Although arachnoid cysts (ACs) are associated with chronic subdural hematomas (CSDHs), especially in young patients, the detailed features of CSDHs associated with ACs remain poorly understood. The objective of this study was to clarify the relationship between the location of CSDHs and ACs and the significance of ACs in young patients with CSDHs. We retrospectively assessed 605 consecutive patients 7 years of age and older who were diagnosed with a CSDH between 2002 and 2014. Twelve patients (2%) had ACs, and 10 of the 12 patients were 7–40 years of age. Patients with ACs as a complication of CSDHs were significantly younger than those without ACs (p < 0.05). Three different relationships between the location of CSDHs and ACs were found: a CSDH contacting an AC, an ipsilateral CSDH apart from an AC, and a CSDH contralateral to an AC. In 21 patients with CSDHs who were 7–40 years of age, 10 (47.6%) had ACs (AC group) and 7 (33.3%) had no associated illnesses (non-AC group). All 10 young patients with ACs showed ipsilateral CSDHs including a CSDH apart from an AC. All 17 patients in both the AC and non-AC groups showed headache but no paresis at admission. The pathogenesis of CSDHs associated with ACs may be different among the three types of locations. The clinical characteristics of patients with a combination of a CSDH and an AC including headache as a major symptom may be attributed to young age in the majority of patients with ACs.
This paper describes the use of an on-duty safety nurse, a surgical safety manual and a checklist as an essential precursor to evaluating how these approaches affect surgical quality, communication in surgery crews and contribute to the safety of surgical care in the intra-operative magnetic resonance imaging (MRI) suite.
BACKGROUND AND PURPOSE:In major SAH, the only method to diagnose a preceding minor leak is to ascertain the presence of a warning headache by interview; however, poor clinical condition and recall bias can cause inaccuracy. We devised a neuroradiologic method to diagnose previous minor leak in patients with SAH and attempted to determine whether warning (sentinel) headaches were associated with minor leaks before major SAH.
The neutron capture cross sections and the capture -ray spectra of 117;119 Sn were measured in an energy region from 15 to 100 keV and around 550 keV. A neutron time-of-flight method was adopted with a ns-pulsed neutron source based on the 7 Li(p,n) 7 Be reaction and with a large anti-Compton NaI(Tl) spectrometer. A pulse-height weighting technique was applied to the observed capture -ray pulse-height spectra to obtain the capture yields. Using the standard capture cross sections of 197 Au, the capture cross sections of 117;119 Sn were derived with the errors less than 5%. The capture -ray spectra were obtained by unfolding the observed capture -ray pulse-height spectra. The present results for the capture cross sections are compared with the previous experimental values and the evaluated values of JENDL-3.3, and ENDF/B-VI.8 and VII.0.
Abstract. The neutron capture cross sections and capture gamma-ray spectra of Sn ( 116−119 Sn) and Gd ( 155−158 Gd) isotopes have been measured in the incident neutron energy region from 10 to 100 keV and at 550 keV. Pulsed keV neutrons were produced by the 7 Li(p,n) 7 Be reaction. Capture gamma rays were detected with a large anti-Compton NaI(Tl) spectrometer by means of a time-of-flight method. A pulse-height weighting technique was applied to the observed capture gamma-ray pulse-height spectra to obtain capture yields. Using the standard capture cross sections of 197 Au, the capture cross sections of the Sn and Gd isotopes were derived. The capture gamma-ray spectra were obtained by unfolding the observed capture gamma-ray pulse-height spectra. The present cross section results were compared with other experimental data and evaluated values.
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