiation-induced brain cavernous hemangioma and medulloblastoma in a child with neurofibromatosis type I phenotype

    Directory of Open Access Journals (Sweden)

    Luciano L Furlanetti

    2012-01-01

    Full Text Available Cavernous hemangioma (CH is a sporadic vascular malformation occurring either as an autosomal dominant condition or as a well-known complication of radiation exposure. Medulloblastoma is a primitive neuroectodermal tumor common in children and currently treated with surgical resection, chemotherapy, and radiotherapy. Neurofibromatosis is the most common single-gene disorder of the central nervous system. Posterior fossa malignant tumors in the context of neurofibromatosis type I (NF1 are very infrequent. This is the first documented case of an unusual metachronous occurrence of non-radiation-induced CH and medulloblastoma in a child with NF1 phenotype. We report the case of a 13-month-old boy with cafι-au-lait skin lesions associated with NF1-like phenotype who underwent surgical resection of a single CH in the temporal lobe due to recurrent seizures. Four years later he presented with signs of raised intracranial pressure associated with a posterior fossa tumor and hydrocephalus, thus requiring gross total resection of the lesion. Histological analysis revealed a medulloblastoma. After being treated with radiotherapy and chemotherapy, he achieved total remission. Six years later a massive recurrence of the tumor was observed and the child eventually died. The interest in this case lies in the rarity of NF1-like phenotype associated with a non-radiation-induced brain CH and medulloblastoma in a child.

  11. Direct-puncture approach to the extraconal portion of the superior ophthalmic vein for carotid cavernous fistulae

    Energy Technology Data Exchange (ETDEWEB)

    Kurata, A.; Suzuki, S.; Iwamoto, K.; Miyazaki, T.; Inukai, M.; Abe, K.; Niki, J.; Yamada, M.; Fujii, K. [Kitasato University School of Medicine, Department of Neurosurgery, Kanagawa (Japan); Kan, S. [Kitasato University School of Medicine, Department of Radiology, Kanagawa (Japan)

    2009-11-15

    The transvenous approach via the superior ophthalmic vein (SOV) is an available approach for carotid cavernous fistula (CCF), especially in the event that there is no other suitable approach route to the fistula. Surgical exposure of the peripheral roots of the SOV is commonly used; however, often, the SOV is often not accessible because of anatomical problems and/or complications. In this paper, we present and discuss our original direct-puncture approach to the extraconal portion of the SOV. An attempt on three patients with traumatic CCF failed with the transarterial approach and the conventional venous approach via the inferior petrosal sinus; therefore, the patients were treated with the direct-puncture approach to the extraconal portion of the SOV using two-dimensional digital subtraction angiography with local anesthesia. All cases that had tortuous and partially stenotic division of the SOV were treated successfully with this approach and without complications. This approach will become an alternate approach, especially when the peripheral roots of the SOV are focally narrowed and tortuous, making it impossible to insert a catheter. (orig.)

  12. Strategic Petroleum Reserve, West Hackberry oil storage cavern fire and spill of September 21, 1978: an environmental assessment. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, A

    1980-02-29

    This report summarizes an environmental assessment of the fire and oil spill at the Strategic Petroleum Reserve site, West Hackberry, Louisiana. Subjective identification of oil contaminated habitats was supported by a more rigorous classification of samples utilizing discriminant analysis. Fourteen contaminated stations were identified along the shore of Black Lake just north and west of Wellpad 6, encompassing approximately 9 hectares. Seasonal variation in the structures of marsh and lake bottom communities in this contaminated area were not generally distinguishable from that of similar communities in uncontaminated habitats along the southern and southeastern shores of Black Lake. The major impact of spilled oil on the marsh vegetation was to accelerate the natural marsh deterioration which will eventually impact animals dependent on marsh vegetation for habitat structure. Vanadium, the predominate trace metal in the oil, and pyrogenic products due to the fire were found at the most distant sampling site (5 km) from Cavern 6 during Phase I, but were not detected downwind of the fire in excess of background levels in the later phases. Remote sensing evaluation of vegetation under the plume also indicated that stress existed immediately after the fire, but had disappeared by the end of the 1-year survey.

  13. Electrical stimulation vs. pulsed and continuous-wave optical stimulation of the rat prostate cavernous nerves, in vivo

    Science.gov (United States)

    Perkins, William C.; Lagoda, Gwen A.; Burnett, Arthur; Fried, Nathaniel M.

    2015-07-01

    Identification and preservation of the cavernous nerves (CNs) during prostate cancer surgery is critical for post-operative sexual function. Electrical nerve stimulation (ENS) mapping has previously been tested as an intraoperative tool for CN identification, but was found to be unreliable. ENS is limited by the need for electrode-tissue contact, poor spatial precision from electrical current spreading, and stimulation artifacts interfering with detection. Alternatively, optical nerve stimulation (ONS) provides noncontact stimulation, improved spatial selectivity, and elimination of stimulation artifacts. This study compares ENS to pulsed/CW ONS to explore the ONS mechanism. A total of eighty stimulations were performed in 5 rats, in vivo. ENS (4 V, 5 ms, 10 Hz) was compared to ONS using a pulsed diode laser nerve stimulator (1873 nm, 5 ms, 10 Hz) or CW diode laser nerve stimulator (1455 nm). Intracavernous pressure (ICP) response and nerve compound action potentials (nCAPs) were measured. All three stimulation modes (ENS, ONS-CW, ONS-P) produced comparable ICP magnitudes. However, ENS demonstrated more rapid ICP response times and well defined nCAPs compared to unmeasurable nCAPs for ONS. Further experiments measuring single action potentials during ENS and ONS are warranted to further understand differences in the ENS and ONS mechanisms.

  14. Development and utilization of a mechanical barrier for large-calibre cavern necks. The ''Spider Plug''; Entwicklung und Einsatz einer mechanischen Absperrung fuer grosskalibrige Kavernenhaelse. Der ''Spider Plug''

    Energy Technology Data Exchange (ETDEWEB)

    Pfeifer, K.; Maut, D. [UGS GmbH, Mittenwalde (Germany)

    2013-08-01

    An hydraulic separation of a well and the cavern can be necessary for different workover applications, e.g. casing milling or underreaming. The separation is needed to ensure a mud circulation during such operations. In that case a barrier is set after flooding the cavern, which will then be used as a mechanical abutment for the cement bridge. If the diameter of the cavern neck has been enlarged due to e.g. unwanted leaching processes or unstabilized underreaming processes, it might get impossible to set a standard plug with the available technologies into those diameters. Therefore UGS GmbH has developed a mechanical plug, which is set hydraulically. The so called 'Spider Plug' is used as basis for a cement bridge and can be removed by drilling after the workover has been done. Depending on the dimension of the setting tool a cavern neck up to 50'' diameter can be plugged by the 'Spider Plug'. Up to now a number of successful operations on different locations has shown, that the 'Spider Plug' is a practicable and cost-efficient solution for a mechanical abutment of large cavern necks. (orig.)

  15. Logging Geology Study of the Caverned Paleokarst Reservoir Distribution%古岩溶洞穴型储层分布规律的测井地质研究

    Institute of Scientific and Technical Information of China (English)

    吴欣松; 杨雷; 潘文庆; 顾乔元

    2005-01-01

    In recent years, many carbonate rock oilfields such as Lunnan and Tahe have been found in the Tarim Basin, and the main reservoir space of the stable high yield wells in these oilfields consists mainly of the caverns formed by the paleo-karstification and the dissolution pores and fractures connected with them. Nevertheless, it is difficult to predict effectively the distribution of the cavern reservoir because of its extremely serious heterogeneity. In this paper, a case study of the Lunxi Oilfield in the north uplift of the Tarim Basin is conducted to introduce the logging geology method for predicting the distribution of the caverned paleokarst reservoir. By means of building up the logging recognition style of different caverns and differentiating and correlating the karst zones with logging curves, and through an analysis of the paleokarst topography background, the favorable karst zones and distribution areas of the high quality cavern reservoir have been located, which lays a new basis for further exploration in this area.

  16. Retrofitting of VNG AG gas storage caverns near Bernburg and Bad Lauchstaedt, 1991 through 2006; Umruestung gasgefuellter Kavernen auf den Untergrundspeichern Bad Lauchstaedt und Bernburg der VNG AG von 1991 bis 2006

    Energy Technology Data Exchange (ETDEWEB)

    Arnold, C. [VNG Verbundnetz Gas AG (Germany); Rehmer, K.P.; Pischner, M. [Untergrundspeicher- und Gastechnologie-Systeme GmbH (Germany)

    2007-09-13

    In 1991 the VNG AG has started to modernize outdated installations of the underground gas storage caverns near Bernburg and Bad Lauchstaedt (Germany). On 33 caverns, which were mostly leached during the 70s and 80s of the last century, the old wellheads have been replaced (or will be replaced soon) by new ones. In this paper the reasons and technical suppositions for these measures will be explained. Most of the modifications have been made above gasfilled caverns and have been safe despite of the high pressures. The packer-system developed by UGS GmbH and VNG AG will be presented. Furthermore the technical procedures are grouped and described. Finally experiences and advantages will be underlined. (orig.)

  17. Fractionated stereotactic radiation therapy in the management of benign cavernous sinus meningiomas. Long-term experience and review of the literature

    Energy Technology Data Exchange (ETDEWEB)

    Milker-Zabel, S.; Zabel-du Bois, A.; Debus, J. [Heidelberg Univ. (Germany). Dept. of Radiation Oncology; Huber, P. [Heidelberg Univ. (Germany). Dept. of Radiotherapy; Schlegel, W. [German Cancer Research Center, Heidelberg (Germany). Dept. of Medical Physics

    2006-11-15

    Purpose: To analyze own long-term results with fractionated stereotactic radiotherapy (FSRT) in patients with benign meningiomas of the cavernous sinus and to review the literature on these rare lesions. Patients and Methods: 57 patients were treated with FSRT for benign meningiomas of the cavernous sinus between 01/1990 and 12/2003 at the authors' institution. Histology was WHO grade I in 28/57 lesions, and undetermined in 29/57 lesions. 29 patients received radiotherapy as primary treatment, ten following surgery, and 18 patients were irradiated for recurrent disease. Median target volume was 35.2 cm{sup 3}. Median total dose was 57.6 Gy with 1.8 Gy per fraction. 51/57 patients showed clinical symptoms before radiotherapy like reduced vision (n=19), diplopia (n=25), or trigeminal hyp-/dysesthesia (n=17). Results: Median follow-up period was 6.5 years. 50/57 patients were followed for >36 months. Overall local tumor control was 100%. 39/57 patients had stable disease based on CT/MRI, while 18/57 had a partial remission of tumor volume. Overall survival for patients with WHO grade I meningiomas was 95.5% after 5 and 10 years. Two patients died 2.8 and 4.1 years after radiotherapy due to cardiac failure. In 11/57 patients, preexisting neurologic deficits improved. There was one patient with recurrent hyperlacrimation of one eye on the side of the irradiated meningioma. Three patients complained about subjective visual deterioration after FSRT without any objective findings in an ophthalmologic examination. No late toxicity RTOG{>=} III was seen. Conclusion: These data demonstrate that FSRT is an effective and safe treatment modality for local control of benign cavernous sinus meningiomas with a minimal risk of significant late toxicity. (orig.)

  18. Primitive trigeminal artery-cavernous sinus fistula and ICA-primitive trigeminal artery aneurysm:report of two cases and review of literatures

    Institute of Scientific and Technical Information of China (English)

    GUO Yuan-xing; LI Tie-lin; DUAN Chuan-zhi; WANG Qiu-jing; HUANG Qing

    2004-01-01

    The authors described two cases with primitive trigeminal artery. Case 1 was a 32-year-old woman who suffered dizziness and a serious pulsatile intracranial bruit on the left ear, and sometimes associated with pulsatile intracranial bearing-pain on the left temporal side six months before she was admitted to the hospital. She also suffered from obvious diplopia on left lateral gaze for the last 5 months. She had suffered no recent trauma. Magnetic resonance imaging(MRI) demonstrated a suspected intracranial aneurysm located in left cavernous sinus. Digital subtraction angiography (DSA) was performed and a primitive trigeminal artery-cavernous sinus fistula in left side was found. Intraluminal occlusion of the fistula was successfully performed immediately after angiography using 6 Guglielmi detachable coils (GDC), and the patient was cured finally. Case 2 was a 28-year-old woman who suffered a serious intermittent cephalodynia associated with soreness on the left body two years before she was admitted to the hospital. She had suffered no recent trauma. Magnetic resonance angiography(MRA) demonstrated a suspected intracavernous aneurysm of the right internal carotid artery, Digital subtraction angiography (DSA) was performed. Right internal carotid angiography showed a primitive trigeminal artery (PTA) run between the cavernous segment of the internal carotid artery and the distal portion of the basilar artery. On initiation of PTA of R-ICA a small wide-necked saccular aneurysm was incidentally visualized. The aneurysm was successfully embolized after angiography using 2 Stent (Neuroform, 4.5mmm × 20mmm)-assisted detachable coils (Matrix), the ICA and PTA were preserved, and the patient was cured finally.

  19. Experimental biological effects assessment associated with on-shore brine discharge from the creation of gas storage caverns

    Science.gov (United States)

    Quintino, Victor; Rodrigues, Ana Maria; Freitas, Rosa; Ré, Ana

    2008-09-01

    Most of the studies on biological and ecological effects associated with brine discharge into the marine environment are related to the operation of desalination plants, for the production of freshwater. In this study we analysed the biological effects of a brine effluent from a completely different source, produced from the lixiviation of rock salt caves, for the creation of natural gas storage caverns. Lethal and sub-lethal endpoints following exposure to the brine were studied in a range of macrofauna species characteristic of the soft and hard bottom habitats in the vicinity of the discharge area, namely the isopod Eurydice pulchra, the annelids Sabellaria alveolata and Ophelia radiata, the sea-urchin Paracentrotus lividus and the bivalve Mytilus galloprovincialis. In a first series of experiments, brine, with salinity above 300, was diluted in distilled water to a salinity value close to that of the seawater in the discharge area (salinity 36) and, surprisingly, none of the exposed species was able to survive or develop into viable larvae. A second series of experiments exposed the species to brine diluted with seawater, simulating more realistic discharge circumstances. All the tested species at all the measured endpoints (adult survival, larval abnormal development, sperm fertilization success) showed negative biological effects in brine solutes always at a lower salinity than that of a salinity control obtained with concentrated seawater. The sub-lethal experiments with larval development of P. lividus, S. alveolata and M. galloprovincialis, and the fertilization success of P. lividus gave EC 50 values for the brine solute with salinity in the range of 40.9-43.5, whereas the EC 50 values for the concentrated seawater were in the range of salinity 44.2-49.0. It is hypothesised that differences in the ionic composition of the brine cause the inability of the species to tolerate the exposure to brine.

  20. The Role of Hemosiderin Excision in Seizure Outcome in Cerebral Cavernous Malformation Surgery: A Systematic Review and Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    Di Ruan

    Full Text Available Whether the excision of hemosiderin surrounding cerebral cavernous malformations (CCMs is necessary to achieve a seizure-free result has been the subject of debate. Here, we report a systematic review of related literature up to Jan 1, 2015 including 594 patients to assess the effect of hemosiderin excision on seizure outcome in patients with CCMs by meta-analysis.Ten studies comparing extended hemosiderin excision with only lesion resection were identified by searching the English-language literature. Meta-analyses, subgroup analyses and sensitivity analysis were conducted to determine the association between hemosiderin excision and seizure outcome after surgery.Seizure outcome was significantly improved in the patients who underwent an extended excision of the surrounding hemosiderin (OR, 0.62; 95% CI: 0.42-0.91; P = 0.01. In subgroup analysis, studies from Asia (OR, 0.42; 95% CI: 0.25-0.71; P = 0.001, male-majority (female ratio 1 year before surgery (OR, 0.43; 95% CI: 0.22-0.84; P = 0.01, lesion diameter > 2 cm (OR, 0.41; 95% CI: 0.19-0.87; P = 0.02 and short-term (< 3 years follow-up (OR, 0.48; 95% CI: 0.29-0.80; P = 0.005 tended to correlate with a significantly favorable outcome.Patients who underwent extended surrounding hemosiderin excision could exhibit significantly improved seizure outcomes compared to patients without hemosiderin excision. However, further well-designed prospective multiple-center RCT studies are still needed.

  1. AB300. SPR-27 Sonic hedgehog promotes sprouting of neurons in the pelvic ganglia and cavernous nerve during regeneration

    Science.gov (United States)

    Dobbs, Ryan; Choe, Shawn; Harrington, Daniel A.; Stupp, Samuel I.; McVary, Kevin T.; Podlasek, Carol A.

    2016-01-01

    Objective We’ve shown in previous studies that sonic hedgehog (SHH) protein delivered by nanoparticle based peptide amphiphile (PA) hydrogels to the cavernous nerve (CN) at the time of crush injury (mimicking prostatectomy), are neuroprotective and promote CN regeneration in a rat model. The mechanism of how SHH promotes CN regeneration is unknown. We hypothesize that SHH promotes sprouting of CN axons, in order to enhance nerve regeneration. We examine this hypothesis in an in vitro organ culture model. Methods The caudal portion of the pelvic ganglia (innervates penis) and CN were dissected from adult Sprague Dawley rats (n=47) and placed in Matrigel in growth factor reduced medium and were grown for three to five days. Pelvic ganglia were exposed to Affi-Gel beads containing: (I) SHH protein; (II) 5e1 and cyclopamine SHH inhibitors; and (III) SHH protein delivered by PA. Additional pelvic ganglia/CN tissue underwent CN crush and were exposed to SHH protein or PBS/mouse serum albumin (MSA) protein. Sprouting was evaluated for number of sprouts and their length, and by immunohistochemical analysis for sprouting markers (GAP43 and nNOS). Results Sprouting of pelvic ganglia and CN axons was increased with SHH treatment. Sprouts were more abundant, longer in length, with larger arborization of sprouts, in comparison to controls. More sprouting was promoted with SHH treatment of CN injured nerves. The CN had similar sprouting potential at 4 and 9 days after crush injury. Localization of SHH delivery makes a difference in sprouting potential. Conclusions The mechanism of how SHH PA treatment promotes CN regeneration, involves enhanced sprouting of pelvic ganglia and CN neurons. Understanding the mechanism of SHH PA action on neuronal tissue is critical for translation to prostatectomy patients and to further enhance regeneration. Funding Source(s) NIH/NIDDK DK079184

  2. Dedication of the massive ATLAS art mural painted by Josef Kristofoletti directly above the cavern of the ATLAS Experiment at CERN

    CERN Document Server

    Claudia Marcelloni, Michael Barnett

    2010-01-01

    Ceremony to celebrate the massive mural of the ATLAS detector at CERN painted by artist Josef Kristofoletti. The mural is located at the ATLAS Experiment site, and it shows on two perpendicular walls the detector with a collision event superimposed. The event on the large wall shows a simulation of an event that would be recorded in ATLAS if a Higgs boson was produced. The cavern of the ATLAS Experiment with the detector is 100 meters directly below the mural. The height of the mural is about 12 meters (40 feet). The actual ATLAS detector is more than twice as big.

  3. Descripción de dos nuevas especies de pseudoscorpiones cavernícolas de la provincia de Cádiz (Arachnida, Pseudoscorpionida, Chthoniidae, Neobisiidae

    Directory of Open Access Journals (Sweden)

    Carabajal Márquez, E.

    2000-12-01

    Full Text Available Two new species of cave-dwelling Pseudoscorpionida from Cádiz (South Spain are described: Chthonius (Ephippiochthonius aguileraorum sp. n. and Neobisium (Ommatoblothrus rodrigoi sp. n., and it is compared with the close relatives species.

    Se describen dos nuevas especies de Pseudoscorpionida cavernícolas procedentes de la provincia de Cádiz (sur de España: Chthonius (Ephippiochthonius aguileraorum sp. n. y Neobisium (Ommatoblothrus rodrigoi sp. n., y se comparan con las especias más próximas.

  4. 2nd February 2011-Vice-Chancellor of Jammu University-Prof. Varun Sahni-India visiting ALICE cavern and LHC Tunnel

    CERN Multimedia

    Sylvain Chapeland

    2011-01-01

    Photo 1-2,4-8:The delegation visiting the ATLAS cavern Photo 3:ALICE Collaboration Spokesperson P. Giubellino+ALICE Collaboration University of Jammu S. Mahajan+ALICE Collaboration University of Jammu A. Bhasin+ALICE Collaboration Universita degli Studi di Torino R. Bala+V. Sahni+Adviser for India R.Voss+S. Arriaga+ALICE Collaboration University of Jammu A. Gupta Photo 9-13:The delegation visiting the LHC tunnel at Point 2 Photo 14-22: Signature of the Guest Book with R. Voss

  5. Exploring the concept of compressed air energy storage (CAES) in lined rock caverns at shallow depth: A modeling study of air tightness and energy balance

    Energy Technology Data Exchange (ETDEWEB)

    Kim, H.-M.; Rutqvist, J.; Ryu, D.-W.; Choi, B.-H.; Sunwoo, C.; Song, W.-K.

    2011-07-15

    This paper presents a numerical modeling study of coupled thermodynamic, multiphase fluid flow and heat transport associated with underground compressed air energy storage (CAES) in lined rock caverns. Specifically, we explored the concept of using concrete lined caverns at a relatively shallow depth for which constructing and operational costs may be reduced if air tightness and stability can be assured. Our analysis showed that the key parameter to assure long-term air tightness in such a system was the permeability of both the concrete lining and the surrounding rock. The analysis also indicated that a concrete lining with a permeability of less than 1×10{sup -18} m{sup 2} would result in an acceptable air leakage rate of less than 1%, with the operational pressure range between 5 and 8 MPa at a depth of 100 m. It was further noted that capillary retention properties and the initial liquid saturation of the lining were very important. Indeed, air leakage could be effectively prevented when the air-entry pressure of the concrete lining is higher than the operational air pressure and when the lining is kept moist at a relatively high liquid saturation. Our subsequent energy-balance analysis demonstrated that the energy loss for a daily compression and decompression cycle is governed by the air-pressure loss, as well as heat loss by conduction to the concrete liner and surrounding rock. For a sufficiently tight system, i.e., for a concrete permeability off less than 1×10{sup -18} m{sup 2}, heat loss by heat conduction tends to become proportionally more important. However, the energy loss by heat conduction can be minimized by keeping the air-injection temperature of compressed air closer to the ambient temperature of the underground storage cavern. In such a case, almost all the heat loss during compression is gained back during subsequent decompression. Finally, our numerical simulation study showed that CAES in shallow rock caverns is feasible from a leakage

  6. Can Ambicor® Penile Prosthesis be Used in One Piece in Patients with Inadequate Cavernous Structure? Our Experience of Two Cases

    Directory of Open Access Journals (Sweden)

    Fatih Akdemir

    2016-12-01

    Full Text Available Penile prosthesis implantation, which is practiced with high satisfaction and success rates in patients with erectile dysfunction today, is an invasive procedure carried out by implanting various models of the prostheses into the cavernosal tissue. Penile prosthesis implantation may sometimes prove difficult in cases with small penis in size and diameter. In this article, we present the method we used in two patients in whom two-pieces Ambicor® penile prosthesis implantation was planned but could not be carried out due to the insufficient size and diameter of the penile cavernous structures.

  7. 2 April 2014 - H. E. Mr Joachim Gauck, President of the Federal Republic of Germany in the ATLAS experimental cavern with Director-General R. Heuer.

    CERN Multimedia

    Brice, Maximilien

    2014-01-01

    in the ATLAS cavern: Minister of State at the Federal Foreign Office M. Böhmer (green jacket) and Mrs daniela Schadt (First Lady). 201404-069_39.jpg: State Secretary, Federal Ministry of Education and Research G. Schütte, Minister of State at the Federal Foreign Office M. Böhmer, President Gauck, CERN DG, State Secretary, Chief of the Federal President´s Office D. Gill and Ambassador of the Federal Republic of Germany to the Swiss Confederation O. Lampe.

  8. Giant cavernous malformation in the ventrolateral midbrain with extension into the thalamus: a case report of a paramedian supracerebellar transtentorial approach.

    Science.gov (United States)

    Duan, Hongzhou; Hara, Yosuke; Goto, Tetsuya; Chiba, Akihiro; Hongo, Kazuhiro

    2016-08-01

    Cavernous malformations (CMs) of the midbrain and thalamus are relatively rare and particularly difficult to be resected given their location in eloquent tissues. Here, we report a case of a 14-year-old boy who experienced repeated and progressive right hemiparesis. Image examinations showed a gradually enlarged CM originated in the left ventrolateral midbrain extending to the left thalamus with repeated hemorrhage. By performing a paramedian supracerebellar transtentorial approach, the CM was totally removed, and the patient recovered without any new neurological deficit. The authors' experience suggests that this approach is eminent in treating giant lesions involving the ventrolateral midbrain and thalamus.

  9. Variable expression of cerebral cavernous malformations in carriers of a premature termination codon in exon 17 of the Krit1 gene

    Directory of Open Access Journals (Sweden)

    Gamero Miguel A

    2003-07-01

    Full Text Available Abstract Background Cerebral cavernous malformations (CCM present as either sporadic or autosomal dominant conditions with incomplete penetrance of symptoms. Differences in genetic and environmental factors might be minimized among first-degree relatives. We therefore studied clinical expression in a family with several affected members. Methods We studied a three-generation family with the onset of CCM as a cerebral haemorrhage in the younger (four-year-old sibling. Identification and enumeration of CCMs were performed in T2-weighted or gradient-echo MRIs of the whole brains. Genetic analysis comprised SCCP, sequencing and restriction polymorphism of the Krit1 gene in the proband and at risk relatives. Results The phenotypes of cerebral cavernous malformations (CCMs in carriers of Krit1 mutations were very variable. We identified a novel frameshift mutation caused by a 1902A insertion in exon 17 of the Krit1 gene, which leads to a premature TAA triplet and predicts the truncating phenotype Y634X. A very striking finding was the absence of both clinical symptoms and CCMs in the eldest sibling harbouring the 1902insA. Conclusions Patients in this family, harbouring the same mutation, illustrate the very variable clinical and radiological expression of a Krit1 mutation. The early and critical onset in the proband contrasts with minor clinical findings in affected relatives. This consideration is important in genetic counselling.

  10. Flow diversion in vasculitic intracranial aneurysms? Repair of giant complex cavernous carotid aneurysm in polyarteritis nodosa using Pipeline embolization devices: first reported case.

    Science.gov (United States)

    Martinez Santos, Jaime; Kaderali, Zul; Spears, Julian; Rubin, Laurence A; Marotta, Thomas R

    2016-07-01

    Intracranial aneurysms in polyarteritis nodosa (PAN) are exceedingly rare lesions with unpredictable behavior that pose real challenges to microsurgical and endovascular interventions owing to their inflammatory nature. We introduce a safe and effective alternative for treating these aneurysms using Pipeline embolization devices (PEDs). A 20-year-old man presented with diplopia, headaches, chronic abdominal pain, and weight loss. Diagnostic evaluations confirmed PAN, including bilateral giant cavernous carotid aneurysms. Cyclophosphamide and steroids achieved significant and sustained clinical improvement, with a decision to follow the aneurysms serially. Seven years later the left unruptured aneurysm enlarged, causing a sudden severe headache and a cavernous sinus syndrome. Treatment of the symptomatic aneurysm was pursued using flow diversion (PED) and the internal carotid artery was successfully reconstructed with a total of four overlapping PEDs. At 6 months follow-up, complete exclusion of the aneurysm was demonstrated, with symptomatic recovery. This is the first description of using a flow-diverting technique in an inflammatory vasculitis. In this case, PEDs not only attained a definitive closure of the aneurysm but also reconstructed the damaged and fragile arterial segment affected with vasculitis.

  11. Imaging analysis of orbital cavernous hemangioma%眼眶海绵状血管瘤的影像学分析

    Institute of Scientific and Technical Information of China (English)

    董华; 张遵城

    2008-01-01

    The cavernous hemangioma is the most common orbital tumor, Which will be healed up by surgical excision.confirm the location and historical characteristics of the lesion is very importment to alternative surgical method.To analyze radiologic featuIes of orbital cavernous hemangiomas,which including ultrasound,CT,MRI,and 99mTc-red blood cell(99mTc-RBC)scintigraphy,and improve the ability of diagnosis and differential diagnosis of the disease.%眼眶海绵状血管瘤是眼眶内较常见的肿瘤,经手术切除尚能痊愈,故明确肿瘤位置、组织学特性对选择手术进路至关重要.通过分析眼眶海绵状血管瘤的影像学特点,包括超声、CT、MRI及99mTc-红细胞(99mTc-RBC)显像等,可以提高对眼眶海绵状血管瘤的认识.

  12. ATLAS cavern hand-over ceremony on 4th June 2003 in the presence of the President of the Swiss Confederation

    CERN Document Server

    Jenni, P

    The 4th of June 2003 will be remembered as a very major milestone in the history of the ATLAS detector construction. In the presence of the President of the Swiss Confederation, Mr. Pascal Couchepin, the ATLAS cavern was handed over by the CERN Director-General, Professor Luciano Maiani, to the Collaboration. For this highly press-mediated event the CERN Director-General had invited some 100 political personalities and representatives from the Geneva and the neighbouring French regions, and from CERN Member and Non-Member States. The surface building was transformed for this occasion into an attractive multi- media hall with films and exhibitions from ATLAS and the civil engineering, with a bar and the CERN jazz band. Besides of course the cavern itself, the Swiss President visited also the ATLAS barrel toroid magnet and the LAr calorimeter assembly activities in Hall 180. The Swiss President visiting the Barrel Toroid integration work in Hall 180 He was very interested and impressed by these, aski...

  13. Neurotrophic Effect of Adipose Tissue-Derived Stem Cells on Erectile Function Recovery by Pigment Epithelium-Derived Factor Secretion in a Rat Model of Cavernous Nerve Injury

    Directory of Open Access Journals (Sweden)

    Xin Chen

    2016-01-01

    Full Text Available The paracrine effect is the major mechanism of stem cell therapy. However, the details of the effect’s mechanism remain unknown. The aim of this study is to investigate whether adipose tissue-derived stem cells (ADSCs can ameliorate cavernous nerve injury-induced erectile dysfunction (CNIED rats and to determine its mechanism. Twenty-eight days after intracavernous injection of 5-ethynyl-2-deoxyuridine- (EdU- labeled ADSCs, the erectile function of all the rats was evaluated by intracavernosal pressure (ICP. The ADSCs steadily secreted detectable pigment epithelium-derived factor (PEDF in vitro. The expression of PEDF increased in the penis of the bilateral cavernous nerve injury (BCNI group for 14 days and then gradually decreased. On day 28 after the intracavernous injection, the ADSCs group exhibited a significantly increased ICP compared with the phosphate buffered saline- (PBS- treated group. Moreover, the neuronal nitric oxide synthase (nNOS and S100 expression in penile dorsal nerves and the smooth muscle content to collagen ratio in penile tissues significantly increased. Furthermore, elevated PEDF, p-Akt, and p-eNOS were identified in the ADSCs group. This study demonstrated that intracavernous injection of ADSCs improved erectile function, repaired the nerve, and corrected penile fibrosis. One potential mechanism is the PEDF secretion of ADSCs and subsequent PI3K/Akt pathway activation.

  14. 3 May 2014 - His Excellency Dr Karolos Papoulias President of the Hellenic Republic in the LHC tunnel at Point 1 and in ATLAS experimental cavern with Director-General R. Heuer.

    CERN Multimedia

    Brice, Maximilien

    2014-01-01

    In the LHC tunnel at Point 1: Beams Department, Controls Group Leader E. Hatziangeli and Technology Department, Cryogenics Group Deputy Leader D. Delikaris. In the ATLAS cavern: ATLAS Deputy Spokesperson B. Heinemann and ATLAS Collaboration National contact person and CAST Collaboration National Technical University of Athens Team Leader E. Gazis.

  15. [Utility of the hepatic grammagraphy with red blood cells marked with 99mTC in the differential diagnosis between cavernous hemangioma and hepatocarcinoma: based on one clinical case].

    Science.gov (United States)

    Delgado García, M; Balsa, M A; García, P; Mitjavila, M; Castillejos, L; Penín, J; Pey, C

    1999-01-01

    The tomographic red blood cell imaging is useful in the investigation the cavernous hemangioma of the liver (specificity: 100%). In all positive studies, with negative cytology for malignancy, and absence of complications (bleeding, growth, etc.) It'll could adopt conservation aptness.

  16. Ren Jia Zhuang coal mine disaster relief asylum cavern construction experience%任家庄煤矿井下救灾避难硐室建设经验

    Institute of Scientific and Technical Information of China (English)

    刘旭; 王忠寿; 马国军

    2014-01-01

    对任家庄煤矿建设矿井救灾避难硐室经验进行总结。通过对建设过程中硐室位置的选择、硐室防水处理、管线布置、电器设备布置、地面钻孔布置、噪音处理及排水系统建设方面进行充分考虑、分析及研究,总结建设救灾功能较为完善,各个系统运行良好,满足人员避灾生存需求的救灾避难硐室所需考虑因素。对再建矿井救灾避难硐室具有一定的指导意义。%The paper summarized experience in the construction of ren jia zhuang coal mine disaster relief asylum cavern. Through fully consider,analysis and research on the choice of the location,cavern waterproof processing,pipeline layout、electri-cal equipment layout,ground borehole layout,noise processing and construction of drainage system in the process of mine di-saster relief asylum cavern construction ,summarizes the construction of disaster relief function more complete,the system runs well and meet the demand of personnel to avoid disaster survival needed relief asylum cavern factor. To build the mine disas-ter relief asylum cavern has the great guiding significance.

  17. 眼眶海绵状血管瘤的MRI、CT、超声评价%MRI, CT, Ultrasound Evaluation of Orbital Cavernous Hemangioma

    Institute of Scientific and Technical Information of China (English)

    雷小林

    2016-01-01

    Objective To study and analysis of orbital cavernous hemangioma of MRI\\CT and ultrasound examination and diagnosis value.Methods In a March 2012~August 2015 to our hospital patients with orbital cavernous hemangioma 40 as theresearch object,respectively by MRI,CT and ultrasound detection methods to medns in the diagnosis of the disease characteristics and advantages.Results Comparing MRI can clearly reflect the characteristics of orbital cavernous hemangioma,from image can clear the qualitative detection of the disease,the location of the aneurysm can be clearly shown;The location of CT in the diagnosis of ability is stronger;Ultrasound examination can help check out the patien's pathological reasons of hemangioma.Conclusion Can be seen from this article,the qualitative and positioning of MRI in the disease has the advantages of higher than CT and ultrasound examination,but three inspection methods have respective advantage.%目的研究和分析眼眶海绵状血管瘤的MRI、CT和超声检测与诊断价值。方法以2012年3月~2015年8月来我院就诊的眼眶海绵状血管瘤患者40例作为研究对象,分别通过MRI、CT和超声检测手段对患者进行检测,一次将患者命名为MRI组、CT组和超声组,然后比较三种检测手段在本病的诊断方面的特点和优势。结果 MRI检查可以比较清晰地反映出眼眶海绵状血管瘤的特点,从影像中能够清晰的完成疾病的定性诊断,可以将血管瘤的位置清晰地反映出来;CT的位置诊断能力较强;超生检查可以帮助检查出患者的血管瘤的定性诊断。结论从本文中可以看出,MRI在眼眶海绵状血管瘤的定性和定位检查方面具有的优势高于CT和超声检查,但三种检查方法各有优势。

  18. Cavernous Angioma and Children

    Science.gov (United States)

    ... pong Tennis Hang gliding or surfing/windsurfing Bowling Gymnastics – Always have a spotter underneath; avoid being upside ... brain. Following this restriction may limit participation in gymnastics or in the use of some playground equipment. ...

  19. Cerebral Cavernous Malformations (CCM)

    Science.gov (United States)

    ... all children with HHT should have the same screening for lung AVMs recommended for adults. Children can be safely treated with embolization. ? What are the symptoms or signs of HHT in the gastrointestinal tract (stomach and intestines)? Unexplained anemia or low blood count, ...

  20. Estudo micro-mesoscópico da parede lateral do seio cavernoso humano Human cavernous sinus: micro-mesoscopic study of the lateral wall

    Directory of Open Access Journals (Sweden)

    Renato Paulo Chopard

    1996-12-01

    Full Text Available Os autores estudam as estruturas contidas no seio cavernoso humano, tanto em seu interior como na sua parede lateral, através de cortes frontais seriados espessos. Mostram a importância desta parede que é freqüentemente usada como via de acesso cirúrgico às afecções presentes nesta estrutura venosa da dura-máterThe authors studied the structures of human cavernous sinus in its interior as well as on the lateral wall, utilizing thick, frontal, sequential sections. They show the significance of this wall, frequently used as surgical accessway to diseases encountered within this venous structure of the dura-mater.

  1. Clinical Value of Ultrasound in the Diagnosis of Orbital Cavernous Hemangioma%眶内海绵状血管瘤的超声诊断价值

    Institute of Scientific and Technical Information of China (English)

    许建锋; 国媛媛

    2009-01-01

    目的 探讨超声诊断眶内海绵状血管瘤(orbital cavernous hemangioma,OCH)的声像图表现及其临床应用价值.方法 对30例明确诊断的眶内海绵状血管瘤患者的超声表现进行回顾性分析.结果 超声可显示眶内海绵状血管瘤的形态、大小、内部结构、回声、血流分布等.结论 超声检查对眶内海绵状血管瘤有重要价值,超声检查具有操作简便、可重复等优点.

  2. Controlateral cavernous syndrome, brainstem congestion and posterior fossa venous thrombosis with cerebellar hematoma related to a ruptured intracavernous carotid artery aneurysm.

    Science.gov (United States)

    Aldea, Sorin; Guedin, Pierre; Roccatagliata, Luca; Boulin, Anne; Auliac, Stéphanie; Dupuy, Michel; Cerf, Charles; Gaillard, Stéphan; Rodesch, Georges

    2011-06-01

    Intracavernous carotid artery aneurysms (ICCAs) are rarely associated with life-threatening complications. We describe a 55-year-old woman who, after the rupture of an intracavernous carotid artery aneurysm, presented with a contralateral cavernous sinus syndrome and severe posterior fossa and spinal cord symptoms. Following parent artery occlusion, thrombosis of the posterior fossa and spinal cord veins caused a progressive worsening of the neurological status to a "locked-in" state. The patient fully recovered with anticoagulation therapy. Comprehension of the pathophysiological mechanism associated with the rupture of ICCA and early diagnosis of the related symptoms are essential in order to plan a correct treatment that includes the management of the aneurysm rupture and of possible complications related to venous thrombosis.

  3. 虚拟现实技术量化经额入路显露海绵窦区显微解剖研究%Quantitative research of microsurgical anatomy of transfrontal approach for cavernous sinus by virtual reality skill

    Institute of Scientific and Technical Information of China (English)

    汤可; 鲍圣德; 周敬安; 周青; 刘策; 赵亚群

    2011-01-01

    目的 利用Dextroscope虚拟现实系统定量评价经额入路显露海绵窦区的显微解剖特点.方法 根据尸头CT和MRI影像数据,以Dextroscope虚拟现实系统构建海绵窦三维解剖模型,分别选择颅盖和颅底标识点连成三角形模拟手术骨窗和海绵窦不同显露术野(三角面A、B、C).结果 不同术野三角形面积比较,B面术野最大(均P=0.000),但是到达术野前的操作空间和经过脑组织的体积A、B、C三面之间差异无统计学意义(P>0.05).经C面术野到达海绵窦前所需磨除前床突和显露颈内动脉及其分支的体积,分别大于经B面和经A面术野(均P=0.000);经B面术野进入海绵窦后磨除前床突的体积,以及显露脑神经和颈内动脉的体积分别大于经C面和A面术野(均P=0.000);经A面术野与经B面术野进入海绵窦后显露垂体的体积差异无统计学意义(P>0.05);经C面术野不显露垂体.结论 虚拟现实技术模拟经额显露海绵窦显微手术入路具有快捷、直观、量化、可重复等优势.%Objective To evaluate the microsurgical characteristics of different exposure for cavernous sinus through transfrontal approach by Dextroscope virtual reality system quantitatively. Methods Three-dimensional anatomic models of cavernous sinus were constructed in the Dextroscope virtual reality system according to CT and MRI of five adult cadaver heads. Triangular facets were made by lining landmark points selected on the calvaria and skull base to simulate craniotomy window and regions exposed for cavernous sinus (triangular facet A, B, and C), respectively. Results As comparison showed for areas of different triangular facets of exposed region, facet B was largest with significant difference (P = 0.000, for all). Comparison did not show significant difference among facet A, B, and C for volume of operative space and brain tissue involved (P > 0.05). Volume of anterior clinoid process drilled before cavernous sinus

  4. Brainstem cavernous malformations: a review with two case reports Malformações cavernosas do tronco cerebral: uma revisão com relato de dois casos

    Directory of Open Access Journals (Sweden)

    Adolfo Ramírez-Zamora

    2009-09-01

    Full Text Available Central nervous system (CNS cavernous malformations (CMs are developmental malformations of the vascular bed with a highly variable clinical course due to their dynamic nature. We present one case of "de novo" brainstem cavernous malformation after radiation therapy adding to the increasing number of reported cases in the medical literature, and the case of a pregnant patient with symptomatic intracranial hemorrhage related to brainstem CMs to illustrate the complex nature in management of these patients, followed by a review of clinical and radiographic characteristics. CMs account for 8-15% of all intracranial and intraspinal vascular malformations. Although traditionally thought to be congenital in origin, CMs may present as acquired lesions particularly after intracranial radiation therapy. Clinical manifestations are protean and surgical treatment should be considered for patients with progressive neurologic deficits.Malformações cavernosas (MFC do sistema nervoso central são malformações do desenvolvimento do leito vascular com múltiplas apresentações clínicas devido a sua natureza dinâmica. Apresentamos dois casos de malformações cavernosas do tronco cerebral: o primeiro após radioterapia e o segundo em paciente grávida com hemorragia intracraniana sintomática. MFC são responsáveis por cerca de 8-15% de todas as malformações vasculares. Embora tradicionalmente sejam genéticas, as MFC podem também ser adquiridas, particularmente após radioterapia. As manifestações clínicas são variáveis e o tratamento cirúrgico deve ser considerado para pacientes com quadros neurológicos progressivos.

  5. [Successful treatment using detachable coils for traumatic carotid cavernous fistula as a complication of transsphenoidal surgery for a pituitary adenoma: a case report].

    Science.gov (United States)

    Kobayashi, N; Abe, T; Furuya, H; Dohi, K; Shimazu, M; Sasaki, K; Izumiyama, H; Matsumoto, K; Ohki, S; Nemoto, S

    2000-02-01

    We report a case of a patient with traumatic carotid cavernous fistula (CCF) caused by transnasal-transsphenoidal surgery, who was successfully treated using detachable coils. A 47-year-old man was admitted to our hospital because of severe headache. He was confirmed to have a nonfunctioning pituitary adenoma with presellar-type sphenoid sinus. Cerebral angiography initially disclosed no vascular lesions. A transnasal-transsphenoidal adenomectomy was performed. When the anterior wall of the sphenoid sinus was dissected with a chisel, the chisel deeply stuck into the posterolateral part of the sinus. Profuse arterial bleeding was observed through the sphenoid sinus. The bleeding was stopped easily by compression and packing with bone wax. The operation was continued, the sellar floor was opened widely and the tumor was removed subtotally. The medial wall of the cavernous sinus was intact. Histological examination revealed a pituitary adenoma. Immediately after surgery, the patient noticed a bruit. He developed chemosis and abducent palsy on the right side. Cerebral angiography displayed a high-flow CCF, which was attributed to the carotid artery injury caused by the transnasal-transsphenoidal surgery. The CCF disappeared after two-staged embolization using detachable coils, 1st transvenous and 2nd transarterial. Ten months later, cerebral angiography showed persistent occlusion of the fistula, and the patient experienced no tumor recurrence. It is suggested that drilling is a safer procedure than using a chisel for dissection of a sphenoid sinus with incomplete pneumatization. Endovascular treatment using detachable coils proved useful to manage the CCF, an unusual complication of transsphenoidal surgery.

  6. 盐岩球腔储库弹性应力分布的理论解析%THEORETICAL ANALYTICAL SOLUTION OF STRESS DISTRIBUTION IN ELASTICITY STAGE OF SPHERICAL CAVITY STORAGE CAVERN IN SALT ROCK

    Institute of Scientific and Technical Information of China (English)

    王武; 许宏发; 江淼; 方秦

    2012-01-01

    假定地下储气库为球形腔体,利用在弹性阶段应力可叠加的基本原理,将球形储气库的受力方式简化分解为静水压力和垂直方向受力.对这2种受力方式下围岩应力分布解析结果进行叠加,获得在远场三轴压应力和储库内部压力共同作用下球腔储气库围岩弹性应力分布的完整解析解.在相同条件下,对盐岩球腔储气库进行数值分析,并将解析解与数值分析结果进行比较,结果表明,应力分布解析解与数值解吻合较好,验证所提出的分析方法是合理可行的.结合Hoek-Brown破坏准则,计算得出储气库不出现塑性破坏时的极限内压值范围.%Based on the assumption that the storage cavern is sphere, and using a basic principle that the stress could be superimposed in the elastic stage, the force modes of spherical gas storage cavern is disintegrated into hydrostatic pressure and vertical stress. Through the superposition of analytic results of surrounding rock stress distribution under the two kinds of force modes, the elastic stress distribution functions in surrounding rock of the spherical gas storage cavern in salt rock under remote field triaxial compressive stresses and internal pressure are derived. The numerical analysis of spherical gas storage cavern of salt rock is conducted under the same condition. Comparison shows that numerical simulation results are in good agreements with theoretical calculation results; and the presented analysis method is verified to be feasible. Then Hoek-Brown criterion is used to estimate the stability of spherical cavity storage cavern, and the limit of internal pressure is obtained when the plastic failure of gas storage cavern doesn't appear.

  7. 强采动下近距离硐室群围岩应力演化及加固对策%Stress Development and Reinforcement Countermeasure of Surrounding Rock of Close-distance Caverns Influenced by Strong Mining

    Institute of Scientific and Technical Information of China (English)

    姜鹏飞; 郭相平

    2014-01-01

    Stress development rule of close-distance caverns influenced by 2322 face's strong mining was researched with FLAC3D , and the mechanism of grouting reinforcement for close-distance caverns was researched by applying UDEC software. Corresponding reinforce-ment countermeasure was put forward. Results showed that after close-distance caverns including water sumps and substation were exca-vated, superimposition effect of vertical stress of surrounding rock between caverns was more obvious than that of horizontal stress, but horizontal stress concentration degree was larger. Mining of 2322 face result into abutment pressure of coal-pillar moving to floor. Influenced by high stress superimposition of coal and floor, strong floor heave occurred in caverns. Under the condition of the same grouting pressure and ratio of water-to-ash, slurry diffusion radius along tangential direction of hole was larger than that along radial di-rection. Bearing capacity of caverns' shallow surrounding rock largely increased by reinforcing with grouting anchored-cable. High mining stress was transferred from deep to shallow location, which prevented further failure of deep rock. Underground test showed that after ap-plying grouting anchored-cable, surrounding rock of every cavern could keep stability and deformation of surrounding rock of close-dis-tance caverns influenced by strong mining was effectively controlled.%以成庄煤矿井下甲、乙水仓及变电所等近距离硐室群为背景,采用FLAC3D 有限差分程序计算分析了2322工作面强采动下近距离硐室群围岩应力演化规律,采用UDEC离散元软件研究了近距离硐室群注浆加固机理,并提出了相应的加固对策。研究结果表明:成庄煤矿甲、乙水仓及变电所等近距离硐室群开挖后,围岩间垂直应力叠加效应较水平应力更为明显,但水平应力集中程度更高;2322工作面回采引起煤柱支承压力向底板传递,受煤柱高应力与底

  8. Angioma cavernoso do meato acústico interno envolvendo o complexo VII e VIII nervos cranianos: relato de caso Cavernous hemangioma of the internal auditory canal encasing the VII and VIII cranial nerve complex: case report

    Directory of Open Access Journals (Sweden)

    Roberto Leal Silveira

    2005-03-01

    Full Text Available Relata-se o caso de homem de 21 anos, leucoderma, portador de angioma cavernoso do meato acústico interno direito envolvendo o complexo VII e VIII nervos cranianos tratado cirurgicamente. Apenas 18 casos de angiomas cavernosos dessa localização foram relatados na literatura. São comentados os aspectos clínicos, o diagnóstico diferencial e o tratamento.We report the surgically treated case of a 21-year-old caucasian male harboring a cavernous hemangioma of the right internal auditory canal encasing the seventh and eighth cranial nerves complex. Only 18 cases of cavernous hemangiomas of this location have been previously reported. The clinical features, the differential diagnosis and the treatment are discussed.

  9. Numerical Analysis on the Stability of Large Scale Underground Caverns%大型地下洞室围岩稳定性数值模拟分析

    Institute of Scientific and Technical Information of China (English)

    鹿庆蕊; Andrea Perino; 赵凯; 陈士军; 刘慧群

    2015-01-01

    国内外水能资源的开发及大型地下古建筑群的保护往往需要布置地下厂房洞室群,而大型洞室的稳定性研究逐渐成为岩土工程学术界的研究热点。基于此,分别采用有限元软件Midas及离散元软件DEM对两大典型地下洞室的稳定性进行三维数值模拟分析:其一为位于意大利都灵省苏萨谷的Pont Ventoux水力发电站的Venaus洞室;其二为位于以色列的Tel Beer Sheva洞室。计算结果表明,根据围岩性状不同选取不同的计算工具均可较可靠的评价地下洞室的稳定性,且三维模型可更精确的描述洞室几何尺寸及围岩性状。%With the development of water resources utilization and the protection of ancient underground architecture ,it is necessary to construct relevant large scale underground projects .Recently great attention has been paid to the stability of large underground caverns in the research area of rock mechanics and rock engineering .In view of this ,the numerical simulation on the stability of two typical large underground caverns was carried out .Following a brief introduction of the main modeling approaches ,the analysis of the stability of cave Venaus by a continuous FEM model was firstly performed . The stability of cave Tel Beer Sheva was analyzed by constructing a discontinuous DEM model .The comparison of the re-sults obtained by numerical analysis with the values measured in-situ validated the reliability of these two different model-ing approaches of large scale underground structures excavated in rock mass ,and it also proves that 3D model is able to better capture the features of complex projects .

  10. Cavernous nerves innervation from prostate apex to distal penis%海绵体神经在前列腺尖部及远端的行程与分布

    Institute of Scientific and Technical Information of China (English)

    李俊; 黄健; 虞湘才; 黄海

    2009-01-01

    目的 观察海绵体神经在前列腺尖部及其远端的行程和分布,探讨海绵体神经与周围 组织的关系.方法 3具成年男性尸体尿道和阴茎标本,自前列腺尖部至阴茎头连续切片行HE染色和神经纤维嗜银染色,观察海绵体神经在前列腺尖部及其远端尿道膜部阴茎的行程与分布.结果 海绵体神经纤维束行于前列腺尖部和尿道膜部约3点到9点处,距离尿道腔约3~5 mm,向远端进入阴茎海绵体近段.自尿道膜部向前走行与海绵体静脉丛并行进入海绵体中隔.结论 海绵体神经在前列腺尖部以及阴茎近段与尿道及海绵体静脉关系密切,该部位尿道和海绵体静脉相关手术容易损伤海绵体神经.%Objective To investigate the cavernous nerves innervation from prostate apex to glans penis and the relation between cavernous nerves and surrounding tissues and organs. Methods The urethra and penises of three formalin preserved adult cadavers were removed from prostate apex to glans penis.The sections underwent hematoxylin-eosin staining and Bielschowsky nerve staining.The course and distribution of cavernous nerves and relationship between the cavernous nerves and surrounding tissues and organs was observed microscopically and photographed from prostate apex to glans penis. Results From serial sections we found when nerve fibres run along prostate apex,while surrounding the lateral and dorsal aspects of prostate apex and urethra.from 30'clock to 9 0'clock.Most fibres went through smooth muscle and some of them went through the periphery striated muscle and urogenital diaphragm.The distance to urethra lumen was only 3-5 mm.After the nerve fibres went distally and anteriorly,they accompanied closely with cavernous vein plexus and then went into corpora cavernosa.At the distal end of corpora cavernosa,there were"windows"through which the neurovascular bundles communicated between corpora cavernosa and glans penis just like doors to glans

  11. Hemangioma cavernoso de intestino delgado: una causa rara de obstrucción intestinal Cavernous haemangioma of the small bowel: an uncommon cause of intestinal obstruction

    Directory of Open Access Journals (Sweden)

    A.M. Calvo

    2003-12-01

    Full Text Available El hemangioma cavernoso de intestino delgado es un tumor vascular, benigno e infrecuente, sin predilección en cuanto al sexo y más frecuente a partir de la tercera década. Su manifestación clínica más común es la anemia crónica secundaria al sangrado del hemangioma gastrointestinal, seguida de la obstrucción y perforación intestinal. El diagnóstico preoperatorio es difícil y el tratamiento de elección es la resección quirúrgica.Cavernous haemangioma of the small bowel is a vascular, benign and infrequent tumour, similar in both sexes and more typical from the third decade onwards. Its most common clinical manifestation is a chronic anaemia secondary to intestinal bleeding, other causes are intestinal obstruction and perforation. Preoperational diagnosis is difficult and the treatment of choice is surgical resection.

  12. Caspase-3 dependent nitrergic neuronal apoptosis following cavernous nerve injury is mediated via RhoA and ROCK activation in major pelvic ganglion.

    Science.gov (United States)

    Hannan, Johanna L; Matsui, Hotaka; Sopko, Nikolai A; Liu, Xiaopu; Weyne, Emmanuel; Albersen, Maarten; Watson, Joseph W; Hoke, Ahmet; Burnett, Arthur L; Bivalacqua, Trinity J

    2016-07-08

    Axonal injury due to prostatectomy leads to Wallerian degeneration of the cavernous nerve (CN) and erectile dysfunction (ED). Return of potency is dependent on axonal regeneration and reinnervation of the penis. Following CN injury (CNI), RhoA and Rho-associated protein kinase (ROCK) increase in penile endothelial and smooth muscle cells. Previous studies indicate that nerve regeneration is hampered by activation of RhoA/ROCK pathway. We evaluated the role of RhoA/ROCK pathway in CN regulation following CNI using a validated rat model. CNI upregulated gene and protein expression of RhoA/ROCK and caspase-3 mediated apoptosis in the major pelvic ganglion (MPG). ROCK inhibitor (ROCK-I) prevented upregulation of RhoA/ROCK pathway as well as activation of caspase-3 in the MPG. Following CNI, there was decrease in the dimer to monomer ratio of neuronal nitric oxide synthase (nNOS) protein and lowered NOS activity in the MPG, which were prevented by ROCK-I. CNI lowered intracavernous pressure and impaired non-adrenergic non-cholinergic-mediated relaxation in the penis, consistent with ED. ROCK-I maintained the intracavernous pressure and non-adrenergic non-cholinergic-mediated relaxation in the penis following CNI. These results suggest that activation of RhoA/ROCK pathway mediates caspase-3 dependent apoptosis of nitrergic neurons in the MPG following CNI and that ROCK-I can prevent post-prostatectomy ED.

  13. Purulent Thrombosis of Cavernous Sinus in Children: A Report of 8 Cases%小儿化脓性海绵窦栓塞

    Institute of Scientific and Technical Information of China (English)

    任德胜; 邹大卫

    1983-01-01

    8 patients(7males and 1 female)with purulent thrombosis of cavernous sinus had been treated in our hospital since 1976.Their ages ranged between3 and14.5years.5were cured and 3 died. 4 of the cured cases were followed up for 6 months to 4 years.According to the follow-tws,2 patients recovered completely,one had visual impairment and one developed paralysis in the abducens oculi sinista.A discussion is given about the pathological basis,diagnosis,differential diagnosis and treatment of this disease.Owing to the high mortality and incidence of severe complications,the authors emphasize appropriate and vigorous treatment of the infection.Whenever the clinical picture is suggestive of this disease,aggressive measures,including intensive ntravenous antibiotics should be initiated at once.%@@ 化脓性海绵窦栓塞是海绵窦及其周围静脉的化脓性血栓性静脉炎,常常是鼻面部化脓性感染处理不当的一种严重并发症.自抗生素问世以来,本病虽已减少,但其死亡率仍高,且幸存者往往有各种后遗症.

  14. Traumatic aneurysm of the supraclinoid internal carotid artery and an associated carotid-cavernous fistula: vascular reconstruction performed using intravascular implantation of stents and coils. Case report.

    Science.gov (United States)

    Lee, Chang-Young; Yim, Man-Bin; Kim, Il-Man; Son, Eun-Ik; Kim, Dong-Won

    2004-01-01

    This report documents the treatment of a traumatic aneurysm of the supraclinoid internal carotid artery (ICA) that was associated with a carotid-cavernous fistula (CCF), which appeared following closed head trauma. This life-threatening lesion, which is very rare, required aggressive management achieved using intravascular stents and coils. A 19-year-old man presented with severe traumatic intracerebral and subarachnoid hematoma after he had suffered a severe closed head injury in a motor vehicle accident. Cerebral angiography performed 11 days after the injury demonstrated a traumatic aneurysm and severe narrowing of the right supraclinoid ICA, which was consistent with a dissection-induced stenosis associated with a direct CCF. Both lesions were successfully obliterated with preservation of the parent artery by using stents in conjunction with coils. Follow-up angiography obtained 7 months postoperatively revealed persistent obliteration of the aneurysm and CCF as well as patency of the parent artery. The patient remained asymptomatic during the clinical follow-up period of 14 months. Endovascular treatment involving the use of a stent combined with coils appears to be a feasible, minimally invasive option for treatment of this hard-to-treat lesion.

  15. Diffuse cavernous hemangioma of the rectum: an atypical cause of rectal bleeding Hemangioma cavernoso difuso del recto: una causa atípica de hemorragia digestiva baja

    Directory of Open Access Journals (Sweden)

    D. Hervías

    2004-05-01

    Full Text Available Objective: cavernous hemangioma of the rectosigmoid colon is a rare disease, with no more than 200 cases reported in the literature. The rectosigmoid is the most common site of this disease in the gastrointestinal tract. Case report: we report the case of a 31-year-old male with recurrent episodes of rectal bleeding, who was finally diagnosed of diffuse cavernous hemangioma of the rectum. The tumor, of 12 x 10 x 9 cm in size, occupied the rectum to the margin of the anal sphincter. A surgical procedure was ruled out because of the inability to carry out a safe anastomosis while preserving anal sphincters. Discussion: rectal hemangiomas are less frequent vascular malformations. The clinical presentation of a cavernous hemangioma of the rectum is usually acute, recurrent or chronic rectal bleeding. Other symptoms stem from the possible compression or invasion of adjacent structures, such as lumbar or perianal pain, metrorrhage, hematuria, etc. This diagnosis is commonly made in younger patients. Colonoscopy is without doubt the diagnostic technique of choice, and it allows to establish the localization, morphology, and total extension of the lesion; its characteristic image is a red-purplish nodule with great vascular congestion. According to the opinion of most authors, biopsy is not advisable during colonoscopy, since imaging techniques are sufficient for an accurate diagnosis, and the risk of bleeding while manipulating this lesion is not negligible. Computed tomography and particularly magnetic resonance imaging, given their high precision to delimit the lesion and its relations to adjacent structures, are imaging studies that are mandatory before surgical treatment. Other techniques such as selective angiography, barium enema, gastrointestinal transit, and upper-tract endoscopy may be supplementary and help locate more lesions along the gastrointestinal tract. Failure to recognize the exact diagnosis and extent of diffuse cavernous hemangioma

  16. Focal nodular hyperplasia-like lesions in patients with cavernous transformation of the portal vein: prevalence, MR findings and natural history

    Energy Technology Data Exchange (ETDEWEB)

    Marin, Daniele [Duke University Medical Center, Department of Radiology, Durham, NC (United States); University of Rome Sapienza, Department of Radiological Sciences, Rome (Italy); Galluzzo, Anna; Brancatelli, Giuseppe [Universita di Palermo, Istituto di Radiologia, Palermo (Italy); Plessier, Aurelie; Valla, Dominique [Service d' Hepatologie, Hopital Beaujon, Clichy (France); Vilgrain, Valerie [Assistance Publique des Hopitaux de Paris, APHP, Hopital Beaujon, Department of Radiology, Clichy (France); Universite Paris 7 Denis Diderot, Paris (France)

    2011-10-15

    To retrospectively investigate the prevalence, MR findings, natural history, and association with other hepatic lesions of focal nodular hyperplasia (FNH)-like lesions in a cohort of consecutive patients with cavernous transformation of the portal vein (CTPV). This retrospective IRB-approved study comprised 58 patients (32 men, 26 women; average age, 50 years) with CTPV who underwent liver MR imaging between 2000 and 2008. MR images were assessed by two radiologists in consensus for the presence of (a) FNH-like lesions and other liver lesions, and (b) other imaging findings. Patients were assigned to a stable or progressive clinical course based on lesion characteristics at follow-up. Twelve of 58 patients (21%) had 38 FNH-like lesions (average size, 1.3 cm). Common findings of FNH-like lesions were isointensity on T2-weighted images (82%), intense and homogeneous enhancement during the arterial phase, and lack of washout during the hepatic venous and interstitial phases (100%). FNH-like lesions were found with other benign liver lesions (1 hemangioma, 1 adenoma) in two patients. Three (25%) patients with FNH-like lesions showed a progressive clinical course. FNH-like lesions are commonly detected in patients with CTPV. Most lesions demonstrate benign imaging findings and stable clinical course. (orig.)

  17. The Choice of Surgical Approach Orbital Cavernous Hemangioma%眼眶海绵状血管瘤开眶手术入路的选择

    Institute of Scientific and Technical Information of China (English)

    杨亚斌; 方成彦; 杨忠昆; 胡竹林

    2014-01-01

    目的探讨摘除眼眶海绵状血管瘤的不同手术入路的手术效果。方法回顾性分析云南省第二人民医院131例经手术摘除的眼眶海绵状血管瘤患者的临床资料,对眼眶海绵状血管瘤患者的手术人路、手术技巧及手术效果进行总结。结果所有131例患者的眼眶海绵状血管瘤均行开眶手术治疗。外侧开眶术一共51例患者,其中完整摘除肿瘤49例,肿瘤大部摘除2例;术后视力改善62例,视力改善35例,视力稳定12例,视力减退4例。内外侧联合开眶术14例,其中完整摘除肿瘤49例,肿瘤大部摘除2例;术后视力改善8例,视力改善3例,视力稳定3例,视力减退3例。行经结膜入路前路开眶术一共37例患者其中完整摘除肿瘤37例;术后视力改善28例,视力稳定8例,视力减退1例。经皮肤入路前路开眶术一共24例患者,其中完整摘除肿瘤37例;术后视力改善21例,视力稳定2例,视力减退1例。内侧开眶术一共9例患者,其中完整摘除肿瘤9例;术后视力改善7例,视力稳定7例,视力减退1例。经颅入眶入路开眶术一共3例患者,其中完整摘除肿瘤2例,肿瘤大部摘除1例,术后视力改善0例,视力稳定2例,视力减退1例。经鼻内镜经筛窦内侧入路开眶术:一共5例患者,其中完整摘除肿瘤4例,肿瘤大部摘除1例,术后视力改善2例,视力稳定2例,视力减退1例。患者视力改善14例,视力稳定11例。行外侧开眶术37例,其中完整摘除肿瘤34例,肿瘤部分摘除3例;术后视力改善21例,视力稳定13例,视力丧失和减退3例。结论选择合适的手术入路可成功地摘除眼眶海绵状血管瘤,并降低手术并发症。%Objective To investigate the removal of dif erent surgical approaches of orbital cavernous hemangioma operation ef ect. Methods A retrospective analysis of 131 cases after surgical removal of the second

  18. 基于变形加固理论的盐岩库群时空演化分析%SPATIAL-TEMPORAL EVOLUTION ANALYSIS OF CAVERN GROUP IN SALT ROCK BASED ON DEFORMATION REINFORCEMENT THEORY

    Institute of Scientific and Technical Information of China (English)

    邓检强; 杨强; 刘耀儒

    2015-01-01

    In order to evaluate the long-term stability of underground cavern group for energy reserves,the elasto-viscoelastic-viscoplastic-viscodamage model is introduced into deformation reinforcement theory(DRT). The time-dependent deformation and damage evolution are considered. DRT considering the spatial-temporal evolution is developed. The criterion of long-term stability evaluation and failure spatial-temporal evolution of cavern group is established based on theT-∆E relationship curve,whereT is time and∆E is plastic complementary energy. The plastic complementary energy is the norm of over force,whose magnitude indicates the total evolution trend of long-term stability of cavern group;the over force is the internal effective driving force of non-equilibrium spatial-temporal evolution,which clearly exhibits the position and pattern of the damage evolution and failure. The long-term stability and the spatial-temporal evolution law of failure of double-cavern and Jintan oil and gas storage cavern group in salt deposit are studied. The results indicate that DRT considering spatial-temporal evolution provides a set of practical and effective theory and method for the long-term stability evaluation and failure analysis of spatial-temporal evolution of cavern group.%针对能源储备盐岩库群长期稳定性评价,将弹–黏弹–黏塑性损伤模型引入到变形加固理论,考虑时效变形和损伤演化,发展考虑时空演化的变形加固理论,建立基于T-∆E关系曲线的库群长期稳定性评价和破坏时空演化的关键判据,其中,T为时间,∆E为塑性余能。塑性余能是超屈服力的标量范数,其大小表征库群长期稳定的总体演化趋势;超屈服力是非平衡时空演化的内在有效驱动力,明确展现库群时效变形,损伤演化及破坏的部位和模式。研究双储库以及金坛盐矿油气储库群的长期稳定性和破坏时空演化规律。研究表明,考虑时空

  19. Effect of Single Fractured Zone on Water Inflow of Underground Unlined Cavern%单条裂隙破碎带对地下水封洞库涌水量的影响

    Institute of Scientific and Technical Information of China (English)

    路文龙; 周志芳; 黄勇

    2014-01-01

    基于某地下水封储油洞库的地质条件,利用GeoStudio软件对其进行二维渗流分析,将裂隙岩体等效为连续介质,同时考虑渗透性较大的单条裂隙破碎带,探讨破碎带对洞室涌水量的影响。研究表明洞室上方裂隙破碎带的存在将增加洞室的涌水量,并随着破碎带宽度和裂隙倾角的增加而增加。对裂隙破碎带进行灌浆处理后,其渗透性降低,洞室的涌水量也明显减少。%Based on the basic geological conditions of an underground unlined cavern for oil storage,two-dimensional seepage analysis software (GeoStudio)was employed to analyze the effect of fractured zone on water inflow of underground unlined cavern. The fractured rock mass was trea-ted as equivalent continuum medium,and single fracture zone with large hydraulic conductivity was embedded into the medium. The results show that the fracture zone at the top of the cavern increases the water inflow owing to the increase of the width and dip angle of the fracture zone. After the fracture zone grouting,its hydraulic conductivity decreased and groundwater inflow of the fracture zone reduces considerably.

  20. Surgical treatment and prognosis of thalamic cavernous mafformation%丘脑海绵状血管畸形的手术治疗及预后

    Institute of Scientific and Technical Information of China (English)

    李达; 吴震; 郝淑煜; 汤劼; 肖新如; 张力伟; 张俊廷

    2012-01-01

    目的 探讨丘脑海绵状血管畸形的手术治疗及预后.方法 对27例手术治疗的丘脑海绵状血管畸形的临床资料进行回顾性分析并随访评价.结果 27例患者共出血48次,术前KPS评分为(64.1±9.7)分.经三角区入路18例,胼胝体入路4例,其他入路5例.病灶全切26例,近全切1例.平均随访(48.7±43.2)个月,肢体力弱(53%)、肢体麻木(61%)、行走困难(25%)和视力(67%)等症状较术前改善,而言语表达无明显改善.随访KPS评分为(81.1±15.8)分,其中22例改善,5例稳定.术前KPS评分>70分(P=0.04)和女性(P=0.028)与预后显著相关.结论 手术治疗丘脑海绵状血管畸形可取得良好预后.%Objective The goal of this study was to retrospectively analyze the natural history of thalamic cavernomas and outcome after surgical resection.Method The authors retrospectively analyzed the presentation,surgery and outcomes in 27 consecutive patients who underwent microresection of thalamic cavernous malformation.Results Forty - eight times of hemorrhage occurred to 27 patients with a preoperative Karnofsky Performance Scale (KPS) of 64.1 ± 9.7.Eighteen patients underwent transtrigone lateral ventricle approach,four patients experienced interhemispheric transcallosal approach,and other approaches were applied for the remaining five patients and complete resection was achieved in 96% of patients.After a mean follow - up duration of (48.7 ± 43.2) months,symptoms of weakness,paresthesia,difficulty in walking and vision improved by 53%,61%,25% and 67%.However,verbalization did not improved obviously.The recent KPS was 81.1 ± 15.8,22 patients improved and 5 stabilized.Preoperative status and gender were the positive predictors of outcome.Conclusions Patients with thalamic cavernous malformation could obtain favorite prognosis through microsurgery.

  1. Lesions from patients with sporadic cerebral cavernous malformations harbor somatic mutations in the CCM genes: evidence for a common biochemical pathway for CCM pathogenesis.

    Science.gov (United States)

    McDonald, David A; Shi, Changbin; Shenkar, Robert; Gallione, Carol J; Akers, Amy L; Li, Stephanie; De Castro, Nicholas; Berg, Michel J; Corcoran, David L; Awad, Issam A; Marchuk, Douglas A

    2014-08-15

    Cerebral cavernous malformations (CCMs) are vascular lesions affecting the central nervous system. CCM occurs either sporadically or in an inherited, autosomal dominant manner. Constitutional (germline) mutations in any of three genes, KRIT1, CCM2 and PDCD10, can cause the inherited form. Analysis of CCM lesions from inherited cases revealed biallelic somatic mutations, indicating that CCM follows a Knudsonian two-hit mutation mechanism. It is still unknown, however, if the sporadic cases of CCM also follow this genetic mechanism. We extracted DNA from 11 surgically excised lesions from sporadic CCM patients, and sequenced the three CCM genes in each specimen using a next-generation sequencing approach. Four sporadic CCM lesion samples (36%) were found to contain novel somatic mutations. Three of the lesions contained a single somatic mutation, and one lesion contained two biallelic somatic mutations. Herein, we also describe evidence of somatic mosaicism in a patient presenting with over 130 CCM lesions localized to one hemisphere of the brain. Finally, in a lesion regrowth sample, we found that the regrown CCM lesion contained the same somatic mutation as the original lesion. Together, these data bolster the idea that all forms of CCM have a genetic underpinning of the two-hit mutation mechanism in the known CCM genes. Recent studies have found aberrant Rho kinase activation in inherited CCM pathogenesis, and we present evidence that this pathway is activated in sporadic CCM patients. These results suggest that all CCM patients, including those with the more common sporadic form, are potentially amenable to the same therapy.

  2. AB037. Icariside II improves human cavernous endothelial cells function by regulating miR-155/eNOS signal pathway

    Science.gov (United States)

    Guan, Ruili; Lei, Hongen; Yang, Bicheng; Li, Huixi; Wang, Lin; Guo, Yinglu; Xin, Zhongcheng

    2016-01-01

    Background To investigate the changes of miR-155/endothelial nitric oxide synthase (eNOS) signal pathway under the stimulation of age-BSA and glucose with or without icariside II (ICAII) intervention inhuman cavernous endothelial cells (HCECs). Methods Purified HCECs were first divided into three groups randomly: normal group + BSA (NC group), age-BSA + glucose group (DM group), ICAII treatment group (DM + ICAII group with different concentrations at 0.1, 1, 10 µM). Western Blot to detect the protein expression of eNOS and RAGE; real time PCR to detect the expression of miR-155 and eNOS; DAF-FM DA fluorescent probes assay and NaNO3/NaNO2 assay to detect the NO concentration. Lentivirus mediated miR-155 over-expression was constructed to observe the changes of eNOS and NO. Results The eNOS and RAGE expression in DM group is significantly reduced and increased respectively compared with that of NC group (P<0.05), while ICAII intervention could reverse this change effectively. The 10 µM of ICAII has the most powerful effect. MiR-155 has the highest fold changes among candidate miRNAs in diabetic like HCECs (P<0.05). MiR-155 increased and eNOS decreased remarkably in DM group, while ICAII intervention could inhibit the miR-155 expression, which led to the significantly higher eNOS expression and NO concentration (P<0.05). In lentivirus mediated miR-155 overexpression with or without ICAII intervention model, we found the similar trend with the above diabetic model. Conclusions MiR-155/eNOS signal pathway may be involved in the process of diabetic HCECs dysfunction. ICAII could promote the recovery of the endothelial dysfunction by regulating the miR-155/eNOS signal pathway.

  3. Energy restriction and exercise modulate angiopoietins and vascular endothelial growth factor expression in the cavernous tissue of high-fat diet-fed rats

    Institute of Scientific and Technical Information of China (English)

    In(ě)s Tomada; Nuno Tomada; Henrique Almeida; Delminda Neves

    2012-01-01

    The purpose of the current study was to evaluate the effect of a high-fat (HF) diet,energy restriction and exercise on the expression of vascular endothelial growth factor (VEGF),angiopoietin (Ang) 1 and 2,and their receptors in rat corpus cavernosum (CC).Male Wistar rats were fed adlibitum with an HF diet for 8 or 16 weeks.After 8 weeks of the HF diet,a group of rats was subjected to energy restriction with or without exercise for 8 weeks.Control animals had free access to standard diet for the same period.After euthanasia,blood was collected and the penises removed for immunofluorescence assays (VEGF,VEGF receptor (VEGFR) 1 and 2,Ang1,Ang2 and Tie2) and semiquantification of VEGF,VEGFR1,VEGFR2,Ang1,Ang2,Tie2,endothelial nitric oxide synthase (eNOS) and Akt/phospho-Akt by Western blotting.HF diet-fed rats exhibited lower high-density lipoprotein cholesterol (HDL-c) levels,higher systolic blood pressure and an increased atherogenic index.A significant increase in Ang2 expression in the CC was verified and coupled to a decrease in VEGF and VEGFRs.The Akt pathway was activated by the HF diet.Energy restriction and exercise increased eNOS expression and restored most HF diet-induced modifications except for VEGFR2 expression.These results emphasize the role of diet on vascular function regulation,demonstrating that cavernous imbalance of VEGF/VEGFRs and Angs/rie2 systems occurs before serum lipid changes and obesity onset,antedating structural atherosclerotic features.

  4. Detailed imaging of the normal anatomy and pathologic conditions of the cavernous region at 3 Tesla using a contrast-enhanced MR angiography

    Energy Technology Data Exchange (ETDEWEB)

    Linn, Jennifer; Peters, Friederike; Lummel, Nina; Brueckmann, Hartmut; Yousry, Indra [University Hospital Munich, Department of Neuroradiology, Munich (Germany); Schankin, Christoph [University Hospital Munich, Department of Neurology, Munich (Germany); Rachinger, Walter [University Hospital Munich, Department of Neurosurgery, Munich (Germany)

    2011-12-15

    The purpose of this study was to evaluate the potential of a high-resolution contrast-enhanced magnetic resonance angiography (CE-MRA) at 3 Tesla for the delineation of the cavernous sinus (CS) anatomy both under normal and under pathological conditions. Fifteen patients without pathologies in the CS and ten patients with pituitary adenomas were included. The CE-MRA was performed on a 3-Tesla scanner and analyzed collaboratively by two readers. The cranial nerves (CNs) within the CS, namely CNIII, CNIV, CNV1, CNV2, and CNVI, were identified in both patient groups. In the adenoma patients it was also assessed whether and to which extend the adenoma invaded the CS and the spatial relationship between tumor and CNs was determined. In the patients with normal CS anatomy, CNIII could be identified in 100%, CNIV in 86.7%, and CNV1, CNV2, as well as CNVI in 100% of analyzed sides. Pituitary adenomas invaded the CS unilaterally (right side) in four patients, and bilaterally in six patients. In patients with adenomas, the CN could be identified and differentiated from the tumor in the following percentages: CNIII in 100%, CNIV in 70%, both CNV1 and CNV2 in 90%, and CNVI in 100%. In all these cases, the tumor-nerve spatial relationship could be visualized. 3-Tesla CE-MRA allows detailed imaging of the complex anatomy of the CS and its structures. In adenoma patients, it clearly visualizes the spatial relationship between tumor and CNs, and thus might be helpful to optimize presurgical planning. (orig.)

  5. Clinical treatment experiences of intracranial cavernous angiomas%颅内海绵状血管瘤的临床治疗经验

    Institute of Scientific and Technical Information of China (English)

    王黎; 傅先明; 牛朝诗; 喻廉; 汪业汉

    2011-01-01

    目的 探讨颅内海绵状血管瘤(ICCA)的治疗策略.方法 回顾性分析55例经病理证实的颅内海绵状血管瘤病人的临床资料.其中采用常规开颅方式手术30例,神经导航手术19例,立体定向手术6例.结果 全切除52例,大部切除3例.术后无死亡,无颅内出血.术后主要并发症为感染、脑水肿和脑梗死,对症治疗后均好转.结论 神经导航手术是切除体积小、位置深颅内海绵状血管瘤病灶的首选方法;以癫(癎)为首发症状的病人,术中辅以皮质脑电图描记加皮质电灼或切除,对术后癫(癎)的控制有良好效果.%Objective To investigate the treatment strategies of intracranial cavernous angiomas (ICCA). Methods Clinical data of 55 patients with ICCA comfirmed by pathology were analyzed retrospectively. The conventional surgery was performed in 30 patients, neuronavigation surgery in 19 and stereotactic surgery in 6. Results Complete removal was achieved in 52 patients and subtotal removal in 3. No death and intracranial hemorrhage occurred after operation. The main postoperative complications included infection, encephaledema and cerebral infarction, and the patients recovered well after symptomatic treatment. Conclusions Neuronavigation surgery is the first choice for the removal of small and deep lesions of ICCA. Electrocorticography and cortex figuration or removal during operation is helpful for the postoperative control of patients with first symptom of epilepsia.

  6. 钙型卤水不净化MVR制高纯盐案例分析%Creating Value From Salt Cavern Brine

    Institute of Scientific and Technical Information of China (English)

    冯金海; 夏洛特•贝瑟尔

    2015-01-01

    This paper provides a case study of a NaCl salt crystallization system in the United States with feed brine evacuated from a deposit to be utilized as a gas storage cavern. The main process technology is a single-stage HPK. Salt Crystallizer designed to process the brine to an end product of a specified quality and crystal size. The product salt is marketed for use in the food and textile industries.The design of the system is unique in that the process does not require pretreatment of the brine. Based on the analysis of the brine, it was determined that the client’s purity requirements could be achieved by direct feed into the Crystallizer system without brine softening upstream of the process. Eliminating the need for pretreatment reduces the initial capital expenditure for the plant and minimizes on-going operational costs for chemicals and manpower. Operational data is provided within that demonstrates the performance of the crystallization system in terms of salt production, salt purity, and cleaning frequency.%文章提供了一个在美国的钙型卤水生产氯化钠结晶系统案例,料液卤水来自一个即将作为天然气储存洞穴。主要工艺技术是利用一个单级HPD MVR制盐结晶器,未经卤水净化,生产纯度99.85%且粒径分布窄的盐。该系统设计独特,不需要卤水净化。取消卤水净化环节可以降低系统的投资和运行成本。该系统不仅成本低,而且在线率高。

  7. Clinico-radiological features and treatment of intracranial cavernous angiomas%颅内海绵状血管瘤的影像特点及治疗分析

    Institute of Scientific and Technical Information of China (English)

    陈彤; 郭亮

    2016-01-01

    Objective To investigate the clinico-radiological features and treatment of intracranial cavernous angiomas. Methods The clinical and radiological data of 52 patients who confirmed with pathology or follow-up were analyzed retrospectively. The CT,.MRI features and the management of cavernous angiomas were evaluated emphatically. Results Among 52 cases,.48 cases had single lesion and 4 had multiple lesions,.totally 63 lesions..There were 54 intracerebral cavernous angiomas and 9 extracerebral cavernous angiomas..Intracerebral cavernous angiomas occurred mostly in supratentorial brain parenchyma , especially in frontal and temporal lobes.(38/54,70.37%). Cavernomas usually manifested as high density and well-defined lesions, sometimes with calcifications on CT..There was no mass effect on adjacent structures..The MRI features were complex and changeable. According to the classification, typeⅡwas the most common category (32/54, 59.26%). Both T1 and T2-weighted images showed heterogenous signal intense and presented as “mulberry” or “popcorn”. A hypointense rim in the surrounding brain parechyma is another feature of cavernous angiomas. (46/54,.85.18% )..On contrast -enhanced MRI,.cavernomas performed as minimal enhancement (59.26%) or non-enhancement (40.74%). Extracerebral cavernous angiomas often occurred in cavernous sinus , and were characterized by high signal intensity on T2WI and significantly enhancement with mass effect. 39 cases underwent surgery (39/52, 75%), 5 cases underwent γ knife radiosurgery (5/52, 9.62%) and 8 cases chose conservative treatment (8/52, 15.38%). After surgery, there were hemorrhage in 4 cases and neurological impairment in 3 cases. Conclusion The CT and MRI features of intracranial cavernous angiomas have a high value in the diagonosis and could provide some guidance on the treatment. Surgery was the main choice for most cavernomas ,.conservative treatment or radiosurgery could become another alternative to surgery.%目的

  8. Application of virtual reality in quantified analyses for cavernous sinus surgical approach%虚拟现实技术在海绵窦手术入路定量分析中的作用

    Institute of Scientific and Technical Information of China (English)

    汤可; 鲍圣德; 周敬安

    2011-01-01

    Objective To evaluate the utility of viaual reality system in quantitative comparison for cavernous sinus surgical approach.Method Image data of CT and MRI scan performed in five adult cadaver heads was inputted into the Destroscope virtual reality system to build 3 - D model of cavernous sinus.Surgical approaches for cavernous sinus from superolateral and inferolateral directions were simulated respectively in virtual reality system by lining landmark points selected on the calvaria and skull base to form special framework.Then,the two approaches were compared and analyzed according to the data measured for volume of anatomic structures and area of surgical entry.Results Images of anatomic structures related to cavemous sinus were displayed well in the operative space simulated successfully by the virtual reality system.The data measttring of volume for brain tissue,cranial nerves,intracavernous artery and area for operative entry was obtained and compared successfully.Conclusions Surgical approaches for cavernous sinus can be simulated in the virtual reality system with high fidelity.Data of correlative volume and area measuring is helpful for comparison between different surgical approaches.%目的 探讨虚拟现实系统在海绵窦手术量化比较中的应用价值.方法 5例尸头行CT 和MRI扫描,影像数据输入Dextroscope虚拟现实系统构建海绵窦三维解剖模型.选取颅盖和颅底骨性标识点连线形成空间框架,模拟经外上、外下两个方向入路,测量解剖结构体积和手术窗口面积,进行比较分析.结果 在海绵窦三维解剖模型中成功模拟手术入路,操作空间中可清楚显示解剖结构,成功测量脑组织、脑神经、颈内动脉等体积和手术窗口面积数据并进行比较.结论 虚拟现实解剖模型模拟海绵窦手术入路清晰逼真,相关体积和面积数据测量有助于不同手术入路的比较研究.

  9. 10th February 2011-Ambassador Permanent Representative of the Republic of Ecuador to the United Nations H.E. Mr Mauricio Montalvo visiting CMS cavern with Head of International Relations F. Pauss

    CERN Multimedia

    Maximilien Brice

    2011-01-01

    Photo 1,9-50:the delegation visiting the CMS cavern Photo 2-8:visiting CMS Control room Photo 51:V. Aguilar,First Secretary-G. Tonelli,CMS Collaboration Spokesperson-M. Montalvo-L. Sulak,CMS Collaboration-M. del Carmen Vivar,Third Secretary-N. Mora,Personal Assistant of Ambassador-B. Jones,Information Technology Department, EU Projects-L. Vayas,Counsellor-F. Pauss-J. Carlos Sánchez,First Secretary-J. Salicio,Adviser for Ecuador Photo 52-59:M.Montalvo signing the Guest Book with F. Pauss

  10. Liquefied petroleum gas storage in salt caverns of Kali und Salz GmbH - Bernburg works; Fluessiggasspeicherung in Salzkavernen der Kali und Salz GmbH - Werk Bernburg. Ein sicherer und leistungsfaehiger Standort fuer Lagerhaltung und Umschlag von Propan

    Energy Technology Data Exchange (ETDEWEB)

    Heinrich, C.; Moye, H. [Kali und Salz GmbH (Germany). Werk Bernburg

    2001-03-08

    Kali und Salz GmbH has been operating two liquefied petroleum gas cavern stores for more than thirty years. At depths between 510 and 685 m in the Stassfurt rock salt Na{sub 2} about 87000 t propane for I.p.g. suppliers can be taken into and removed from storage in the total usable cavities of 174000 m{sup 3}. The development as well as the technical and safety equipment of the caverns and surface installation are described. Scientific investigations, in particular into the practical quantitative detection of the water content and contractually agreed limits derived on this basis and excreeding DIN 51622, which relate to the degree of purity, were particularly important for the quality assurance of the I.p.g. removed from storage. [German] Die Kali und Salz GmbH betreibt im Werk Bernburg seit mehr als dreissig Jahren zwei Fluessiggas-Kavernenspeicher. Im Teufenbereich zwischen 510 und 685 m des Stassfurt-Steinsalzes Na{sub 2} koennen etwa 87 000 t Propan im insgesamt nutzbaren Hohlraum von rund 174 000 m{sup 3} fuer Fluessiggasversorgungsunternehmen ein- und ausgelagert werden. Die Entwicklung sowie technische und sicherheitstechnische Aus- und Nachruestung der Kavernen und der uebertaegigen Anlagen werden dargestellt. Von besonderer Bedeutung fuer die Qualitaetssicherung des ausgespeicherten Fluessiggases waren wissenschaftliche Untersuchungen - insbesondere zum praxisnahen quantitativen Nachweis des Wassergehalts und daraus abgeleitete, ueber die DIN 51 622 hinausgehende vertraglich vereinbarte Grenzwerte - den Reinheitsgrad betreffend. (orig.)

  11. Long-term phosphodiesterase 5 inhibitor administration reduces inflammatory markers and heat-shock proteins in cavernous tissue of Zucker diabetic fatty rat (ZDF/fa/fa).

    Science.gov (United States)

    Toblli, J E; Cao, G; Angerosa, M; Rivero, M

    2015-01-01

    Oxidative stress and nitrosative stress present in type 2 diabetes mellitus (T2DM) and metabolic syndrome (MS) induce inflammatory response in diverse tissues including cavernous tissue (CT). Heat-shock proteins (HSPs) have an important role in modulating and repairing tissue injury, although their participation in CT in T2DM is unclear. Beyond the specific action of phosphodiesterase type 5 inhibitors (PDE5i) on erectile function, it has been proposed that chronic administration of these agents improves endothelial function and ameliorates fibrotic changes. The aim of this study was to determine in CT of Zucker Diabetic Fatty (ZDF) rat, an experimental model of T2DM and MS: (1) the degree of oxidative stress and nitrosative stress; (2) the magnitude of inflammatory markers such as tumor necrosis factor-α (TNFα) and interleukin 6 (IL6); (3) immunoexpression of HSP70 and HSP27; (4) how a long-term PDE5i administration may modify these variables. For 6 months, (1) untreated ZDF; (2) ZDF+Sildenafil (Sil) and (3) control Lean Zucker Rat (LZR) received no treatment, were studied. Penises were processed for functional 'in vitro' studies, oxidative and nitrosative stress evaluation and immunohistochemistry in CT using TNFα; IL6; nitrotyrosine, HSP70 and HSP27 antibodies. ZDF+Sil presented better relaxation in corporal strips versus untreated ZDF. Furthermore, ZDF+Sil presented less lipoperoxidation in CT versus untreated ZDF. The activity of antioxidant enzymes CuZn superoxide dismutase (CuZnSOD) and glutathione peroxidase (GPx) was also reduced in untreated ZDF in CT along with a decrease in glutathione versus untreated ZDF. Nitrotyrosine expression was increased in untreated-ZDF rats versus ZDF+Sil and LZR. TNFα and IL6 were decreased in CT in ZDF+Sil versus untreated ZDF. Additionally, the expression of HSP70 and HSP27 was reduced in CT in ZDF+Sil versus untreated ZDF. In conclusion, this study provides substantial evidence supporting a protective role of a long

  12. Seasonal variations of cave conditions and drip water stable isotopes from a monitoring study of Raccoon Mountain Caverns, Tennessee, and its implications in interpreting speleothem record

    Science.gov (United States)

    Holtzclaw, C. L.; Gordon, R. D.; Feng, W.; Allard, J.

    2015-12-01

    A two-year monitoring study at Raccoon Mountain Caverns near Chattanooga, Tennessee was carried out in an attempt to establish quantitative relationships between climate signals and drip water stable isotopes for interpreting speleothem paleoclimate records from the cave. Eight field trips were made from Jan. 2014 to Jun. 2015, during which cave meteorological conditions (RH, temperature and cave air CO2 concentration) and drip rate were measured for 5 sites inside the cave. 63 cave drip and pool water samples were collected and analyzed for oxygen and hydrogen isotope compositions (δ18O and δD values). Cave air temperature varied throughout the study period, the temporal variations ranged at different sites from 2 to 8.4 °C (the greatest variation was observed at sites that are closer to the entrance or surface). These are significantly less than outside temperatures range of 24 °C, but more than observed in other monitored caves. Elevated cave-air CO2 concentration (3200 ppm) and slow drip rate during the summer indicated slowed or stalled growth of calcite. The overall range of δ18O values were -7.1‰ to -4.5‰. A δD vs δ18O diagram yields a slope of 6.1, which falls within the normal range of 6-8 for local Meteoric Water Line. The value is slightly above Global Meteoric Water Line, indicating lack of evaporative effect. Throughout the study period, the δ18O values varied from 0.6 ‰ at some sites to 1.9‰ at others. The largest changes were likely due to the close proximity of collection sites to the surface precipitation. Spatially, for samples collected at each cave trip, different sites displayed variations of δ18O values from 0‰ to 1.7‰. The difference could be attributed to different type of drip sites with varying types of flow paths rainwater takes to the drip sites. The significant seasonal shift of drip water δ18O values and growth conditions indicate importance of consideration of seasonality in interpreting speleothem δ18O record

  13. 9 April 2013 - Minister for Universities and Science United Kingdom of Great Britain and Northern Ireland D. Willetts in the ATLAS experimental cavern with ATLAS Collaboration Spokesperson D. Charlton and in the LHC tunnel at Point 1 with Beams Department Head P. Collier. Director for Accelerators and Technology S. Myers, Editor at the Communication Group K. Kahle and Beams Department Engineer R. Veness present.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    9 April 2013 - Minister for Universities and Science United Kingdom of Great Britain and Northern Ireland D. Willetts in the ATLAS experimental cavern with ATLAS Collaboration Spokesperson D. Charlton and in the LHC tunnel at Point 1 with Beams Department Head P. Collier. Director for Accelerators and Technology S. Myers, Editor at the Communication Group K. Kahle and Beams Department Engineer R. Veness present.

  14. 30 August 2013 - Senior Vice Minister for Foreign Affairs in Japan M. Matsuyama signing the guest book with CERN Director-General; visit the ATLAS experimental cavern with ATLAS Spokesperson D. Charlton and visiting the LHC tunnel at Point 1 with former ATLAS Japan national contact physicist T. Kondo. R. Voss and K. Yoshida present throughout.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    30 August 2013 - Senior Vice Minister for Foreign Affairs in Japan M. Matsuyama signing the guest book with CERN Director-General; visit the ATLAS experimental cavern with ATLAS Spokesperson D. Charlton and visiting the LHC tunnel at Point 1 with former ATLAS Japan national contact physicist T. Kondo. R. Voss and K. Yoshida present throughout.

  15. 16 December 2013 - Hooke Professor of Experimental Physics and Pro Vice Chancellor University of Oxford Prof. I. Walmsley visiting the ATLAS cavern with ATLAS Collaboration Deputy Spokesperson T. Wengler, Physics Department, ATLAS Collaboration P. Wells and Chair, CMS Collaboration Board, Oxford University and Purdue University I. Shipsey

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    16 December 2013 - Hooke Professor of Experimental Physics and Pro Vice Chancellor University of Oxford Prof. I. Walmsley visiting the ATLAS cavern with ATLAS Collaboration Deputy Spokesperson T. Wengler, Physics Department, ATLAS Collaboration P. Wells and Chair, CMS Collaboration Board, Oxford University and Purdue University I. Shipsey

  16. 12 December 2013 - Sir Konstantin Novoselov, Nobel Prize in Physics 2010, signing the guest book with International Relations Adviser E. Tsesmelis; visiting the ATLAS experimental cavern with Spokesperson D. Charlton; in the LHC tunnel with Technology Department Head F. Bordry. I. Antoniadis, CERN Theory Group Leader, accompanies throughout.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    12 December 2013 - Sir Konstantin Novoselov, Nobel Prize in Physics 2010, signing the guest book with International Relations Adviser E. Tsesmelis; visiting the ATLAS experimental cavern with Spokesperson D. Charlton; in the LHC tunnel with Technology Department Head F. Bordry. I. Antoniadis, CERN Theory Group Leader, accompanies throughout.

  17. 16 December 2013 - P. Lavie President of the Technion Institute of Technology in Israel visiting the ATLAS cavern with ATLAS Deputy Spokesperson T. Wengler; visiting the LHC tunnel at Point 1 with Technology Department Head F. Bordry and signing the Guest Book with CERN Director-General R. Heuer. G. Mikenberg, E. Rabinovici, Y. Rozen and S. Tarem present throughout.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    16 December 2013 - P. Lavie President of the Technion Institute of Technology in Israel visiting the ATLAS cavern with ATLAS Deputy Spokesperson T. Wengler; visiting the LHC tunnel at Point 1 with Technology Department Head F. Bordry and signing the Guest Book with CERN Director-General R. Heuer. G. Mikenberg, E. Rabinovici, Y. Rozen and S. Tarem present throughout.

  18. from left to right : Mr Michel Della Negra (Last spokeperson of CMS), Prof. Tejinder ("Jim") Virdee (actual spokeperson of CMS), Mr Robert Aymar (CERN Director General) and Mr Sigurd Lettow (Chief Financial Officer of CERN) assist to the Lowering of the final element (YE-1) of the Compact Muon Solenoid (CMS) detector into its underground experimental cavern.

    CERN Multimedia

    Maximilien Brice

    2008-01-01

    from left to right : Mr Michel Della Negra (Last spokeperson of CMS), Prof. Tejinder ("Jim") Virdee (actual spokeperson of CMS), Mr Robert Aymar (CERN Director General) and Mr Sigurd Lettow (Chief Financial Officer of CERN) assist to the Lowering of the final element (YE-1) of the Compact Muon Solenoid (CMS) detector into its underground experimental cavern.

  19. 8 April 2013 - Indian Hon'ble Minister for Ministry of Science & Technology and Ministry of Earth Sciences Shri Sudini Jaipal Reddy in the LHC tunnel with K. Foraz, visiting the CMS cavern with Technical Coordinator A. Ball and Former Spokesperson T. Virdee, signing the guest book with Director-General R. Heuer.

    CERN Multimedia

    Samuel Morier-Genoud

    2013-01-01

    8 April 2013 - Indian Hon'ble Minister for Ministry of Science & Technology and Ministry of Earth Sciences Shri Sudini Jaipal Reddy in the LHC tunnel with K. Foraz, visiting the CMS cavern with Technical Coordinator A. Ball and Former Spokesperson T. Virdee, signing the guest book with Director-General R. Heuer.

  20. 21 January 2008 - Vice-President of the Human Rights Commission Z. Muhsin Al Hussein, Ambassador to United Nations A. Attar and their delegation from Saudi Arabia, visiting the ATLAS experimental cavern with Collaboration Spokesperson P. Jenni and Technical Coordinator M. Nessi.

    CERN Multimedia

    Claudia Marcelloni

    2008-01-01

    21 January 2008 - Vice-President of the Human Rights Commission Z. Muhsin Al Hussein, Ambassador to United Nations A. Attar and their delegation from Saudi Arabia, visiting the ATLAS experimental cavern with Collaboration Spokesperson P. Jenni and Technical Coordinator M. Nessi.

  1. 18 February 2013 - Foundation for Polish Science President M. Zylicz signing the guest book with CERN Director for Research and Scientific Computing S. Bertolucci; visiting the ALICE experimental cavern with K. Safarik and L. Graczykowskind LHC tunnel with Technology Department A. Siemko.

    CERN Multimedia

    Samuel Morier-Genoud

    2013-01-01

    18 February 2013 - Foundation for Polish Science President M. Zylicz signing the guest book with CERN Director for Research and Scientific Computing S. Bertolucci; visiting the ALICE experimental cavern with K. Safarik and L. Graczykowskind LHC tunnel with Technology Department A. Siemko.

  2. 16 July 2013 - Israel Ministry of Education Director-General D. Stauber in the LHC tunnel at Point 1 with L. Tavian, visiting the ATLAS experimental cavern with Senior Physicist G. Mikenberg; Israeli Delegate to CERN Council E. Rabinovici and CERN Adviser for Israel E. Tsesmelis present; signing the guest book with CERN Director-General R. Heuer.

    CERN Document Server

    Anna Pantelia

    2013-01-01

    16 July 2013 - Israel Ministry of Education Director-General D. Stauber in the LHC tunnel at Point 1 with L. Tavian, visiting the ATLAS experimental cavern with Senior Physicist G. Mikenberg; Israeli Delegate to CERN Council E. Rabinovici and CERN Adviser for Israel E. Tsesmelis present; signing the guest book with CERN Director-General R. Heuer.

  3. 24 May 2013 - Rector of the Polish Stanislaw Staszic AGH University of Science and Technology T. Slomka in the LHC tunnel at Point 8 with Senior Polish Staff Member A. Siemko, in LHCb experimental cavern with LHCb Collaboration Spokesperson P. Campana and signing the guest book with Director-General R. Heuer. Adviser for Eastern Europe T. Kurtyka present.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    24 May 2013 - Rector of the Polish Stanislaw Staszic AGH University of Science and Technology T. Slomka in the LHC tunnel at Point 8 with Senior Polish Staff Member A. Siemko, in LHCb experimental cavern with LHCb Collaboration Spokesperson P. Campana and signing the guest book with Director-General R. Heuer. Adviser for Eastern Europe T. Kurtyka present.

  4. 17 September 2013 - Estonian Minister of Education and Research J. Aaviksoo signing the guest book with CERN Director-General R- Heuer; visiting the TOTEM facility with TOTEM Collaboration Spokesperson S. Giani; in the LHC tunnel at Point 5 with International Relations Adviser T. Kurtyka and visiting the CMS cavern with CMS Collaboration Spokesperson J. Incandela. International Relations Adviser R. Voss present.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    17 September 2013 - Estonian Minister of Education and Research J. Aaviksoo signing the guest book with CERN Director-General R- Heuer; visiting the TOTEM facility with TOTEM Collaboration Spokesperson S. Giani; in the LHC tunnel at Point 5 with International Relations Adviser T. Kurtyka and visiting the CMS cavern with CMS Collaboration Spokesperson J. Incandela. International Relations Adviser R. Voss present.

  5. 29 November 2013 - U. Humphrey Orjiako Nigerian Ambassador Extraordinary and Plenipotentiary Permanent Mission to the United Nations Office and other international organisations in Geneva signing the Guest Book with Head of International Relations R. Voss, visiting the LHC tunnel at Point 2 and the ALICE cavern with ALICE Collaboration Deputy Spokesperson Y. Schutz.

    CERN Document Server

    Noemi Caraban

    2013-01-01

    29 November 2013 - U. Humphrey Orjiako Nigerian Ambassador Extraordinary and Plenipotentiary Permanent Mission to the United Nations Office and other international organisations in Geneva signing the Guest Book with Head of International Relations R. Voss, visiting the LHC tunnel at Point 2 and the ALICE cavern with ALICE Collaboration Deputy Spokesperson Y. Schutz.

  6. 5 June 2013 - Sri Lankan Senior Minister of Scientific Affairs T. Vitharana signing the guest book with Director-General R. Heuer, in the LHC tunnel at Point 5 with International Relations Adviser R. Voss and in the CMS cavern with CERN Team leader A. Petrilli.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    5 June 2013 - Sri Lankan Senior Minister of Scientific Affairs T. Vitharana signing the guest book with Director-General R. Heuer, in the LHC tunnel at Point 5 with International Relations Adviser R. Voss and in the CMS cavern with CERN Team leader A. Petrilli.

  7. 8 May 2013 - Swedish European Spallation Source Chief Executive Officer J. H. Yeck in the ATLAS visitor centre and experimental cavern with Collaboration Spokesperson D. Charlton (also present M. Nessi, R. Garoby and E. Tsesmelis); signing the guest book with International Relations Adviser E. Tsesmelis.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    8 May 2013 - Swedish European Spallation Source Chief Executive Officer J. H. Yeck in the ATLAS visitor centre and experimental cavern with Collaboration Spokesperson D. Charlton (also present M. Nessi, R. Garoby and E. Tsesmelis); signing the guest book with International Relations Adviser E. Tsesmelis.

  8. 22 May 2013 - Turkish Minister of Health M. Müezzinoğlu signing the guest book with Director-General R. Heuer; in the LHC tunnel at Point 5 with International Relations Adviser E. Tsesmelis; in CMS experimental cavern with Deputy Spokesperson T. Camporesi. Turkish Scientists S. A. Cetin and B. Demirkoz present.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    22 May 2013 - Turkish Minister of Health M. Müezzinoğlu signing the guest book with Director-General R. Heuer; in the LHC tunnel at Point 5 with International Relations Adviser E. Tsesmelis; in CMS experimental cavern with Deputy Spokesperson T. Camporesi. Turkish Scientists S. A. Cetin and B. Demirkoz present.

  9. 13 September 2013 - Chairman of the Board of Directors of the von Karman Institute Kingdom of Belgium J.-P. Contzen visiting the ATLAS experimental cavern with ATLAS Former Spokesperson P. Jenni; visiting the LHC tunnel at Point 1 with Technology Department N. Delruelle and signing the guest book with Technology Department Head F. Bordry. International Relations Adviser T. Kurtyka present.

    CERN Multimedia

    Laurent Egli (visit)

    2013-01-01

    13 September 2013 - Chairman of the Board of Directors of the von Karman Institute Kingdom of Belgium J.-P. Contzen visiting the ATLAS experimental cavern with ATLAS Former Spokesperson P. Jenni; visiting the LHC tunnel at Point 1 with Technology Department N. Delruelle and signing the guest book with Technology Department Head F. Bordry. International Relations Adviser T. Kurtyka present.

  10. Mr Lars Leijonborg, Minister for Higher Education and Research of Sweden visiting the cavern ATLAS, the control room of ATLAS and the machine LHC at Point 1 with Collaboration Spokesperson P. Jenni and Dr. Jos Engelen, Chief Scientific Officer of CERN.

    CERN Multimedia

    Maximilien Brice

    2008-01-01

    Mr Lars Leijonborg, Minister for Higher Education and Research of Sweden visiting the cavern ATLAS, the control room of ATLAS and the machine LHC at Point 1 with Collaboration Spokesperson P. Jenni and Dr. Jos Engelen, Chief Scientific Officer of CERN.

  11. 28 March 2014 - Italian Minister of Education, University and Research S. Giannini welcomed by CERN Director-General R. Heuer and Director for Research and Scientific Computing S. Bertolucci in the ATLAS experimental cavern with Former Collaboration Spokesperson F. Gianotti. Signature of the guest book with Belgian State Secretary for the Scientific Policy P. Courard.

    CERN Multimedia

    Gadmer, Jean-Claude

    2014-01-01

    28 March 2014 - Italian Minister of Education, University and Research S. Giannini welcomed by CERN Director-General R. Heuer and Director for Research and Scientific Computing S. Bertolucci in the ATLAS experimental cavern with Former Collaboration Spokesperson F. Gianotti. Signature of the guest book with Belgian State Secretary for the Scientific Policy P. Courard.

  12. 6 November 2013 - Permanent Representative of Chile to the United Nations Office and Other international organizations in Geneva Ambassador J. Balmaceda Serigos signing the guest book with Adviser for Latin America J. Salicio Diez; visiting the ATLAS experimental cavern with Spokesperson D. Charlton (Spouse, Son and First Secretary present).

    CERN Document Server

    Anna Pantelia

    2013-01-01

    6 November 2013 - Permanent Representative of Chile to the United Nations Office and Other international organizations in Geneva Ambassador J. Balmaceda Serigos signing the guest book with Adviser for Latin America J. Salicio Diez; visiting the ATLAS experimental cavern with Spokesperson D. Charlton (Spouse, Son and First Secretary present).

  13. 21 May 2013 - Slovakian State Secretary, Ministry of Health V. Čislák signing the Guest Book with CERN Director-General R. Heuer; in the LHC tunnel at Point 2 with V. Senaj (Technology Department); in the ALICE experimental cavern with P. Chochula (Physics Department). M. Cirilli (Knowledge Transfer Group) present.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    21 May 2013 - Slovakian State Secretary, Ministry of Health V. Čislák signing the Guest Book with CERN Director-General R. Heuer; in the LHC tunnel at Point 2 with V. Senaj (Technology Department); in the ALICE experimental cavern with P. Chochula (Physics Department). M. Cirilli (Knowledge Transfer Group) present.

  14. 17 October 2013 - C. Ashton High Representative of the European Union for Foreign Affairs and Security Policy, Vice-President of the European Commission visiting the ATLAS cavern with ATLAS Collaboration Spokesperson D. Charlton; visiting the LHC tunnel at Point 1 with Technology Department Head F. Bordry and signing the Guest book with CERN Director-General R. Heuer.

    CERN Multimedia

    Maximilien Brice

    2013-01-01

    17 October 2013 - C. Ashton High Representative of the European Union for Foreign Affairs and Security Policy, Vice-President of the European Commission visiting the ATLAS cavern with ATLAS Collaboration Spokesperson D. Charlton; visiting the LHC tunnel at Point 1 with Technology Department Head F. Bordry and signing the Guest book with CERN Director-General R. Heuer.

  15. 5 June 2013 - European Union Ambassador to Switzerland and the Principality of Liechtenstein R. Jones in the ATLAS cavern with ATLAS Collaboration Deputy Spokesperson T. Wengler, in the LHC tunnel at Point 1 with Technology Department Head F. Bordry and signing the guest book with Director-General R. Heuer. Head of the EU Projects Office S. Stavrev present.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    5 June 2013 - European Union Ambassador to Switzerland and the Principality of Liechtenstein R. Jones in the ATLAS cavern with ATLAS Collaboration Deputy Spokesperson T. Wengler, in the LHC tunnel at Point 1 with Technology Department Head F. Bordry and signing the guest book with Director-General R. Heuer. Head of the EU Projects Office S. Stavrev present.

  16. 17th April 2008 - W. W. Tichenor, Ambassador, Permanent Representative of the United States of America to the United Nations Office and other international organisations in Geneva visiting the ATLAS cavern with Collaboration Spokesperson P. Jenni and AMS Collaboration Spokesperson S.C.C.Ting.

    CERN Multimedia

    Maximilien Brice

    2008-01-01

    17th April 2008 - W. W. Tichenor, Ambassador, Permanent Representative of the United States of America to the United Nations Office and other international organisations in Geneva visiting the ATLAS cavern with Collaboration Spokesperson P. Jenni and AMS Collaboration Spokesperson S.C.C.Ting.

  17. Senior Senator from Florida and Chairman, Senate Committee on Space, Aeronautics and Related Sciences W. Nelson, visiting the ATLAS cavern and LHC tunnel with ATLAS Collaboration Spokesperson P. Jenni and AMS Collaboration Spokesperson S.C.C.Ting, 16 March 2008.

    CERN Multimedia

    Maximilien Brice

    2008-01-01

    Senior Senator from Florida and Chairman, Senate Committee on Space, Aeronautics and Related Sciences W. Nelson, visiting the ATLAS cavern and LHC tunnel with ATLAS Collaboration Spokesperson P. Jenni and AMS Collaboration Spokesperson S.C.C.Ting, 16 March 2008.

  18. 17 April 2013 - UK Queen Mary University London Principal S. Gaskell in the ATLAS control room at LHC Point 1, LHC tunnel and ATLAS experimental cavern with Collaboration Spokesperson D. Charlton and signing the guest book with CERN Director for Accelerators and Technology S. Myers.

    CERN Multimedia

    Maximilien Brice

    2013-01-01

    17 April 2013 - UK Queen Mary University London Principal S. Gaskell in the ATLAS control room at LHC Point 1, LHC tunnel and ATLAS experimental cavern with Collaboration Spokesperson D. Charlton and signing the guest book with CERN Director for Accelerators and Technology S. Myers.

  19. 19 September 2011 - Austrian State Secretary for European and International Affairs W. Waldner, signing the guest book with Head of International Relations F. Pauss; visiting CMS service cavern with Collaboration Spokesperson G. Tonelli and the LHC superconducting magnet test hall with M. Zerlauth.

    CERN Multimedia

    Benoît Jeannet

    2011-01-01

    Austrian state secretary for foreign affairs, Wolfgang Waldner, left, was welcomed to CERN by Felicitas Pauss, head of international relations at CERN, on 19 September. While at CERN, he toured the CMS control room and underground experimental service cavern, the LHC superconducting magnet test hall, and the Universe of Particles exhibition in the Globe of Science and Innovation.

  20. 23 July - Italian Director-General for Prevention G. Ruocco and Director-General for European and International Relations Ministry of Health D. Roderigo visiting the ATLAS experimental cavern with ATLAS Deputy Spokesperson B. Heinemann. Life Sciences Section M. Cirilli and Life Sciences Adviser M. Dosanjh present.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    23 July - Italian Director-General for Prevention G. Ruocco and Director-General for European and International Relations Ministry of Health D. Roderigo visiting the ATLAS experimental cavern with ATLAS Deputy Spokesperson B. Heinemann. Life Sciences Section M. Cirilli and Life Sciences Adviser M. Dosanjh present.

  1. 19 July 2013 - Chairman of the Policy Committee, European Cancer Organisation, President, European Association for Cancer Research E. Celis visiting the ATLAS experimental cavern with ATLAS Collaboration Deputy Spokesperson, B. Heinemann and signing the Guest Book with Director for Accelerators and Technology S. Myers. Life Sciences Adviser M. Dosanjh present.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    19 July 2013 - Chairman of the Policy Committee, European Cancer Organisation, President, European Association for Cancer Research E. Celis visiting the ATLAS experimental cavern with ATLAS Collaboration Deputy Spokesperson, B. Heinemann and signing the Guest Book with Director for Accelerators and Technology S. Myers. Life Sciences Adviser M. Dosanjh present.

  2. Tuesday 28 January 2014 - K. E. Huthmacher Ministerialdirektor Provision for the Future - Basic and Sustainability Research Federal Ministry of Education and Research (BMBF) visiting the stands with R. Heuer CERN Director-General on the occasion of the Inauguration of the Industrial Exhibition Germany@CERN and visiting the ATLAS Cavern with D. Charlton ATLAS Collaboration Spokesperson and R. Voss Head of International Relations.

    CERN Multimedia

    Pantelia, Anna

    2014-01-01

    Tuesday 28 January - K. E. Huthmacher Ministerialdirektor Provision for the Future - Basic and Sustainability Research Federal Ministry of Education and Research (BMBF) visiting the stands with R. Heuer CERN Director-General on the occasion of the Inauguration of the Industrial Exhibition Germany@CERN and visiting the ATLAS Cavern with D. Charlton ATLAS Collaboration Spokesperson and R. Voss Head of International Relations.

  3. 1er février 2011-Première Présidente de la Confédération Suisse (1999)-Mme Ruth Dreifuss-Visite de la caverne expérimentale d’ATLAS avec F. Pauss, Chef des Relations internationales

    CERN Document Server

    Maximilien Brice

    2011-01-01

    Photo 1-24:Collaboration ATLAS, Ancien Porte-parole P. Jenni+F. Pauss+Experte en pédagogie S. Forster+R. Dreifuss+C. Bossy+JP Bossy, visite de la caverne ATLAS Photo 25-40:Visite du Tunnel LHC au Point 1

  4. 22. August 2013 - Permanent Representative of the Republic of Korea to the United Nations Office and other international organizations in Geneva, Ambassador Extraordinary and Plenipotentiary S. Choi signing the guest book with Director-General R. Heuer; visiting the LHC tunnel with P. Fessia and the CMS experimental cavern with Former Collaboration Spokesperson J. Virdee.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    22. August 2013 - Permanent Representative of the Republic of Korea to the United Nations Office and other international organizations in Geneva, Ambassador Extraordinary and Plenipotentiary S. Choi signing the guest book with Director-General R. Heuer; visiting the LHC tunnel with P. Fessia and the CMS experimental cavern with Former Collaboration Spokesperson J. Virdee.

  5. 1 October 2013 - British Minister of State for Trade and Investment Lord Green of Hurstpierpoint signing the guest book with Head of Internationals Relations R. Voss; visiting the LHC tunnel at Point 1 and the ATLAS experimental cavern with ATLAS Collaboration Members K. Behr and J. Catmore.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    1 October 2013 - British Minister of State for Trade and Investment Lord Green of Hurstpierpoint signing the guest book with Head of Internationals Relations R. Voss; visiting the LHC tunnel at Point 1 and the ATLAS experimental cavern with ATLAS Collaboration Members K. Behr and J. Catmore.

  6. SU-E-T-304: Dosimetric Comparison of Cavernous Sinus Tumors: Heterogeneity Corrected Pencil Beam (PB-Hete) Vs. X-Ray Voxel Monte Carlo (XVMC) Algorithms for Stereotactic Radiotherapy (SRT)

    Energy Technology Data Exchange (ETDEWEB)

    Pokhrel, D; Sood, S; Badkul, R; Jiang, H; Saleh, H; Wang, F [University of Kansas Hospital, Kansas City, KS (United States)

    2015-06-15

    Purpose: To compare dose distributions calculated using PB-hete vs. XVMC algorithms for SRT treatments of cavernous sinus tumors. Methods: Using PB-hete SRT, five patients with cavernous sinus tumors received the prescription dose of 25 Gy in 5 fractions for planning target volume PTV(V100%)=95%. Gross tumor volume (GTV) and organs at risk (OARs) were delineated on T1/T2 MRI-CT-fused images. PTV (range 2.1–84.3cc, mean=21.7cc) was generated using a 5mm uniform-margin around GTV. PB-hete SRT plans included a combination of non-coplanar conformal arcs/static beams delivered by Novalis-TX consisting of HD-MLCs and a 6MV-SRS(1000 MU/min) beam. Plans were re-optimized using XVMC algorithm with identical beam geometry and MLC positions. Comparison of plan specific PTV(V99%), maximal, mean, isocenter doses, and total monitor units(MUs) were evaluated. Maximal dose to OARs such as brainstem, optic-pathway, spinal cord, and lenses as well as normal tissue volume receiving 12Gy(V12) were compared between two algorithms. All analysis was performed using two-tailed paired t-tests of an upper-bound p-value of <0.05. Results: Using either algorithm, no dosimetrically significant differences in PTV coverage (PTVV99%,maximal, mean, isocenter doses) and total number of MUs were observed (all p-values >0.05, mean ratios within 2%). However, maximal doses to optic-chiasm and nerves were significantly under-predicted using PB-hete (p=0.04). Maximal brainstem, spinal cord, lens dose and V12 were all comparable between two algorithms, with exception of one patient with the largest PTV who exhibited 11% higher V12 with XVMC. Conclusion: Unlike lung tumors, XVMC and PB-hete treatment plans provided similar PTV coverage for cavernous sinus tumors. Majority of OARs doses were comparable between two algorithms, except for small structures such as optic chiasm/nerves which could potentially receive higher doses when using XVMC algorithm. Special attention may need to be paid on a case

  7. 中国东部岩盐矿区建造盐穴储气库地质条件分析%GEOLOGICAL CONDITION ANALYSIS ON GAS STORAGE FOR BUILDING SALT CAVERN OF ROCK SALT AREA IN EASTERN CHINA

    Institute of Scientific and Technical Information of China (English)

    王少华; 杨树杰

    2015-01-01

    The halite bed of eastern China is frequentlyinterbedded with the other rocks. According to the different rock salt bed interlayer of salt bearing zone, the section structure is separated into three types including the first interlayer which is easy to build salt cavern and dominated by dissolubility salinastone-glauberite and mudstone, the second interlayer which is common to build it and dominated by clastic rock(mudstone, siltstone) with a little readily soluble salt as well as the third interlayer which is hard to build it and dominated by gypsum and anhydrite with mud and sandstone. It is easy to build salt cavern at Jintan area of Jiangsu province but hard to build it at some basins such as Wuyang city of Henan province. Some sections with thick salt bed., thin interlayer and fewwater insoluble substance are also good for build salt cavern.%中国东部岩盐层与其它岩石频繁互层.从建造储气盐穴是否有利出发,根据含盐段岩盐层夹层的不同将剖面结构类型分为三类:第1类夹层以可溶性盐类——钙芒硝及泥岩为主,该类较易建造盐穴;第2类型夹层以碎屑岩(泥岩、粉砂岩)为主,含少量易溶盐类,该类建造盐穴条件一般;第3类型夹层以石膏、硬石膏为主,含泥、砂岩,该类难以建造盐穴.在中国东部诸多盐矿区中,江苏金坛建造盐穴条件较好,易于建造盐穴.而江苏淮安、湖南衡阳、湖北潜江、河南舞阳等盆地条件较差,但在这些矿区中,选择盐层厚度相对较大,夹层较薄、水不溶物质含量较低的地段,亦可建造储气盐穴.

  8. Hhcy大鼠阴茎海绵体内cAMP,cGMP含量及研究%The Study about cAMP and cGMP in the Penile Corpus Cavernous of Hyper Homocysteine Rats

    Institute of Scientific and Technical Information of China (English)

    王贵平; 李明; 张万峰; 王洪杰; 丁晓晖; 刘会恩

    2011-01-01

    Objective:To detect the levels of camp,cgmp in the penile corpus cavernous of adult male Wistar rats with high homocysteine and to explore the relationship of camp and cgmp with erectile dysfunction.Methods:Forty wistar rats were divided into a control and an Hhcy group.The control group were fed on normal diet and Hhcy group were fed diet with 3% methionine respectively.Four weeks later,the Wistar rats were detected by injecting apomorphine,the levels of camp and cgmp in the penile corpus cavenous were detect and that of serum homocysteine by the cycle enzyme method.Results:Compared with the control group,the levels of camp and cgmp in the penile corpus cavernous of the Hhcy group were significantly lower,while homocysteine was significantly higher.Conclusion:The levels of camp and cgmp in the penile corpus cavernous in Wistar rats with high homocysteine is lower.Hhcy is an significantly risk factor of erectile dysfunction.%目的:探讨高同型半胱氨酸血症大鼠阴茎海绵体组织内cAMP,cGMP含量的变化并研究其对阴茎勃起功能影响.方法:取40只成年雄性大鼠,随机分成两组,分为正常对照组和Hhcy组.Hhcy组给予3%高蛋氨酸饲料喂养,正常组给予普通饲料喂养,饲养四周后后分别注射阿扑吗啡进行大鼠阴茎勃起功能实验,抽取血清检测Hhcy含量,麻醉后取阴茎海绵体测量cAMP,cGMP含量.结果:Hhcy组血清中同型半胱氨酸含量显著高于正常组,大鼠阴茎组织中cAMP,cGMP含量显著低于正常组.结论:高同型半胱氨酸血症大鼠阴茎海绵体中cAMP,cGMP含量降低.高同型半胱氨酸血症是阴茎勃起功能障碍的危险因素.

  9. gigapanorama of NA 62 cavern

    CERN Multimedia

    Brice, Maximilien

    2015-01-01

    The image shows the new rare Kaon decay experiment at CERN, called NA62. The NA62 experiment is 270 metres long and includes a 120-metre-long vacuum tank, shown here, housing several of the particle detectors. (Note: the experiment axis is a straight line, the curving of the tank is an optical effect of the photo.) Kaons are particles that decay into lighter elementary particles. The kaon decay processes are mostly well known, except for some very rare decay modes. For example, NA62 is investigating a rare decay predicted by the Standard Model in which a kaon decays into one pion and two neutrinos. This process occurs only once every 10 billion decays. The understanding of such ultra-rare decays are of great importance because they test the Standard Model in energy ranges not accessible by direct measurements. They are therefore complementary to the measurements at the LHC. ultra high definition on demand (photolab@cern.ch).

  10. 海绵窦海绵状血管瘤的手术疗效分析%Efficacy of surgical treatment for cavernous sinus hemangiomas

    Institute of Scientific and Technical Information of China (English)

    陆峥; 赵继宗

    2010-01-01

    目的 分析海绵窦海绵状血管瘤的手术疗效.方法 回顾性分析2003至2009年手术治疗的29例海绵窦海绵状血管瘤.男7例,女22例,发病年龄(52±9)岁.临床表现:头痛15例,视力减退9例,复视7例,眼睑下垂2例,面部感觉异常6例,轻偏瘫1例,月经稀少4例.MRI为主要诊断方法.29例患者经额颞开颅伴或不伴眶颧弓切断,全部经硬脑膜下入路.结果 肿瘤全切除14例(48.3%),近全切除13例(44.8%),大部切除2例(6.9%),无手术死亡病例.术后27例(93%)随访3个月至6年.头痛全部缓解,神经系统症状改善12例,内分泌症状无改善.主要并发症包括视力减退2例(6.9%)、动眼神经麻痹17例(58.6%),外展神经麻痹8例(27.6%),三叉神经麻痹4例(13.8%).16例定期复查MRI,时间1至6年,未见肿瘤复发.结论 手术是治疗海绵窦海绵状血管瘤比较有效的方法,但全切除肿瘤难度较大,脑神经损伤等并发症仍然不容乐观.%Objective To analyze the efficacy of surgical treatment for cavernous sinushemangiomas (CSH). Methods The data from 29 surgical CSH patients, 7 males and 22 females, aged 52 ± 9 years old, at our department were collected from 2003 to 2009 and analyzed retrospectively. The main presenting symptoms included headache ( n = 15 ), impaired visual acuity ( n = 9 ), diplopia ( n = 7 ), ptosis (n=2), facial paresthesia ( n = 6 ), hemiparesis ( n = 1 ) and infrequent menstruation ( n = 4 ). MRI was major preoperative modality. All patients underwent craniotomy via frontotemporal approach with or without orbitozygomatic osteotomy. The tumor was removed through intradural approach in all patients. Results Total removal was achieved in 14 (48. 3% ) patients. And 13 (44. 8% ) and 2 (6.9%) patients had subtotal and partial procedures respectively. No postoperative death occurred. Follow-up study of 3 months to 6 years was conducted in 27 patients (93%). All headaches were relieved postoperatively. The central nervous symptoms

  11. 伽玛刀治疗颅内脑外型海绵状血管瘤的临床分析%Gamma knife in treatment of extracerebral cavernous hemangiomas

    Institute of Scientific and Technical Information of China (English)

    耿明英; 张子义; 程远; 许民辉; 沈光建

    2012-01-01

    目的 探讨伽玛刀治疗颅内脑外型海绵状血管瘤的临床疗效,并总结伽玛刀治疗经验.方法 收集2002年5月至2009年5月位于海绵窦旁颅内脑外海绵状血管瘤6例,采用直接伽玛刀治疗4例,开颅手术切除后伽玛刀治疗2例,平均有效照射剂量为12.9(11~16)Gy,视神经接受剂量均小于9.0 Gy(2.4~9.0 Gy).全部病例随访6个月至9年.结果 治疗后5例症状改善,1例仍有复视.MRI显示病灶消失1例,缩小4例,无变化1例.结论 对病灶难以手术或难以耐受手术的颅内脑外型海绵状血管瘤,伽玛刀治疗是一种安全有效的治疗方法.%Objective Intracranial extracerebral cavernous hemangiomas (ECAH) may develop in the cavernous sinus. These tumors pose diagnostic as well as therapeutic challenges to neurosurgeons during attempted removal. We discussed our experience in treating intracranial exlracerebral cavernous hemangiomas by gamma knife radiosurgery (GKS) and share experience for gamma knife usage. Methods A total of 6 symptomatic patients with ECAH who undergoing GKS between May 2002 to May 2009 were collected in this study. The hemangiomas were located in the cavernous sinus. The average volume of ECAH was 4.3 cm3 (range from 3. 8 to 6. 8 cm ). The presenting symptoms included headache, orbital pain, diplopia, ptosis, proptosis and impaired visual acuity (6 patients). There were 4 patients treated by GKS based on clinical and imaging criteria, and the left 2 patients receiving microsurgical partial excision biopsy first and then cured by GKS. The average of irradiation dose delivered to the margin was 12.9 Gy (ranging from 11 to 16 Gy). The dose to the optic nerve in all patients was less than 9 Gy (range 2.4 to 9 Gy). All patients were followed up for 6 months to 9 years. Results Five patients had symptom improvement, and one patient had persistent diplopia. Follow-up MRI image displayed that tumor disappeared in 1 patient, decreased in size in 4 patients, and

  12. 岩盐椭球储气库应力解析及其稳定性分析%Stress Solutions and Stability Analysis of Ellipsoidal Gas Storage Cavern in Salt Rock

    Institute of Scientific and Technical Information of China (English)

    许宏发; 王武; 方秦; 赵佩胜

    2012-01-01

    岩盐地下储气库根据成腔方式不同,储气库形状也有较大变化,但简化为细长旋转椭球体(短长轴比s)是合理的.假定岩盐体为无限大各向同性线弹性体,将旋转椭球岩盐储气库受力分解为两种受力状态:有内压的静水压力状态和无内压的非静水压力状态.利用弹性理论应力叠加原理,求得了在地应力场(垂直p,水平Po)和内压(pi)作用下储气库腔壁上关键点(顶点和赤道线上任意点)的应力精确解析解.对某岩盐储气库进行了数值模拟计算,数值计算结果与解析解较接近.分析了关键点应力随椭球腔形状、地应力和内压的变化规律,认为径向应力随内压比(pi/p)的增加而增加,几乎与轴比(s)无关;水平环向应力随内压比和轴比的增加而减小.结合已有试验资料,确定了盐岩广义Hoek-Brown破坏模型参数,并据此计算得到了储气库不出现破坏时的极限内压值范围,当s=0.9时极限内压较小.%The shapes of the gas storage caverns vary with building ways, but simplified as an elongated rotational ellipsoid ( minor to major axis ratio, s ) is reasonable. Assumed that the ellipsoidal cavity is in linear elasticity and isotropy infinite body, the mechanical status of the caverns can be resolved into: hydrostatic pressure with internal pressure and non-hydrostatic pressure without internal pressure. Using principle of superposition on stress in elastic theory, the exact stress solutions for the key points,which are the peak and an arbitrary point on the equator line of the ellipsoidal cavity, were solved under geostress field ( vertical stress, p; horizontal stress ,p0 ) and internal pressure(pi). The numerical simulation analysis on rotational ellipsoidal gas storage cavern in salt rock was conducted, and the results of numerical simulation coincided with analytic solutions. Analyzed the laws of the stresses of the key points varying with shape of cavity, geostresses and internal

  13. Correction of surgically induced erectile dysfunction in the rat by repairing ablated cavernous nerve with neural stem cell grafts%神经干细胞移植重建勃起功能的研究

    Institute of Scientific and Technical Information of China (English)

    袁小旭; 邱剑光

    2010-01-01

    Objective To investigate the feasibility of restoring erectile function by repairing abla-ted cavernous nerve with neural stem cell grafts. Methods Forty-two male Sprague-Dawley rats (3-4 months old, weighing 300-400 g) were randomly divided into three groups: sham-operated controls (n = 14 ) subject to pelvic exploration without transection of the cavernous nerve; nerve ablation group (n = 14) having a 3 nun segment of cavernous nerve excised bilaterally; graft group (n = 14) having a 3 mm segment of cavernous nerve excised bilaterally, followed by immediate neural stem cell grafting. Two and 4 months postoperatively the rats of each group were electrostimulated to the cavernousal nerves to determine potency. Corpora cavernosa were harvested and nNOS-positive nerve fibers were examined by using immunohisto-chemistry. Results At the 2nd month postoperatively, electrical stimulation produced no erections in the nerve ablation or the graft group and 100 % erections in the sham-operated group. There was no significant difference in the nNOS-positive nerve fibers between the nerve ablation group and the graft group. At the 4th month postoperatively, 57. 14% of the grafted nerves produced erections upon electrical stimulation, significantly different from that in the nerve ablation group (7. 19% ). The nNOS-positive nerve fibers in the graft group (86. 0 ± 13.4) significantly differed from those in the nerve ablation group (26. 5±4. 3), and approximated the level of the sham-operated group (95.1 ± 7.7). Conclusion Neural stem cell graft-ing can be an effective method in restoring potency after injury.%目的 观察神经干细胞移植修复损伤的海绵体神经从而恢复勃起功能的可行性.方法 42只雄性SD大鼠(3~4个月龄和体质量300~400 g)随机分为假手术组、神经干细胞移植组和神经损伤组,每组14只.2、4个月后,海绵体神经电刺激检测大鼠阴茎勃起功能,免疫组织化学法检测海绵体内一氧化氮

  14. 大连地下石油储备库洞室群围岩稳定性及渗流场分析%ANALYSES OF SURROUNDING ROCK STABILITY OF CAVERN GROUP AND SEEPAGE FIELD AT DALIAN UNDERGROUND OIL STORAGE

    Institute of Scientific and Technical Information of China (English)

    于崇; 李海波; 周庆生

    2012-01-01

    为分析水封式大连地下石油储备库洞室群围岩稳定性及渗流场特征,首先基于现场地应力实测结果的回归分析,利用Fish语言编写函数,反演初始地应力场.其次,采用三维离散元程序3DEC生成三维节理网络模型,反演库区初始渗流场的各向异性特征.最后,利用应力与渗流耦合模块实施开挖仿真计算,获取围岩应力场、位移场变化特征.考虑平行、垂直层理面不同材料特性,基于带有抗拉的Mohr-Coulomb强度储备型点安全系数,定量评价洞室群的稳定性.借鉴国外水封效果评价标准,分别从地下水位线和垂直水力坡降2个方面,分析渗流场变化特征.研究表明:在洞室周边平行层理面点安全系数为1.02~1.25,垂直层理面点安全系数为1.95~2.00.在补水隧道及注水孔组成的人工水幕系统作用下,建设期内地下水位下降3~5 m,地下水位距洞室顶55 m.开挖洞室附近平均垂直水力坡降大于1.0,满足设计规范及密封性要求.%Aiming at analyses of surrounding rock stability of cavern group and seepage field characteristics at Dalian water-tight underground oil storage, firstly, based on regression analysis of in-situ stress testing data, initial in-situ stress field inversion is conducted with functions defined with program language Fish. Secondly, after three-dimensional random joint networks with different sizes are generated with 3DEC. a new method of calculating the anisotropy permeability is proposed. Finally, stress field and displacement field of surrounding rocks are gained using coupled fluid and mechanical excavation calculations. Based on point safety factor, whose criterion is the Mohr-Coulomb one with the tensile strength, cavern group stability is quantitatively evaluated considering parallel and vertical bedding planes owing to different materials characteristics. Referring to ideas from abroad, seepage field is analyzed by groundwater table and vertical

  15. 8th February 2011-Rector Universidad Autónoma de Sinaloa Mexico Dr Victor Antonio Corrales Burgeño-Mexico-visiting ALICE cavern and tunnel with ALICE Spokesperson P. Giubellino

    CERN Document Server

    Maximilien Brice

    2011-01-01

    Photo 1,3-14:The delegation visiting ALICE cavern Photo 2:Dra. Beatriz E. Rodríguez Pérez\tDirectora del Centro de Políticas de Género para la igualdad entre Hombres y Mujeres,Dr Victor Antonio Corrales Burgeño,P. Giubellino Photo 15-29:The delegation visiting LHC Tunnel Photo 30-57:Signature of the Guest Book with CERN Director-General R. Heuer and Head of International Relations F. Pauss Photo 58:Adviser for Mexico J. Salicio,ALICE Collaboration Universidad Autonoma de Sinaloa I. Leon Monzon,ALICE Collaboration Centro Invest. Estudios Avanz. IPN (Cinnestav) G. Herrera Corral,R. Heuer,Dr Victor Antonio Corrales Burgeño,F. Pauss,Dra. Beatriz E. Rodríguez Pérez,Directora de Relaciones InternacionalesMC. América M. Lizárraga González

  16. Report on the explosion, fire, and oil spill resulting in one fatality and injury on September 21, 1978, at Well 6 of Cavern 6 at the West Hackberry, Louisiana, oil storage site of the strategic petroleum reserve. Volume I

    Energy Technology Data Exchange (ETDEWEB)

    1978-11-01

    The following report is the independent product of the Accident Investigation Committee which was commissioned by the Department of Energy following the accident on September 21, 1978, at the Strategic Petroleum Reserve site at West Hackberry, Louisiana. This Committee is charged with the task of determining the nature, extent, and causes of that accident, which resulted in loss of life, injury and property damage, and the need for corrective action. A nonburning oil spill went into nearby Black Lake, but was contained by the deployment of a series of oil spill containment booms and a prevailing wind from the northeast that kept the oil spill in a restricted area near shore. Because of the rapid and effective containment and cleanup of the oil spill by the Rapid Response Team, it appears very likely at this time that Black Lake will not sustain any permanent environmental damage. Cavern 6 initially contained approximately 7,000,000 barrels of oil at a pressure of 650 psig measured at the well head. As of September 29, 1978, the Strategic Petroleum Reserve Office - New Orleans (SPRO) estimated that oil expulsion from Cavern 6 was 67,510 barrels. Of this, 34,620 barrels of oil are accounted for, including 31,200 barrels of oil released into Black Lake and subsequently recovered. The remainder (32,890 barrels) was assumed by SPRO to have been burned. The total loss is presently estimated by the Accident Investigation Committee 's consultant to be $12 million. An assessment of the technical problems present at the time of the accident is given. Recommendations for improved safety procedures are included.

  17. 盐穴储气库双井造腔技术现状及难点分析%Comprehensive Analysis about Dual Well Solution Mining Technology in Salt Cavern Storages

    Institute of Scientific and Technical Information of China (English)

    周俊驰; 黄孟云; 班凡生; 郑东波

    2016-01-01

    At present, solution mining in salt cavern mainly adopts the technology of the single well dissolved cavity in our country, but this general technology cannot completely meet the need of salt cavern storage construction in China, especially in the aspects of cavity size, construction cycle, ect.Another technology called dual well opera-tion in solution mining is an effective measure to solve this problem with the advantages of increasing water injection capacity, energy saving, enlarging cavity volume and shortening the period of dissolution.Based on the comprehen-sive analysis of dual well application abroad, this paper points out that dual well technology should address the as-pects of the cavity form design and control, cavity configuration monitoring and process parameters optimization in domestic fields.%目前我国在盐层建库主要采用单井溶腔技术,但常用的单井溶腔技术无论在造腔体积、建库周期等方面均已不能满足我国盐穴储气库建设日益增加的需求,而盐穴储气库双井溶腔技术具有增大注水排量、降低能耗、增大腔体体积、缩短建库周期等优点,因此在综合分析国外盐穴储气库双井溶腔技术及难点的基础上,指出腔体形态设计与控制、腔体形态监测与工艺参数优化等是国内盐穴储气库双井溶腔技术存在的主要问题,并提出了相应的解决措施。

  18. METHOD OF LAYOUT DESIGN BASED ON RATIO OF ROCK STRENGTH TO IN-SITU STRESS FOR LARGE UNDERGROUND CAVERNS%基于岩石强度应力比的大型地下洞室群布置设计方法

    Institute of Scientific and Technical Information of China (English)

    张勇; 肖平西; 程丽娟

    2014-01-01

    分析不同岩石强度应力比条件下典型水电站地下厂房洞室群围岩的破坏模式和变形特征,阐明岩石强度应力比与洞室围岩的承载能力、破坏模式、变形特征之间的关系,并根据洞室群效应及其对洞室群围岩稳定的影响、谷坡地应力场特征、地应力分级标准、大量已建水电站洞室群布置设计统计资料、数值分析成果、既有相关研究成果、工程经验,创建基于岩石强度应力比的大型地下洞室群布置设计方法,提出具体的量化指标和相关计算公式。该方法主要根据岩石强度应力比,结合场址地应力场特征、围岩结构面发育特征等进行地下洞室群的布置设计,较为全面地考虑了影响地下洞室群围岩稳定的主要因素,适用于各种地应力水平和复杂地质条件的地下洞室群布置设计。%The failure patterns and deformation characteristics of surrounding rock masses in underground powerhouse caverns with different ratios of rock strength to in-situ stress(RSS) were analyzed and summarized, and the relationships between the RSS and the bearing capacity,the failure patterns and the deformation characteristics of surrounding rock masses were expounded. Based on the large amount of the statistical design data concerning the layout of caverns in hydropower stations,an innovative design method for the layout of underground caverns was proposes. The specific quantitative indicators and the related calculation formulas were presented. This method emphasized the important influence of RSS on the layout of caverns and based on the past experiences,the numerical analysis results and the recent findings in this field. The proposed method also took account into the interactions of adjacent caverns,the characteristics of in-situ stress in canyon region where caverns located,the classification of in-situ stress according to its magnitude and the distribution of weak discontinuities

  19. 颅内多发性海绵状血管瘤15例%Clinical Analysis of Intracranial Cavernous Hemangioma in 15 Children

    Institute of Scientific and Technical Information of China (English)

    陈莹; 王治平; 潘力

    2012-01-01

    目的 总结儿童颅内多发性海绵状血管瘤(CA)的临床特点与治疗策略.方法 选取2003年1月-2011年5月临床诊断为儿童颅内CA患儿15例.对其临床表现、头颅影像学特征及预后进行回顾性分析.结果 15例患儿颅内CA中脑内型14例,脑外型1例.14例脑内型患儿临床表现为头痛8例,呕吐5例,癞痫发作4例,意识障碍3例,头晕、偏瘫各2例,肢体感觉障碍1例;1例脑外型患儿临床表现为单侧眼睑下垂,伴头痛,呕吐、复视.14例脑内型患儿CT检查发现30个病灶;MRI检查发现35个病灶,病灶周围一圈低信号30个,呈环状或半环状;颅脑血管磁共振成像检查结果阴性;2例数字减影脑血管造影检查阴性.14例患儿行手术治疗,其中3例因急性头痛、呕吐伴意识障碍于病程10d内手术;11例病情呈间歇性发作,于病程0.5 ~12.0a择期手术.结论 儿童颅内CA以脑内型多见,临床表现缺乏特异性,主要表现为头痛、呕吐等颅高压症状,其次为癫痫发作等症状.头颅MRI检查是目前临床术前确诊颅内CA的最佳方法.外科手术是治疗颅内CA的主要方法,无症状或症状轻微的患儿可临床随访观察,如出现难治性局灶性癫痫、严重头痛、局部神经功能障碍应及时手术治疗.%Objective To summarize the clinical characteristics and therapeutic strategy of intracranial cavernous hemangioma(CA) in children. Methods Fifteen children with clinical diagnosis of intracranial CA from Jan. 2003 to May 2011 were chosen. Their clinical presentations ,imaging characteristics,prognosis and treatment were analyzed retrospectively. Results Of the 15 cases, 14 cases were in intracranial brain while 1 case was outside the brain. Clinical manifestations of these 14 cases and 8 cases with headache ,5 cases with vomiting,4 cases with epilepsy,3 cases with awareness of disorder ,2 cases with dizziness ,2 cases with hemiplegia, and 1 case with sensory disturbance of limbs

  20. 症状性颈内动脉海绵窦段狭窄患者支架置入术的疗效分析%Efficacy analysis of stenting in patients with internal carotid artery cavernous segment symptomatic stenosis

    Institute of Scientific and Technical Information of China (English)

    莫大鹏; 叶强; 王博; 马宁; 高峰; 孙萱; 宋立刚; 缪中荣

    2015-01-01

    目的:评价颈内动脉海绵窦段狭窄血管内支架置入术的安全性和有效性及中-长期疗效。方法回顾性纳入2012年1月至2015年2月行颈内动脉海绵窦段血管内支架置入术患者32例,使用Apollo或Winspan支架系统进行血管成形术治疗,观察两种支架对颈内动脉海绵窦段狭窄的改善情况、围手术期的安全性及中、长期随访结果。结果32例均获得技术成功,患者脑缺血症状明显缓解。颈内动脉海绵窦段狭窄长度为4~13 mm,平均(7.2±2.9)mm,狭窄率从置入术前(82±7)%降至术后(24±7)%;围手术期并发症1例(3.1%)。26例获得DSA随访,6例失访。随访7~29个月,平均随访时间为(16±7)个月。随访期间发生脑出血1例,脑梗死1例,无一例死亡。有4例随访时发生支架内再狭窄,其中3例使用Winspan 支架,且其中1例为症状性;另1例使用Apollo支架。结论应严格筛选患者,尤其注意病变长度,血管内支架成形术治疗颈内动脉海绵窦段狭窄是安全而有效的方法。%Objective To evaluate the safety,effectiveness,and middle or long-term efficacy of endovascular stenting of internal carotid artery stenosis at the cavernous segment. Methods Thirty-two patients underwent endovascular stenting at the cavernous segment of internal carotid artery from January 2012 to February 2015 were enrolled retrospectively. Angioplasty and stenting were conducted using Apollo or Winspan stent system. The improvement of internal carotid artery cavernous segment stenosis and perioperative safety and the results of the medium and long-term follow-up of the 2 kinds of stents were observed. Results All the 32 patients achieved technical success. The symptoms of cerebral ischemia of the patients were relieved significantly. The length of the stenosis at cavernous segment of the internal carotid artery was 4 to 13 mm (mean,7. 2 ±2. 9 mm). The stenosis rate from

  1. 肾上腺海绵状血管瘤一例报告并文献复习%Cavernous hemangioma of adrenal:a case report and review of the literature

    Institute of Scientific and Technical Information of China (English)

    董德鑫; 李汉忠; 严维刚; 纪志刚; 王海; 文进

    2014-01-01

    目的:提高对肾上腺海绵状血管瘤的诊治水平。方法回顾性分析2013年6月18日收治的1例肾上腺海绵状血管瘤患者的资料,女,62岁。因阵发性血压升高10年,发现左肾上腺占位2个月入院。血压最高达175/55 mmHg(1 mmHg=0.133 kPa),药物治疗效果不佳,近6个月血压控制不平稳。腹部超声检查示左侧肾上腺区低回声占位。腹部增强CT检查示左侧肾上腺前方不规则肿块,大小约4.5 cm×2.5 cm×3.9 cm,动脉期边缘强化,门脉期造影剂向内充填,延迟期为均匀高密度,考虑良性病变可能。腹部MR检查示腹主动脉左前方肿块,边缘清晰光滑,T1WI呈低信号, T2WI呈明显高信号,考虑嗜铬细胞瘤可能。24 h尿儿茶酚胺:去甲肾上腺素103.0 nmol,肾上腺素9.8 nmol,多巴胺18.9 nmol。奥曲肽显像检查:腹主动脉左前方生长抑素受体稍高表达。术前诊断为左肾上腺嗜铬细胞瘤。结果术前酚苄明药物准备3周,服药后血压维持在120~132/50~70 mmHg。患者鼻塞明显,手足皮温较高,体质量增加约1 kg。于全麻下行腹腔镜下左侧肾上腺肿瘤切除术,手术顺利,术后血压平稳,病理诊断为左肾上腺海绵状血管瘤。随访5个月,患者血压、心率平稳,无肿瘤复发。结论肾上腺海绵状血管瘤临床罕见,误诊率极高,对于影像学检查为典型血管瘤表现的肾上腺肿瘤,应考虑到本病的可能性。对于直径>6 cm的肿瘤,建议手术,首选手术方式为腹腔镜下肾上腺肿瘤切除术,术中应尽量保留正常肾上腺组织。%Objective To study the diagnosis and surgical treatment of adrenal cavernous hemangi -oma. Methods The data of one case with adrenal cavernous hemangioma was retrospectively reviewed .A 62-year-old female patient admitted in out hospital on 18th June, 2013 due to the paroxysmal hypertension for 10 years and finding

  2. 地下水封储油库围岩稳定性数值分析%Numerical analysis on the stability of surrounding rock for underground water-sealing oil storage in rock caverns

    Institute of Scientific and Technical Information of China (English)

    胡谋鹏; 粱久正; 许杰

    2013-01-01

    An underground water-sealing oil storage in rock caverns in Liaoning Province follows a low level of ground stress in the low-stress area. After its excavation, surrounding rock deformation and fracture are controlled under the combination between single structure plane and multi-group structure plane. Therefore, it is required to first analyze whether the surrounding rock suffer stress problems or structure plane problems and equivalent to value selection of surrounding rock parameters on the importance. Geological strength index (GSI) proposed by Hoek and Brown are based on rock quality evaluation. It can reduce subjectivity in determining the shear strength indicator to define rock mass mechanics parameters by the empirical formula. The underground water-sealed oil storage in rock caverns in Liaoning Province is taken as the object of study. Using the surrounding rock parameter value selection method based on GSI system as well as FLAC3D software, numerical analysis on the surrounding rock stability is conducted and its results are interpreted based on displacement criteria and stress criterion to determine the surrounding rock stability, thus having a guiding significance in engineering practice.%辽宁某地下水封储油硐库地应力水平不高,属于低应力区,开挖后围岩变形破坏受单一结构面和多组结构面的组合控制,因此首先需要分析围岩属于应力型问题还是属于结构面型问题,其重要性等同于围岩参数取值的重要性.Hoek和Brown提出的地质强度指标(GSI)法基于岩体质量评价,应用经验公式确定岩体力学参数,可以一定程度上减少确定抗剪强度指标过程中的主观成分.以辽宁某地下水封储油库工程储油硐室为研究对象,采用基于GSI系统的围岩参数取值方法,借助FLAC3D软件对围岩稳定性进行数值分析,利用位移判据和应力判据对数值分析结果进行解释,进而判断围岩的稳定性,对工程实践具有一定的指导意义.

  3. 南庄煤矿永久避难硐室选址及结构研究%Permanent Asylum Cavern Selection and Structure Study in Nanzhuang Coal Mine

    Institute of Scientific and Technical Information of China (English)

    黄箫; 金龙哲; 高娜

    2014-01-01

    针对南庄煤矿实际情况,结合相关法律法规和构建经验,通过理论分析与实验相结合的方法,确定在南庄煤矿12号煤层设置1个100人永久避难硐室,并对其选址及结构进行研究,对增强南庄煤矿生产安全性具有重要意义,并为煤矿井下紧急避险系统的进一步研究提供重要依据。%This paper based on the situation,combined with the relevant laws regulations and construction experience of Nanzhuang Coal Mine,it determined to set a 100 permanent asylum cavern on No. 12 coal seam of Nanzhuang Coal Mine and made analysis and experi-ment of the location and structure through combining theoretical analysis and experiments,itˊs great significance to enhance founded on production safety,and it provided important basis for further research of coal mine underground emergency safety systems in Nanzhuang Coal Mine.

  4. Selection of the methods used in MR angiography with arteriovenous malformation, carotid cavernous fistula, moyamoya disease, and cerebral aneurysms; A comparison of 3-D phase-contrast MRA with 3-D time-of-flight MRA

    Energy Technology Data Exchange (ETDEWEB)

    Ikawa, Fusao; Uozumi, Tohru; Kuwabara, Satoshi (Hiroshima Univ. (Japan). School of Medicine) (and others)

    1993-02-01

    The methods used in MR angiography (MRA) can be roughly divided into two groups: time-of-flight methods (TOF methods) which make use of the influx effect of the flow, and the phase-contrast method of Dumoulin, Souza, and their collaborators (PC method), which utilizes phase differences induced by the flow. In this study, the selection of the MRA method was determined by a comparison of the three-dimensional (3-D) PC and the 3-D TOF method in normal and clinical cases. The tool used was SIGNA Advantage (1.5T) made by GE. The 3-D PC method was applied under a pulse sequence generated by gradient-recalled acquisition in the steady state (GRASS); the pulse sequence used for the 3-D TOF method was spoiled GRASS (SPGR) in a total of 28 cases. The following conclusions were reached: the TOF method should be used when aneurysms, arteriovenous malformations (AVM), and moyamoya disease have been diagnosed, and the PC method should be used when AVM and carotid cavernous fistulae (CCF) are to be evaluated in the flow and when CCFs have been diagnosed. (author).

  5. 大型地下洞室群开挖支护弹塑性损伤优化研究%Study of support optimization of large underground cavern group excavation using elastoplastic damage finite elements

    Institute of Scientific and Technical Information of China (English)

    岳晓蕾; 王汉鹏; 郑学芬; 史向荣

    2011-01-01

    正在设计施工的某大型水电站地下洞室群地质条件复杂,其开挖支护方案对围岩稳定性非常重要,因此,对支护方案进行优化研究非常必要.为更真实地模拟岩体的力学特性,研究施工过程中岩体的损伤破坏,根据不可逆热力学理论建立了弹塑性损伤模型和损伤演化方程,并编制了三维弹塑性损伤有限元程序D-FEM,具有模拟开挖与支护、计算速度快、群组功能等特点.建立大型地下洞室群三维数值模型,将通过实测地应力反演的应力作为初始地应力.采用D-FEM模拟了不同支护方案洞室群的施工过程,通过分析洞室围岩的应力、位移和破损区,支护方案2的支护效果最好,建议采用此方案.考虑岩体损伤演化后与FLAC3D塑性区相比,洞室群边墙中部的破损区显著增加,因此,程序可应用于地下工程的稳定性分析.%The geological conditions of large underground cavem group are complicated, of which the support project affects stability of surrounding rock So it is important to study the support optimization of large underground cavem group excavation.In order to simulate rock mass veritably and analyze its damage in construction the elastoplastic damage model and damage evolution equation are presented on the basis of the irreversible thermodynamics theory.The 3D elastoplastic damage finite element code D-FEM is programmed by using Fortan language.which has the capabilities of simulating excavation and support.computing quickly and group function.3D numerical model of underground cavern group is established, input initial geostress is inversion of field stress measurement.The cavern group excavation by different support projects is simulated by D-FEM.The stress, displacement and damage of surrounding rock under three different cases are analyzed.The effect of No.2 support project is best and so is proposed Considering damage evolvement, damage zones compared to plastic zones of FLAC3D

  6. Connectivity of Discontinuities of Deep Rock Mass in Water Sealed Underground Storage Cavern%地下水封洞库深部岩体结构面连通性研究

    Institute of Scientific and Technical Information of China (English)

    季惠彬; 宋琨; 吕坤

    2013-01-01

    Water sealed underground storage cavern is the key project of strategic petroleum storage which is ongoing in China. The connectivity of fractured rock mass is the critical issue of oil containment evaluation. Combination of rock mass characteristics of the underground storage cavern, the location and geological characteristics of discontinuities were analyzed by the Borehole Television (BHTV) image. The connective conditions among different boreholes were established. And the geometry connectivity of metamor-phic discontinuities was researched between borehole of ZK11 and ZK12, ZK12 and ZK14. After the relationship of groundwater dropped steeply in boreholes and construction tunnels excavation analyzed, the hydraulic contact of groundwater discharge in tunnels and decline in boreholes was established. And the hydraulic connectivity of the discontinuities was studied. By the comprehensive analysis of the geometry and hydraulic connectivity, the discontinuities connectivity of deep rock mass was determined. The results show that the excavation of construction tunnels caused the groundwater declining significantly, and the hydraulic connection was obvious. The metamorphic discontinuity, J, is satisfied the location, geological feature and hydraulic connectivity in borehole of ZK12, ZK11 and 0 + 379. 424 m of the construction tunnel of NO.1, which is the connective discontinuity. However, the discontinuity, J', is satisfied the location and geological feature, but not fit the hydraulic connectivity in borehole of ZK12 and ZK14. And that is non-connective discontinuity. It has reference value to discontinuities connectivity of deep rock mass in underground engineering projects.%地下水封洞库工程是我国正在大力实施的战略石油储备重点工程,研究建库裂隙岩体的连通性是评价水封效果的关键.结合地下水封洞库工程的岩体特征,以钻孔电视成像技术为手段,通过分析影像中结构面位置、地质特征等,建

  7. Neuroprotective effect of lycium barbarum polysaccharides after cavernous nerve crush injury in a rat model%枸杞多糖对大鼠海绵体神经钳夹损伤的修复作用

    Institute of Scientific and Technical Information of China (English)

    刘波; 丁协刚; 赵颀涵; 罗琼; 李世文; 王行环

    2013-01-01

    目的 探讨使用枸杞多糖(LBP)修复钳夹损伤的海绵体神经(CN),恢复自主勃起功能的可行性.方法 21只雄性SD大鼠随机分成3组,即假手术组、LBP组、损伤对照组,于术后3个月电刺激CN测定海绵体内压(ICP)及平均动脉压(MAP),取CN进行甲苯胺蓝染色检测有髓轴突数目,取阴茎组织进行烟酰胺腺嘌呤二核苷酸磷酸(NADPH)染色检测一氧化氮合酶(NOS)阳性神经纤维数目.结果 LBP组ICP/MAP比值(0.44 ±0.05)明显高于损伤对照组(0.26 ±0.03,P<0.05),但低于假手术组(0.68 ±0.08,P<0.05).LBP组CN有髓轴突数目(106.8 ±17.9),与假手术组(180.9 ±15.3)和损伤对照组(64.9±l3.9)比较差异有统计学意义(P<0.05).阴茎背神经NOS阳性神经纤维数目(164.2±12.2),与假手术组(263.3 ±15.0)和损伤对照组(85.6±14.7)比较差异有统计学意义(P<0.05).结论 LBP可促进CN钳夹损伤后的神经再生及勃起功能的恢复.%Objective To investigate the feasibility of erectile function recovery by repairing crushed cavernous nerves (CN) with lyceum barbarum polysaccharides (LBP).Methods Twenty-one male Sprague-Dawley rats were randomly divided into 3 groups:sham group,LBP group,and control group.Erectile function was assessed by cavernous nerve electrostimulation at 3rd month after operation and nerve regeneration was assessed by toluidine blue staining of CN and nicotinamide adenine dinucleotide phosphate (NADPH)-diaphorase staining of penile tissue.Results The peak ICP/MAP ratio in LBP group (0.44 ± 0.05) was significantly higher than in control group (0.26 ± 0.03,P < 0.05),but lower than in sham group (0.68-± 0.08,P < 0.05).The LBP group had more myelinated axons of CNs (106.8 ± 17.9) than the control group (64.9 ± 13.9,P < 0.05),but fewer than the sham group (180.9 ± 15.3,P < 0.05).The LBP group had more NOS diaphorase positive nerve (164.2 ± 12.2) than the control group (85.6 ±14.7,P<0.05),but fewer than the sham group

  8. 经鼻蝶窦入路切除海绵窦侵袭性垂体腺瘤的临床研究%Resection of pituitary adenomas invading cavernous sinus through transsphenoidal approach

    Institute of Scientific and Technical Information of China (English)

    黄忻涛; 郝解贺; 马宁; 万大海; 刘跃亭; 薛乃照; 孙之洞

    2014-01-01

    Objective To explore the characteristics,surgical indications,methods and outcomes of the resection of invasive pituitary adenomas through transsphenoidal approach.Methods The clinical data of patients with pituitary adenomas invading cavernous sinus underwent surgery through transsphenoidal approach wcrc analyzed retrospectively.The extent of tumor removal,the change of hormone levels and the postoperative complications were analyzed.Results In 23 cascs,total tumor removal was achieved in 7 cases,subtotal in 12,and partial in 4.There were 12 cases of non-functioning adenomas,10 prolactinomas and 1 growth hormone adenoma.The postoperative PRL levels were decreased to normal in 4 cases,≥80% in 4,< 80% in 2.The postoperative GH level was decreased to > 50% in 1 case.The postoperative complications included 3 cases of hypopituitarism,l cerebrospinal fluid fistulae,1 deterioration of vision,2 transient cranial nerve palsy,5 transient diabetes insipidus and 4 electrolyte unbalance.18 cases had been followed-up from 3 months to 2 years,5 cases of recurrence.Conclusions The pituitary adenomas invading cavernous sinus could be revealed and removed satisfactorily with fewer surgical complications through the transsphenoidal approach.%目的 探讨侵袭海绵窦垂体腺瘤的特点、经鼻蝶窦入路适应证及手术治疗体会.方法 回顾性分析采用经鼻蝶窦入路切除侵袭海绵窦垂体腺瘤的临床资料,分析肿瘤切除程度、激素水平的变化以及出现的并发症.结果 23例患者中,肿瘤全切除7例,次全切除12例,部分切除4例.病理检查无功能腺瘤12例,催乳素腺瘤10例,生长激素腺瘤1例.术后催乳素4例降至正常范围,4例下降≥80%,2例下降<80%;1例生长激素下降>50%.手术并发症包括垂体功能低下3例,脑脊液鼻漏1例,视力恶化1例,短暂脑神经麻痹2例,一过性尿崩5例,电解质紊乱4例.18例得到了随访,时间3个月~2年,5例复发.结论 采

  9. Study on the planning of a demonstration plant for hydrogen fuel production by electrolysis using caching in salt caverns under pressure; Studie ueber die Planung einer Demonstrationsanlage zur Wasserstoff-Kraftstoffgewinnung durch Elektrolyse mit Zwischenspeicherung in Salzkavernen unter Druck

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2015-02-05

    In a two year research project the long-term storage of hydrogen as energy carrier has been assessed in detail for large renewable electricity quantities in underground storage caverns in Germany. Next to a regions analysis for potential storage sites, the benchmarking against other large scale storage concepts, a comparative and perspective analysis of alkaline and PEM-electrolysers also potential business cases for Power-to-Hydrogen in the mobility sector as well as for the chemical, electricity and natural gas industry have been analysed. [German] Durch den geplanten Ausbau der Stromerzeugung aus fluktuierenden, erneuerbaren Energien in Deutschland ruecken Speichertechnologien fuer elektrische Energie immer staerker in den Fokus des industriellen und politischen Interesses. Eine vielversprechende Moeglichkeit fuer eine Langzeitspeicherung bei hohen Anteilen von Wind- und Photovoltaikanlagen sind Speichertechnologien wie die Wasserstoffspeicherung mit Hilfe von Wasserelektrolyseuren. Diese koennen erneuerbaren Strom in grossen Mengen und bei entsprechender Steuerung selektiv in Zeiten mit hohem Dargebot z.B. an Windstrom chemisch speichern. Der gespeicherte Wasserstoff kann dann entweder zu einem spaeteren Zeitpunkt wieder rueckverstromt oder direkt stofflich verwertet werden, z.B. als Kraftstoff fuer den Verkehrssektor, als chemischer Rohstoff oder fuer den Hausenergiebereich durch Einspeisung in das Erdgastransportnetz. Thema der vorliegenden Studie sind Analysen und Planungen fuer die Erprobung des Gesamtsystems ''Wasserstoff-Elektrolyse-Speicherung'' in energiewirtschaftlich relevanten Dimensionen. Dazu werden mit einem neuen Ansatz techno-oekonomische Entwicklungspfade fuer Wasserstoff-Systeme unterschiedlicher Groesse und Technologien charakterisiert und technologische Risiken bei der Realisierung dieser Systeme identifiziert und bewertet. Diese Arbeiten werden ergaenzt durch Arbeiten auf dem Gebiet der Salzkavernenspeicherung in Form

  10. 三维渐变大断面洞室混凝土衬砌施工技术探讨%Discussion on concrete lining construction technology of large cavern with gradual cross-section

    Institute of Scientific and Technical Information of China (English)

    陈松

    2014-01-01

    The-expanding-section-of-tailrace-tunnel-of-underground-powerhouse-in-Laxiwa-Hydropower-Station-is-a-3D-structure-with-gradually-changed-cross--section,-and-the-cavern-section-is-large-with-complicated-curved-surface-,-resulting-in-high-techni-cal-requirement-for-formwork-design-and-planning-,-as-well-as-difficult-construction-of-concrete-lining-.In-view-of-the-concrete-lin-ing-construction-of-the-expanding-section-,-this-paper-briefly-introduces-some-construction-technologies-such-as-construction-proce--dure,-formwork-planning-,-bent-erection-and-concrete-lining-,-and-the-coring-test-result-reveals-that-the-internal-structural-strength-of-concrete-can-meet-the-relevant-requirements-.The-research-achievements-can-provide-reference-for-similar-projects-.%拉西瓦水电站地下厂房尾水扩散段为三维渐变结构,洞室断面大,曲面变化复杂,模板设计及配置技术含量高,混凝土衬砌施工难度大。以该水电站尾水扩散段混凝土衬砌施工为例,对施工程序、模板配置、排架搭设和混凝土衬砌等施工技术作了简要介绍,同时通过取芯检验显示,混凝土内部结构强度符合要求。相关成果可为以后同类工程施工提供经验借鉴。

  11. Changes in gonadotropin-releasing hormone and gonadotropin-releasing hormone receptor gene expression after an increase in carbon monoxide concentration in the cavernous sinus of male wild boar and pig crossbread.

    Science.gov (United States)

    Romerowicz-Misielak, M; Tabecka-Lonczynska, A; Koziol, K; Gilun, P; Stefanczyk-Krzymowska, S; Och, W; Koziorowski, M

    2016-06-01

    Previous studies indicate that there are at least a few regulatory systems involved in photoperiodic synchronisation of reproductive activity, which starts with the retina and ends at the gonadotropin-releasing hormone (GnRH) pulse generator. Recently we have shown indicated that the amount of carbon monoxide (CO) released from the eye into the ophthalmic venous blood depends on the intensity of sunlight. The aim of this study was to test whether changes in the concentration of carbon monoxide in the ophthalmic venous blood may modulate reproductive activity, as measured by changes in GnRH and GnRH receptor gene expression. The animal model used was mature male swine crossbred from wild boars and domestic sows (n = 48). We conducted in vivo experiments to determine the effect of increased CO concentrations in the cavernous sinus of the mammalian perihypophyseal vascular complex on gene expression of GnRH and GnRH receptors as well as serum luteinizing hormone (LH) levels. The experiments were performed during long photoperiod days near the summer solstice (second half of June) and short photoperiod days near the winter solstice (second half of December). These crossbred swine demonstrated a seasonally-dependent marked variation in GnRH and GnRH receptor gene expression and systemic LH levels in response to changes in CO concentration in ophthalmic venous blood. These results seem to confirm the hypothesis of humoral phototransduction as a mechanism for some of bright light's effects in animal chronobiology and the effect of CO on GnRH and GnRH receptor gene expression.

  12. 28 November 2013 - N. N. Kudryavtsev, Russian Rector of the Moscow Institute of Physics and Technology signing an Agreement and the Guest Book with CERN Director-General R. Heuer; visiting the ATLAS cavern with ATLAS Deputy Spokesperson B. Heinemann and visiting the LHC tunnel at Point 1 with AGH University of Science and Technology A. Erokhin. M. Savino, Physics Department, Joint Institute for Nuclear Research also present.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    28 November 2013 - N. N. Kudryavtsev, Russian Rector of the Moscow Institute of Physics and Technology signing an Agreement and the Guest Book with CERN Director-General R. Heuer; visiting the ATLAS cavern with ATLAS Deputy Spokesperson B. Heinemann and visiting the LHC tunnel at Point 1 with AGH University of Science and Technology A. Erokhin. M. Savino, Physics Department, Joint Institute for Nuclear Research also present.

  13. M. G.-F. Leclerc, Préfet de la Haute-Savoie lors de sa visite dans le tunnel du LHC au Point 2 avec D. Delikaris, Département Technologie; dans la caverne de l'expérience ALICE avec B. Erazmus, Collaboration ALICE et lors de la signature du livre d'or avec F. Bordry, Chef du Département Technologie. P. Fassnacht, Conseiller au Bureau des Relations internationales présent.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    M. G.-F. Leclerc, Préfet de la Haute-Savoie lors de sa visite dans le tunnel du LHC au Point 2 avec D. Delikaris, Département Technologie; dans la caverne de l'expérience ALICE avec B. Erazmus, Collaboration ALICE et lors de la signature du livre d'or avec F. Bordry, Chef du Département Technologie. P. Fassnacht, Conseiller au Bureau des Relations internationales présent.

  14. 8 October 2013 - Rolex Director- General G. Marini in the ATLAS Control Room with CERN Director-General R. Heuer and ATLAS Collaboration Senior Physicist C. Rembser; visiting the ATLAS experimental cavern at LHC Point 1. Were also present from the Directorate: S. Lettow, Director for Administration and General Infrastructure; from the ATLAS Collaboration: Technische Universitaet Dortmund (DE) J. Jentzsch and SLAC National Accelerator Laboratory (US) G. Piacquadio.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    8 October 2013 - Rolex Director- General G. Marini in the ATLAS Control Room with CERN Director-General R. Heuer and ATLAS Collaboration Senior Physicist C. Rembser; visiting the ATLAS experimental cavern at LHC Point 1. Were also present from the Directorate: S. Lettow, Director for Administration and General Infrastructure; from the ATLAS Collaboration: Technische Universitaet Dortmund (DE) J. Jentzsch and SLAC National Accelerator Laboratory (US) G. Piacquadio.

  15. 21 May 2013 - Greek Minister of Health A. Lykouretzos signing the guest book with CERN Director-General R. Heuer; visiting the LHC tunnel at POint 5 and CMS experimental cavern with Deputy Spokesperson T. Camporesi. CERN-HERMES Network Technical Coordinator E. Dimovasili; Life Sciences Adviser M. Dosanjh; National Contact Physicist, ATLAS Collaboration, NTU, Athens E. Gazis and International Relations Adviser R. Voss accompany the delegation throughout.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    21 May 2013 - Greek Minister of Health A. Lykouretzos signing the guest book with CERN Director-General R. Heuer; visiting the LHC tunnel at POint 5 and CMS experimental cavern with Deputy Spokesperson T. Camporesi. CERN-HERMES Network Technical Coordinator E. Dimovasili; Life Sciences Adviser M. Dosanjh; National Contact Physicist, ATLAS Collaboration, NTU, Athens E. Gazis and International Relations Adviser R. Voss accompany the delegation throughout.

  16. 小腿肌间海绵状血管瘤并跟腱挛缩强直畸形的手术治疗%Surgical Treatment of Achilles Tendon Contracture Deformity Caused by Cavernous Hemangioma of Calf Muscle in Children

    Institute of Scientific and Technical Information of China (English)

    刘大看; 李艳敏; 马玉春; 孙斌; 雷红召; 董长宪

    2011-01-01

    Objective To explore the surgical treatment of the achilles tendon contracture deformity caused by calf muscle cavernous hemangioma in children. Methods Retrospective analysis was done in 21 cases (7 cases were male and 14 cases were female, aged 2 - 11 years old) of pediatric calf muscle cavernous hemangioma. Thirteen cases had the first operation in Henan Provincial People's Hospital and 8 cases had been treated in the other hospital. All cases had achilles tendon contracture deformity caused by cavernous hemangioma in gastrocnemius and scteus muscle. Clinical features had been surmnarized, and surgical treatment was discussed, hemangioma resection and Z - shaped achilles tendon lengthening surgical procedure was advanced. The surgical results were evaluated. Results Complete resection was done in 19 cases of calf muscle cavernous hemangioma. To preserve the normal function, partial resection was done in 2 patients with severe cavernous hemangioma. And all patients were done with Z - shaped achilles tendon lengthening surgical procedure. All 21 cases were followed up for 6 months to 1 year;the surgical success rate was 95.2% , all the patients could walk normally, and with normal function of the ankle joint,just in 2 patients with ankle joint range of motion was limited. Conclusions The hemangioma resection and Z - shaped achilles tendon lengthening surgical procedure can remove the hemangioma as soon as possible, correct the ankle joint function, and achilles tendon contracture deformity,provide opportunities for the children with achilles tendon contracture to maintain normal walking.%目的探讨小儿小腿肌间海绵状血管瘤导致跟腱挛缩畸形的手术治疗方法.方法 回顾性分析21例小腿肌间海绵状血管瘤患儿(男7例,女14例;年龄2~11岁)的临床资料,在本院首次手术13例,另8例曾在外院行手术治疗.均存在小腿腓肠肌及比目鱼肌肌间海绵状血管瘤导致跟腱挛缩强直畸形.均采用血管

  17. Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient Pseudoaneurisma da artéria carótida cavernosa tratado com "stent" em paciente acromegálica

    Directory of Open Access Journals (Sweden)

    Jorge Marcondes de Souza

    2003-06-01

    Full Text Available We report on a case of endovascular management of pseudoaneurysm of the cavernous segment of the internal carotid artery with covered stent reconstruction. A 36 years-old woman with a history of previous transsphenoidal approach for pituitary macroadenoma and false aneurysma formation was studied in a protocol that included balloon test occlusion and cerebral blood flow evaluation. An endovascular covered stent deployment in the area of the carotid laceration was performed with isolation of the aneurysm from the circulation and maintenance of the carotid flow. Helical angio-CT and cerebral digital subtraction angiography showed the carotid preservation without stenosis in the stented area. In conclusion, endovascular stent reconstruction for post-transsphenoidal carotid artery laceration and false aneurysm is demonstrated as useful technical adjunct in the management strategy and with the potential for carotid sacrifice morbidity avoidance.Relatamos um caso de manuseio com "stent" recoberto por pseudoaneurisma do segmento cavernoso da artéria carótida interna. A paciente de 36 anos, tinha história de cirurgia trans-esfenoidal para macroadenoma de hipófise e desenvolvimento de falso aneurisma na região cavernosa da ACI, foi estudado com protocolo para avaliação de reserva circulatória carotídea com teste de oclusão por balão e estudo de fluxo sanguíneo cerebral com tomografia computorizada de emissão de fóton único (SPECT. Instalação de "stent" recoberto no segmento lesado isolou o aneurisma da circulação, com manutenção do fluxo carotídeo. Angio-tomografia helicoidal e angiografia digital por subtração demonstraram a reconstrução carotídea sem estenose local. Em conclusão, reconstrução carotídea com "stent" recoberto é possível na estratégia para manuseio de pseudo-aneurisma com potencial para prevenção da morbidade do sacrifício terapêutico carotídeo.

  18. 儿童门静脉海绵样变性的多层螺旋CT研究%Spiral CT Diagnosis of Cavernous Transformation of the Portal Vein in Children

    Institute of Scientific and Technical Information of China (English)

    刘玥; 彭芸; 段晓珉; 曾津津; 孙国强

    2011-01-01

    Objective To investigate the value of 64-slice multi-detector computed tomography(MDCT) in the diagnosis of cavernous transformation of portal vein(CTPV) in children. Materials and Methods 22 patients were screened out by uhrasonography (US) at first,then received contrast enhanced CT scan(arterial and venous phase). Imaging data of CTPV were processed with CT reconstruction. All CT images were evaluated by two radiologists and a consensus was reached regarding liver parenchyma, portal vein and collateral circulation. Results In all 22 cases,the trunk and branches of portal vein of 14 eases(64% ) were broaden and circuitous with narrow intrahepatic portal vein. The congenital absence of portal vein were observed in 4 cases( 18% ) including 1 trunk and 3 left branch. Four cases( 18% )showed portal vein thrombosis including 1 tumor embolus and 3 thrombus. 22 cases of CTPV showed collateral veins, which were biliary collateral veins of the portal vein (n = 22,100% ), gallbladder vein (n = 16,73 % ), gastric collateral veins (n= 21,95 % ), pancreatieoduodehal region collateral veins(n =5,23% ) and parumbilical collateral veins (n = 1,5% ). The other forms of portal-systemic shunt collateral veins included spleen-gastric collateral veins,ascending lumbar vein-spleen vein and spleen-kidney vein( n = 18,82% ). Abnormal hepatic perfusion was detected in 3 cases. 11 cases(50% ) appeared disproportion of liver lobes,20 cases showed splenomegaly and 4 hepatomegaly. The other characteristic features included congenital anomaly of bile ducts (n = 1 ), thicken walls of gastrointestinal tract, mesentery and lesser omentum swelling( n = 5 ) and ascites/pleural fluid (n = 8). Conclusion MDCT is an effective method to diagnose CTPV and may be great helpful for clinical treatment.%目的 探讨64排螺旋CT在诊断儿童门静脉海绵样变性(cavernous transformation of the portal vein,CTPV)中的临床价值.资料与方法 22例CTPV患者

  19. 改良枕部经小脑幕入路切除松果体周围区域海绵状血管瘤的临床研究%Surgery for cavernous hemangioma in peripheral zone of pineal body by modified occipital transtentorial approach

    Institute of Scientific and Technical Information of China (English)

    黄理金; 漆松涛

    2008-01-01

    Objective To evaluate the outcomes of the operative treatment of cavernous hemangioma in the peripheral zone of the pineal body by modified occipital transtentorial approach. Methods Six cases of cavernous hemangioma in the peripheral zone of the pineal body, 2 in posterior thalamus, 3 in mesencephalon and 1 in the third ventricle, were analyzed retrospectively regarding their clinical manifestations, imaging data and prognosis after the surgeries via modified occipital transtentorial approach. Results Total removal of the lesion was achieved in all the patients without death. Neural system function was improved in 5 cases and aggravated in 1. There was no recurrence during the follow-up of average 11 months. Conclusion Based on the precise analysis of the lesion showed on the MRI, the microsurgical removal of cavernous hemangioma in the peripheral zone of the pineal body by modified occipital transtentorial approach is safe and effective.%目的 分析和评价改良枕部经小脑幕入路切除松果体周围区域海绵状血管瘤的有效性和预后情况.方法 回顾性分析我们收治的6例位于松果体周围区域的海绵状血管瘤患者的临床表现、影像资料和采用改良枕部经小脑幕入路手术治疗情况,其中病灶位于丘脑后部2例,中脑3例,第三脑室内1例.结果 病灶均全切除,术后无死亡,其中5例神经功能改善,1例加重.平均随访11个月,病变无复发.结论 在准确判渎MRI所显示病变的前提下,采用改良枕部经小脑幕入路切除松果体周罔区域海绵状血管瘤足安全和有效的.

  20. The behaviour of salt and salt caverns

    NARCIS (Netherlands)

    Fokker, P.A.

    1995-01-01

    Salts are mined for both storage and extraction purposes, either via dry or solution mining techniques. For operational, environmental and geological purposes, it is important to understand and predict the in situ behaviour of salt, in particular the creep and strength characteristics. A micro-mecha

  1. Genetics Home Reference: cerebral cavernous malformation

    Science.gov (United States)

    ... Ibrahim R, Irthum B, Jacquet G, Lonjon M, Moreau JJ, Neau JP, Parker F, Tremoulet M, Tournier- ... Lapierre F, Loiseau H, Menei P, Mercier P, Moreau JJ, Nivelon-Chevallier A, Parker F, Redondo AM, ...

  2. 地下空区顶板改进梁模型的弹塑性分析%Elasto-plastic analysis of improved beam model for underground cavern's roof

    Institute of Scientific and Technical Information of China (English)

    江学良; 曹平; 杨慧

    2012-01-01

    The rock was regarded as perfectly elasto-plastic material, the effect of rock's constitutive relation on the improved beam was analyzed with beam-column theory, the forced state of model was simplified as elastic state, tensile yield state, compressive yield and coexistence state of tensile and compressive yield. The relationships of moment-axial force-curvature were obtained. The deflection curve was assumed as the sine half wave and the equation of the generalized moment-axial force-lateral load of model was built. The relationship between equivalent modulus and initial modulus was gotten from crack tensor theory and damage theory. Taking the cavern roof of Wenfu phosphate mine for example, the curve of lateral load and axial force was obtained from calculation. The results show that the axial force increases with the decrease of the ratio of model span to thickness when the lateral load is a constant and the lateral load increases with the decrease of the ratio of model span to thickness when the axial force is a constant.%将岩石视为理想弹塑性介质,采用梁柱理论分析岩石本构关系对改进梁模型的影响,将模型的受力状态简化为弹性状态、拉伸屈服或压缩屈服状态、拉压屈服并存状态,并分别得到不同受力状态下的广义弯矩-轴力-曲率关系.假设模型的挠曲线为正弦半波函数,得到了模型最大承载力的弯矩-轴力-横向荷载相关方程(m0-n-(q));采用裂隙张量与损伤理论,得到了等效弹性模量与初始弹性模量之间的关系.以瓮福磷矿穿岩矿段地下空区顶板为例计算得到不同跨厚比(L/h=3,5,8)条件下横向荷载与轴力的相关曲线.研究结果表明:在横向荷载(q)一定的情况下,随着顶板跨度与厚度的比值(L/h)的减小,轴向力(n=N/Ny)增加;在轴向力一定的情况下,随着顶板跨度与厚度比值(L/h)的减小,横向荷载((q)=q/qy)增大.

  3. Cavernous sinus residual tumor accompanying the empty sella syndrome after treatment of invasive prolactinomas%侵袭性催乳素腺瘤治疗后海绵窦残留或伴空蝶鞍综合征

    Institute of Scientific and Technical Information of China (English)

    吴哲褒; 苏志鹏; 诸葛启钏; 吴近森; 朱丹化; 郑伟明; 于春江

    2008-01-01

    目的 探讨侵袭性催乳素(PRL)腺瘤经治疗后海绵窦残留伴空蝶鞍综合征的临床特征和治疗策略.方法 18例侵袭性PRL腺瘤(Knosp分级Ⅲ或Ⅳ级)经治疗后出现海绵窦肿瘤持续残留,首选药物治疗者9例,首选手术治疗结合药物和(或)放疗9例.结果 平均随访55个月,8例PRL水平正常,7例视力改善.14例因鞍内肿瘤吸收遗留空蝶鞍,7例PRL仍升高,其中5例有不同程度的视交叉下疝(P<0.05).PRL水平正常、无临床症状的7例患者采用低剂量溴隐亭治疗达到PRL水平和肿瘤体积的长期控制.结论 PRL腺瘤治疗后海绵窦肿瘤残留伴发空蝶鞍,这一现象应该引起高度重视,尤其对伴有视交叉下疝的病例,长期的密切随访是必需的.无内分泌和压迫症状的海绵窦残留病例可以采用低剂量的药物治疗达到长期的肿瘤控制和内分泌控制.%Objective To discuss the clinical characteristics, treatment strategy of the cavernous sinus residual tumor (CSRT) accompanying the empty sella syndrome after treatment of invasive prolactinomas. Method Data from 18 patients with CSRT were retrospectively reviewed. Nine patients initially received bromocriptine as primary treatment; nine patients had initially undergone transcranial or transsphenoidal microsurgery and then received bromocriptine or adjuvant radiotherapy. Results During an average follow-up period of 55 months, serum PRL levels of 8 patients were in normal range and those of 10 patients were above the normal level. Visual symptoms improved in 7 patients while deteriorated in 2 patients. Fourteen patients had a secondary empty sella due to tumor shrinkage. Of those 14 patients, seven still had elevated PRL levels; five had optic ehiasmal herniation by different degrees (P<0.05). Seven of these 18 patients maintain their PRL levels normal with low-dose bromocriptine treatment without significant clinical symptoms. Conclusions After treatment of invasive prolactinomas

  4. The effect of platelet-rich plasma on cavernous nerve regeneration in a rat model%富血小板血浆在大鼠海绵体神经再生中的作用

    Institute of Scientific and Technical Information of China (English)

    Xie-Gang Ding; Shi-Wen Li; Xin-Min Zheng; Li-Quan Hu; Wan-Li Hu; Yi Luo

    2009-01-01

    The aim of this study was to investigate the effect of platelet-rich plasma (PRP) on cavernous nerve (CN) re-generation and functional status in a nerve-crush rat model. Twenty-four Sprague-Dawley male rats were randomly divided into three equal groups: eight had a sham operation, eight underwent bilateral nerve crushing with no fur-ther intervention and eight underwent bilateral nerve crushing with an immediate application of PRP on the site of injury. Erectile function was assessed by CN electrostimulation at 3 months and nerve regeneration was assessed by toluidine blue staining of CN and nicotinamide adenine dinucleotide phosphate (NADPH)-diaphorase staining of penile tissue. Three months after surgery, in the group that underwent bilateral nerve crushing with no further inter-vention, the functional evaluation showed a lower mean maximal intracavernous pressure (ICP) and maximal ICP per mean arterial pressure (MAP) with CN stimulation than those in the sham group. In the group with an immedi-ate application of PRP, the mean maximal ICP and maximal ICP/MAP were significantly higher than those in the injured control group. Histologically, the group with the application of PRP had more myelinated axons of CNs and more NADPH-diaphorase-positive nerve fibres than the injured control group but fewer than the sham group. These results show that the application of PRP to the site of CN-crush injury facilitates nerve regeneration and recovery of erectile function. Our research indicates that clinical application of PRP has potential repairing effect on CN and peripheral nerves.%本文探讨富血小板血浆在大鼠海绵体神经压榨损伤模型中对该神经再生和勃起功能的修复效果.24只成年雄性sD大鼠随机均分成3组:假手术组、海绵体神经压榨损伤组、损伤后富血小板血浆立即应用组.3个月后通过电刺激海绵体神经来观察其勃起功能、海绵体神经的甲苯胺蓝染色和阴茎组织的NADPH染色来

  5. 富血小板血浆对大鼠阴茎海绵体神经再生的影响%Effect of platelet rich plasma on the regeneration of cavernous nerve:experiment with rats

    Institute of Scientific and Technical Information of China (English)

    丁协刚; 李世文; 郑新民; 胡礼泉; 胡万里; 罗仪

    2008-01-01

    Objective To investigate the effect of platelet rich plasma(PRP)on the regeneration of injured cavernous nerve(CN).Methods Blood was collected from the hearts of 6 SD rata to prepare PRP.24 male adult rats were randomly divided into 3 equal groups:pure suture group undergoing bilateral CN transaction and pure suture immediately,PRP group undergoing bilateral CN transaction+suture+PRP 200 μl to the site of suture,and sham operation group.3 months later intracavernous pressure(ICP)was measured by CN electrostimulation and then samples of CN were obrained to undergo pathological examination.Results 3 months later after surgery,the ICP of the pure suture group was(46±8)cm H2O,significantly lower than that of the sham group[(109±13)cm H2O,P<0.01],and that of the PRP group was(94±13)cm H2O,significantly higher than that of the pure sutured group(P<0.01),however,still significantly lower than that of the sham operation group(P<0.05).The number of axons of CN in the PRP group was(121±16),significantly higher than that of the pure sutured group(70±14,P<0.01);however,still significantly lower than that of the sham operation group(181±21,P<0.01).Conclusion PRP can promote the regeneration of injured CN and the recovery of erectile function.%目的 探讨富血小板血浆(PRP)是否促进大鼠海绵体神经再生.方法 24只SD雄性大鼠分成假手术组、双侧海绵体神经切断后立即显微缝合组(单纯缝合组)及缝合后立即局部应用组(PfuP应用组),术后3个月通过电刺激观察海绵体内压的变化来反映其勃起功能,随后取海绵体神经干进行甲苯胺蓝染色,观察轴突的变化来反映神经再生情况.结果 术后3个月,海绵体神经单纯缝合组最大海绵体内压为(46±8)cmH2O,明显低于假手术组(109±13)cmH2O(P<0.01);而PRP应用组为(94±13)em H2O,明显高于单纯缝合组(P<0.01).甲苯胺蓝染色PRP应用组轴突个数为(121±16),明显高于单纯缝合组(70±14)(P<0

  6. 小脑脑桥角海绵状血管畸形三例并文献复习%Cystic cavernous malformations in the cerebellopontine angle: report of three cases and literature review

    Institute of Scientific and Technical Information of China (English)

    于金录; 曲丽梅; 李叶; 王柏; 王宏磊

    2011-01-01

    Objective To investigate the clinical presentation,imaging features and treatment experience of cystic cavernous malformations (CMs) in the cerebellopontine angle (CPA).Methods Three patients with the CMs of the CPA between 2005 and 2010 in our institute were summarised.Five patients from MEDLINE search of the English literature from 1985 to 2010 for CMs of the CPA were identified.We reviewed the characteristics of these 5 cases and our cases.Results Their presenting symptoms of 5 cases in the literature included headache,injury of cranial nerves in the CPA and cerebellar symptoms.But they did not show signs of brain stem compression.MRI and/or CT scans showed that the lesions in the eight cases of CMs all had solid and cystic components,and no adhesion with internal auditory canal and skull base dura mater was present in the CPA.Despite the fact that cystic CMs also involved cranial nerves,cerebellum,brainstem and arteries,they could be separated from these surrounding structures thanked to the presence of well - margined adhesion,which was contrary to solid CMs.We reported three cystic CMs of the CPA in our institute that was the same as the above.Conclusion Although cystic CMs of the CPA had no established imaging features,a diagnosis of CMs may be suspected when a cystic lesion is present in the CPA and does not involve internal acoustic meatus or dura matter of the skull base.Skillful microsurgical techniques will secure good outcomes for patients with cystic CMs in the CPA.%目的 总结小脑脑桥角(CPA)区海绵状血管畸形(CMs)的临床表现、影像学特征及治疗特点.方法 2005年6月至2010年6月我科共收治CPA区CMs病例3例,进行报告.搜索MEDLINE上自1985年至2010年文献查到此类病例5例,进行文献复习.结果 文献复习的5例CMs临床表现为脑神经及小脑受累症状,但无脑干受压症状;影像见CMs均呈囊实性,与内听道及颅底硬膜无粘连;术中见CMs与周边结构有粘连,但可进行分

  7. Summary of the surgical procedures of Rex shunt and Warren shunt in 8 cases of cavernous transfor-mation of portal vein%分流手术治疗门脉海绵样变8例临床分析

    Institute of Scientific and Technical Information of China (English)

    孔艳霞; 张大; 杨合英; 王家祥; 贾佳; 赵鸽; 岳铭

    2015-01-01

    Objetive the outcomes and possible complications of surgical procedures of Rex shunt and Warren shunt in 8 cases of cavernous transformation of portal vein. Methods 8 cases who underwent the shunt surgery for cavernous transformation of portal vein from December 2012 to January 2015 were reviewed, including 5 patients having Rex shunt (2 cases of them had recurrent bleeding after devascularization proce-dures),and 3 having Warren shunt.All cases had recurrent upper gastrointestinal hemorrhage(more than twice per year).Upper gastrointestinal contrast studies helped delineate the extent of esophageal and gastric varices and cavernous transformation of portal vein was confirmed by color Doppler ultrasound and CT.In Rex proce-dures,the isolated coronary veins were sewn to the intrahepatic portalvein in the recessus of Rex,meanwhile, the portal vein pressures were measured during vascular anastomosis to assure the relief of portal hypertension after the process.While in Warren shunt,the varices were decompressed by allowing them to drain via the splenic vein into the left renal vein,the portal vein pressures were obtained as well. Results Patients were followed up for 6 to 31 months.Growth and development was the same for all patients within the same age group,and no cases present with encephalopathy;1 case had recurrent bleeding after 16 months of the opera-tions;mesenteric venous thrombosis occurred in one case and was cured through thrombolysis and anticoagula-tion therapy;1 case with infraction of spleen had fever for one month.Conclusions Shunt precedures are effec-tive to treat cavernous transformation of portal vein and prevent the gastrointestinal bleeding while with limited complications.%目的:总结 Rex 分流术及 Warren 分流术治疗8例门静脉海绵样变的效果及并发症。方法2012年12月至2015年1月作者采用分流手术治疗门静脉海绵样变8例,其中 Rex 分流手术5例(2例为断流手术后出血复发),Warren

  8. 某抽水蓄能电站地下洞室群围岩稳定参数敏感性分析%Parameter Sensitivity Analysis on Surrounding Rock for Underground Cavern Group in a Pumped-Storage Power Station

    Institute of Scientific and Technical Information of China (English)

    于新华; 王丽新; 陈建胜; 杨科辉

    2014-01-01

    根据基本几何和物理条件建立某水电站地下洞室群三维弹塑性非线性有限元数值计算模型,分析不同取值的初始地应力场、岩体变形模量、抗剪强度参数变化对围岩稳定性的影响,分析锚杆支护轴力的分布规律;同时,分析了厂区分布的泥质粉砂岩层软弱夹层的分布和力学性质变化对围岩变形和锚杆支护的影响。计算结果可为类似工程提供洞室设计依据和基础分析数据。%Based on the basic geometric and physical conditions,a three-dimensional elastic-plastic numerical model which is nonlinear and finite,is built for analyzing underground cavern group of a hydropower station.The paper studies the impacts of initial stress field,rock mass deformation modulus and shear strength parameters on rock stability,as well as the distribution law of bolting axial force.This paper also explores the distribution of the soft inter-layers of mud siltstone layers,and studies the effect of changes in mechanical properties on rock deformation and bolting.The results can provide design basis and basic analytical data for cavern designs.

  9. Complex carotid cavernous sinus fistulas Barrow type D: endovascular treatment via the ophthalmic vein, imaging control with standardized MRI, long-term results; Interdisziplinaere Embolisation spontaner Karotis-Cavernosus-Fisteln Typ D nach Barrow ueber die Vena ophthalmica: klinische Langzeitergebnisse und kernspintomografische Befunde

    Energy Technology Data Exchange (ETDEWEB)

    Struffert, T.; Grunwald, I.Q.; Reith, W. [Abteilung fuer Diagnostische und Interventionelle Neuroradiologie, Universitaetsklinikum des Saarlandes (Germany); Muecke, I. [Klinik fuer Augenheilkunde, Universitaetsklinikum des Saarlandes (Germany)

    2007-04-15

    Purpose: Since feeding arteries from both the internal and external carotid artery are common, cavernous fistulas of Barrow type D are difficult to treat. Embolization using the transarterial approach is considered to be the standard therapy. However, it is often impossible to embolize feeders from the internal carotid artery. The transorbital approach after anterior orbitotomy through the ophthalmic vein is an alternative in this complex situation. The following reports our experience with three female patients who underwent transvenous embolization. Procedural success was documented using standardized MRI and clinical reevaluation. Materials and Methods: Three female patients between 57 and 78 years of age were diagnosed with carotid cavernous fistulas by conventional angiogram. All patients were suffering from exophthalmus and visual impairment. Two patients showed secondary glaucoma and diplopia. In one patient we performed a technically successful transarterial embolization using particles, but no relevant improvement of the patient's condition was seen. Transfemoral transvenous access via the sinus petrosus was not possible in any patient. All patients were then embolized via the ophthalmic vein using GDC detachable coils. All patients were clinically reevaluated by an ophthalmologist. Also a standardized MRI was performed for documentation. Follow-up was performed for the first patient for 32 months, for the second patient for 34 months and for the third patient for 50 months. Results: Transvenous embolization was technically successful in all three cases. Clinical symptoms disappeared rapidly. Postprocedural MRI showed a symmetric diameter of the ophthalmic vein. Venous congestion of the orbit caused by fatty tissue edema regressed completely. Contrast-enhanced magnetic resonance angiography showed normal arterial vessels without evidence of fistula. (orig.)

  10. 电刺激阴茎海绵体神经测定大鼠勃起功能的方法探讨%Measuring erectile function in rats through electrical stimulation of the cavernous nerve

    Institute of Scientific and Technical Information of China (English)

    王先进; 沈周俊; 张敏光; 钟山; 张存明; 朱照伟

    2012-01-01

    目的:探讨电刺激阴茎海绵体神经(CN)测定大鼠勃起功能的方法.方法:选择4月龄雄性SD大鼠20只,体质量(425±25)g.左颈总动脉内插管,直接法持续监测大鼠平均动脉压(MAP);左侧海绵体内插管测定阴茎海绵体内压(ICP);前列腺右侧叶前外侧表面暴露右侧CN,通过电刺激CN诱发阴茎勃起.电刺激参数为:5V,2 ms,25 Hz,每次刺激持续1 min,间隔5 min重复电刺激,共刺激3次.电刺激CN前的(ICP/MAP)×100(rR)代表阴茎海绵体的静息状态;电刺激CN后的(ICP最大值/MAP)×100(bR)代表阴茎海绵体的勃起状态或大鼠的基础勃起功能;bR/rR代表阴茎勃起后ICP的增高程度.结果:电刺激CN使ICP明显升高,MAP变化不大,表明电刺激可有效诱发勃起.ICP、MAP、rR、bR、bR/rR等各项指标3次重复测定之间的差异均无统计学意义(均P>0.05),表明电刺激法结果稳定.rR、bR和bR/rR总的平均值分别为(12.00±2.62)%、(67.68±11.28)%和(5.85±1.80).结论:电刺激阴茎CN测定大鼠勃起功能的方法稳定易重复,能够客观准确地评估阴茎的勃起程度,是研究阴茎勃起功能的重要技术,值得在国内推广.%Objective:To investigate the feasibility of measuring erectile function in rats through the electrical stimulation of the cavernous nerve(CN).Methods: Twenty 4-month-old male SD rats( weight,425 ± 25 g) were used in our study.The erectile response was expressed as a ratio of intracavernous pressure(ICP)and mean arterial pressure(MAP) ,(ICP/MAP) × 100,during electrostimulation of the right CN.The electrical-stimulation parameters were 5 V,2 ms,25 Hz,and 1 min for each stimulation and once again every 5 minutes.Before electrostimulation,the(ICP/MAP) ×100 (abbr,rR) represents resting state of penis.After electrostimulation,the(ICPmax/ MAP) × l00(abbr,bR)represents fundamentally erectile state of penis.bR/rR stands for the increased degree of ICP induced by electrostimulation

  11. Clinical analysis of diagnosis and treatment of orbital cavernous hemangiomas%眼眶海绵状血管瘤诊断和治疗的临床分析

    Institute of Scientific and Technical Information of China (English)

    卜战云; 郑嵩山; 柳晓辉; 李晓华

    2015-01-01

    Background Orbital cavernous hemangiomas (OCH) is a common benign orbital tumor in adult,and accurate localization and diagnosis before operation supports the significant premise for surgical safety and success of tumor extraction.Objective This study was to research the clinical characteristics,preoperative diagnosis,the selection for different surgical approaches,therapeutic effectiveness and complication prevention of OCH.Methods The clinical data of 117 eyes of 117 patients with OCH who received surgery were retrospectively analyzed.The patients received surgery in Henan Eye Institute,Henan Eye Hospital from January 2011 to December 2014 and followed-up for 3 months to 5 years.The visual acuity,exophthalmos,ocular movement,orbital A/B ultrasound,color Doppler image,CT and MRI were examined before and after surgery.Results The primary clinical manifestations of OCH were gradual exophthalmos and impaired vision.The accordance rate of preoperative diagnosis and pathological diagnosis was 100% in the group of patients.The surgical approachs included conjunctival approach in 52.14% (61/117),lateral orbitectomy in 30.77% (36/117),anterior approach in 16.24% (19/117) and lateral combined with medial approach in 0.85% (1/117).At the end of followed-up,visual acuity was significantly improved in 30.77% (36/117),declined in 8.55% (10/117) and unchanged in 60.68% (71/117).Temporary complications after surgery were pupil dilatation in 14.53% (17/117),emorrhoea in 1.71% (2/117),ocular motility disorders in 16.24% (19/117) and ptosis in 4.27% (5/117).The permanent complications after operation were pupil dilatation in 2.56% (3/117),visual loss in 0.85% (1/117) and permanent abduction imitation in 0.85% (1/117).Conclusions Accurate qualitative and site-specific diagnosis and correct choice of surgeries for OCH depend on clinical and iconographical examinations.Suitable surgical approach and operative skill are helpful to the therapeutic outcome

  12. Statistical analysis of in-situ stress field for underground water-sealed storage cavern in Chinese mainland%我国大陆地下水封洞库库址区地应力场分布规律统计分析

    Institute of Scientific and Technical Information of China (English)

    王章琼; 晏鄂川; 鲁功达; 高连通; 张颀明; 唐睿旋

    2014-01-01

    Through collecting 76 groups of the in-situ stress data in underground water-sealed storage cavern in Chinese mainland, including Zhanjiang, Huangdao, Yantai, Huizhou, Jinzhou, Dalian, the distribution of the vertical stress,the largest horizontal principal stress( vs ), the minimum horizontal principal stress( Hs ) and the lateral pressure coefficient(k) varying with depth in Chinese mainland are established. Then the features of the in-situ stress are corresponding regression analysed refer to the analysis method of Hoek and Brown. The results indicate that: (1) The shallow in-situ stress in underground water-sealed storage cavern in Chinese mainland show increasing trend with the increase of depth, vs showed a good linear relationship with depth, and the stress gradient is a little less than 0.027, in Hoek-Brown relation. (2) Hs and hs are increased with depth, scattered points are mainly distributed in an inclined parallel belt. (3) Lateral pressure ratio k is dispersed when depth is less than 200 m, and centralized when depth is more than 200 m, and the envelope curve of lateral pressure ratio is distributed between the maximum and minimum envelopes of Hoek-Brown curve; it is approach the global distribution law. Through above research, the distribution law of in-situ stress field in underground water-sealed storage cavern in Chinese mainland is analyzed and summarized; it can provide references to the planning, constructing and developing of petroleum (gas) strategic reserve in Chinese mainland.%收集我国大陆地区湛江、黄岛、烟台、惠州、锦州、大连等在建和已建的地下水封洞库工程区76组地应力测试数据,建立了我国地下水封洞库库址区水平主应力 vs、垂直主应力 Hs及侧压比 k 随埋深的分布图,参照 Hoek-Brown 方法对地应力特征进行回归分析。结果表明,我国大陆地区地下水封洞库库址区浅部地应力总体上随埋深 H 增大而增大,垂直主应力 vs与 H

  13. 颅内发育性静脉异常伴海绵状血管畸形三例患者的临床及影像学特点%Clinical and imaging feature of 3 patients with combined developmental venous anomalies and cerebral cavernous malformations

    Institute of Scientific and Technical Information of China (English)

    刘建军; 熊葶; 李尊波; 李盛彧; 贾颐

    2012-01-01

    Objective To investigate the clinical,neuroradiologic characteristics and possible causes in 3 patients with combined developmental venous anomalies (DVAs) and cerebral cavernous malformations (CCM).Methods The clinical examination,magnetic resonance imaging (MRI) T1-weighted (T1 WI),T2-weighted (T2WI),susceptibility-weighted imaging (SWI) or T2 fast field echo (T2 FFE),contrast-enhanced MRI at 1.5 T field strength and digital substrate angiography were performed in 3 patients.Results Three patients presented with the seizure,vertigo,and dizziness respectively.MRI findings of reticulated “popcorn like” lesion with complete hemosiden rim showed typical sign of CCM.DSA,contrast-enhanced MRI and MRI-SWI revealed the caput medusae of the medullary veins and collected veins which was drained into subcortical and deep venous system,which indicated DVAs in 3 patients.The angulated medullary veins and collected veins in approaching distal zone of CCM were observed.Conclusion DVAs can be combined with CCM.The angulated medullary veins and collected veins combined with CCM in same territory reveals that the angioarchitectural factors is a key factor in pathogenesis of cavernous malformation.%目的 探索颅内发育性静脉异常(DVAs)并发海绵状血管畸形(CCM)的临床及影像学特点.方法 对分别以癫痫、头昏、头晕发病的3例患者行头颅MRI磁敏感成像(MRI-SWI)或T2快速梯度回波(T2FFE)、钆喷酸葡胺增强、MRA及全脑血管造影检查.结果 MRI-SWI或T2FFE可见边缘低信号、中心为不同强度混杂信号的爆米花样或网格状的病灶,分布于额叶皮质及皮质下,提示CCM;在MRI增强及全脑血管造影中可见水母头样表现,提示有DVAs.在分析DVAs和CCM的关系中发现CCM病灶均发生在DVAs区域,可见引流静脉与CCM病灶呈成角弯曲.结论 DVAs可并发CCM,影像学可提供有特征性的改变,DVAs血管因素可能是CCM形成的原因之一.

  14. 64排螺旋CT诊断成人门静脉海绵样变性的影像学表现及价值%Imaging Findings and Value of 64-slice Spiral CT in Diagnosis of Cavernous Transformation of Portal Vein

    Institute of Scientific and Technical Information of China (English)

    施健; 施小平; 王强; 王勤英

    2012-01-01

    目的 探讨利用64排螺旋CT动态增强扫描技术及多种血管重建方法诊断门静脉海绵样变性(Cavernous transformation of portal vein,CTPV)的价值和意义.方法 10例经手术、数字血管造影、超声诊断证实的门静脉海绵样变性病例,均行腹部平扫和动态增强扫描及血管后处理成像.结果 门静脉海绵样变性主要表现为门脉主干和(或)分支的阻塞,门脉走行区正常结构消失,出现大量向肝性及离肝性侧枝静脉.通过VR、MIP、MPR等血管成像技术能很好的显示门静脉栓塞、侧枝血管的重建与开放情况.结论 64排螺旋CT动态增强扫描及血管成像技术对诊断门静脉海绵样变性及侧枝血管的显示有较大优势和意义.%Objective To evaluate 64-slice spiral CT dynamic contrast-enhanced scanning combined with angiography reconstruction techniques in diagnosis of cavernous transformation of portal vein (CTPV). Methods 10 patients with CTPV conformed by surgery, digital angiography and ultrasound underwent plain and dynamic contrast enhanced CT. Multiple angiography reconstruction techniques were used to obtain vascular post-processing images. Results CTPV was primarily characteristic of the portal vein and (or) branch obstruction, loss of normal structure of portal vein region, presence of abundant venous collaterals through and out of liver. Volume rendering view (VR), maximum intensity projection (MIP) and multiplanar reconstruction (MPR) could distinctly display the portal vein embolization as well as reconstruction and opening situation of collateral vessels. Conclusion 64-slice spiral CT dynamic contrast-enhanced scanning combined with angiography reconstruction techniques is capable of making an accurate diagnosis of CTPV and providing more information for clinical therapy decisions.

  15. Trombose séptica de seios cavernosos, transverso e sigmóide e de veia jugular, associada à meningite, secundária a furúnculo nasal: Relato de Caso Septic thrombosis of cavernous, transverse, sigmoid sinuses and jugular vein, associated with meningitis, secondary to nasal furuncle: Case report

    Directory of Open Access Journals (Sweden)

    Hélio Utida

    2002-06-01

    Full Text Available Os autores descrevem um caso de furúnculo nasal que evoluiu com trombose séptica de seio cavernoso, bilateral e assimétrica, e de seios transverso e sigmóide e de veia jugular interna a esquerda, associada à meningite bacteriana, em um paciente previamente hígido. Apesar da trombose séptica extensa de seios venosos, o paciente apresentou boa evolução, após tratamento clínico agressivo com antibióticos, corticosteróides e anticoagulantes. Porém, manteve como seqüela: paresia de VI nervo à esquerda e lesão parcial de nervo óptico homolateral.The authors report a case of nasal furuncle that progressed to septic bilateral and asymmetric thrombosis of cavernous, transverse, sigmoid sinus and internal jugular vein, associated with bacterial meningitis, in a previously healthy patient. In spite of the extensive thrombosis, the patient presented a good evolution, after an aggressive clinical treatment with antibiotics, corticosteroids and anticoagulants. However, there remained paresis of the VI nerve on the left and partial lesion of the homolateral optic nerve.

  16. Apariencia mamográfica, ecográfica e histopatológica del hemangioma cavernoso de mama: a propósito de un caso Mammographic, ultrasonographic and histopathological appearances of cavernous hemangioma of the breast: one case report

    Directory of Open Access Journals (Sweden)

    Andrés F. Puerta R

    2011-06-01

    Full Text Available Los tumores vasculares mamarios son infrecuentes. La mayoría de los tumores parenquimatosos son angio-sarcomas y los tumores extraparenquimatosos usual-mente corresponden a hemangiomas. Presentamos el caso de una paciente asintomática, que fue remitida para la realización de biopsia de un nódu-lo superficial identificado en mamografía de tamizaje. El diagnóstico histológico fue hemangioma cavernoso. Se describen las características clínicas, imagenológi-cas e histopatológicas de esta entidad y se realiza una revisión de la literatura.Vascular tumors of breast are infrequent. Most parenchymal tumors are angiosarcomas and extra parenchymal tumors are usually hemangiomas. We describe the case of an asymptomatic patient referred to our institution for a biopsy on a superficial nodule identified in screening mammography. Histopathologic diagnosis of cavernous hemangioma was made. The clinical, mammographic, ultrasonographic and histopathological features of this tumor are reviewed.

  17. 经耳前颧弓硬膜外入路切除海绵窦肿瘤60例分析%Resection of cavernous sinus tumor with subtomperal preauricular extradural approach:clinical experience and analysis of 60 cases

    Institute of Scientific and Technical Information of China (English)

    卜博; 周定标; 余新光; 许百男; 张远征; 乔广宇; 周涛

    2011-01-01

    目的 总结回顾2002年至2009年经治的海绵窦病变60例的临床特点、手术人路及手术效果.方法 神经鞘瘤18例,海绵状血管瘤23例,皮样囊肿9例,脑膜瘤4例,脊索瘤3例,垂体瘤3例.均经耳前颧弓硬膜外入路切除.结果 神经鞘瘤18均全切,海绵状血管瘤23例,全切18例,5例有残留.皮样囊肿9例全切,脑膜瘤4例,全切3例,次全切1例.脊索瘤3例,结合经鼻蝶窦入路手术,均达到了全切.垂体瘤3例全切.结论 经耳前颧弓硬膜外入路切除海绵窦病变是一个理想的手术入路,可以充分显露病变,减少对脑组织的牵拉,也可以明确Ⅲ~Ⅵ脑神经和颈内动脉的位置,减少神经和血管损伤的概率.对与动脉或神经粘连无法彻底切除的病变可以辅以立体定向放射治疗.%Objective To review our experience of microsurgery for 60 cavernous sinus tumors from 2002 to 2009.The clinical features,surgical techniques and outcome of cavernous sinus tumor in 60 cases were investigated retrospectively.Methods The patients included 23 hemangiomas,18 shwannomas,9 dermoid cysts,4 meningiomas,3 chordomas,3 pituitary adenomas.AIl the tumors were removed with subtomperal preauricular extradural approach.Results The tumors were removed satisfactorily.The shwannomas were totally removed. The hemangiomas were totally removed in 18,near-totally removed in 5 cases.Nine dermoid cysts were removed totally.For the 4 meningiomas,3 were removed completely,neartotallv removed in 1 cases.The 3 Chordomas were resected near-totally and achieved a completely removal with combined approach.Conclusion The subtomperal preauricular extradural approach is a rational choice.It can reveal the cranial nerve branches and artery at an early stage so that cranial nerves Ⅲ~Ⅵ and internal carotid artery can be preserved during operation.The tumor exposure is ideal and brain traction and contusion are slightly.The adjunctive radiotherapy is demanded for residual tumors

  18. 原发性高血压大鼠阴茎海绵体组织中电导型钙激活性钾通道的表达%The expression and correlation of intermediate conductance calcium-activated potassium channels in cavernous tissue of spontaneously hypertensive rats

    Institute of Scientific and Technical Information of China (English)

    廖胜; 高飞; 葛余正; 周六化; 吴然; 贾瑞鹏

    2014-01-01

    Objective Intermediate conductance calcium-activated potassium channels (IKCa),one of the key material of the endothelium-derived hyperpolarizing factor (EDHF) passway.To detect the expression of IKCa and explore hypertension impact IKCa expression in cavernous tissue of spontaneously hypertensive rats.Methods Male spontaneously hypertensive rats (SHR) (n =20) and normotensive Wistar Kyoto rats (WKY,n =10) were studied,Systolic blood pressure (SBP) was measured by noninvasive blood pressure instrument and erectile function was tested by injecting with apomorphine (APO),the rats were divided into 3 groups,namely hypertensive with erectile dysfunction (HBP-ED)group (n =13),hypertensive (HBP) group (n =7) and control group (n =10).The expression of IKCa gene mRNA and protein was assessed by Western blotting and reverse transcription-polymerase chain reaction (RT-PCR).Results Versus the WKY group,SHR group showed a higher systolic blood pressure [(202.43 ±9.89)vs.(127.21 ± 3.48) mmHg (1 mmHg =0.133 k Pa),P < 0.01].The expressions of IKCa protein and mRNA were the highest in the control group and the lowest in HBP-ED group.Conclusion The erectile function of penis is impacted seriously by hypertension,which may be related to the decreased expression of IKCa in cavernous tissue of spontaneously hypertensive rats.%目的 检测内皮依赖性超级化因子(EDHF)通路关键性物质中电导型钙激活性钾通道(IKCa)在原发性高血压大鼠阴茎海绵体组织的表达,探讨高血压对大鼠阴茎海绵体中IKCa表达的影响.方法 健康雄性原发性高血压大鼠(SHR) 20只及同系正常(WKY)大鼠10只,无创血压仪测量大鼠尾部收缩压(SBP),颈部皮下注射阿扑吗啡(APO)检验大鼠阴茎勃起,将大鼠分为高血压勃起功能障碍组(HBP-ED)、高血压组(HBP)和对照组(Control).运用Western blot和逆转录-聚合酶链反应(RT-PCR)技术检验大鼠阴茎海绵体中IKCa蛋白和mRNA的表达.结果 SHR

  19. 29 August 2013 - J.-F. Jauslin, Directeur de l’Office fédéral de la culture (OFC) Ambassadeur suisse auprès de l’UNESCO et de l’OIF au 1er septembre 2013 Confédération suisse visite le centre visiteurs de l’expérience ATLAS ainsi que la caverne expérimentale d'ATLAS avec P. Jenny, ancien Porte-parole d'ATLAS. M. Bona, Conseiller du Directeur général pour les relations avec les Organisations internationales présent tout au long.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    29 August 2013 - J.-F. Jauslin, Directeur de l’Office fédéral de la culture (OFC) Ambassadeur suisse auprès de l’UNESCO et de l’OIF au 1er septembre 2013 Confédération suisse visite le centre visiteurs de l’expérience ATLAS ainsi que la caverne expérimentale d'ATLAS avec P. Jenny, ancien Porte-parole d'ATLAS. M. Bona, Conseiller du Directeur général pour les relations avec les Organisations internationales présent tout au long.

  20. 20 fevrier 2012 - Le Vice-Président du Gouvernement Wallon et Ministre du Développement durable et de la Fonction Publique en charge de l’Energie du Logement et de la Recherche J.-M. Nollet, Royaume de Belgique, visite la salle de contrôle de CMS au Point 5, la caverne expérimentale CMS et le hall de tests des aimants supraconducteurs du LHC. Les chefs de département T. Lagrange et F. Hemmer accompagnent la délégation. L. Walckiers guide la visite SM18.

    CERN Multimedia

    Maximilien Brice

    2012-01-01

    20 fevrier 2012 - Le Vice-Président du Gouvernement Wallon et Ministre du Développement durable et de la Fonction Publique en charge de l’Energie du Logement et de la Recherche J.-M. Nollet, Royaume de Belgique, visite la salle de contrôle de CMS au Point 5, la caverne expérimentale CMS et le hall de tests des aimants supraconducteurs du LHC. Les chefs de département T. Lagrange et F. Hemmer accompagnent la délégation. L. Walckiers guide la visite SM18.