Arithmetic problems share many surface-level features with typical sentences. They assert information about the world, and readers can evaluate this information for sensibility by consulting their memories as the statement unfolds. When people encounter the solution to the problem 3 × 4, the brain elicits a robust ERP effect as a function of answer expectancy (12 being the expected completion; 15 being unexpected). Initially, this was labeled an N400 effect, implying that semantic memory had been accessed. Subsequent work suggested instead that the effect was driven by a target P300 to the correct solutions. The current study manipulates operand format to differentially promote access to language-based semantic representations of arithmetic. Operands were presented either as spoken number words or as sequential Arabic numerals. The critical solution was always an Arabic numeral. In Experiment 1, the correctness of solutions preceded by spoken operands modulated N400 amplitude, whereas solutions preceded by Arabic numerals elicited a P300 for correct problems. In Experiment 2, using only spoken operands, the delay between the second operand and the Arabic numeral solution was manipulated to determine if additional processing time would result in a P300. With a longer delay, an earlier N400 and no distinct P300 were observed. In brief, highly familiar digit operands promoted target detection, whereas spoken numbers promoted semantic level processing-even when solution format itself was held constant. This provides evidence that the brain can process arithmetic fact information at different levels of representational meaningfulness as a function of symbolic format.
Two unlike metals near one another can break down as they move toward electrochemical equilibrium resulting in galvanic corrosion. We describe a case of electrochemical corrosion resulting in pseudarthrosis, followed by instrumentation failure leading to subarachnoid hemorrhage. A 53-year-old female with a history of cervical instability and two separate prior cervical fusion surgery with sublaminar cables presented with new onset severe neck pain. Restricted range of motion in her neck and bilateral Hoffman's was noted. X-ray of her cervical spine was negative. A noncontrast CT scan of her head and neck showed subarachnoid hemorrhage in the prepontine and cervicomedullary cisterns. Neurosurgical intervention involved removal of prior stainless steel and titanium cables, repair of cerebrospinal fluid leak, and nonsegmental C1–C3 instrumented fusion. She tolerated the surgery well and followed up without complication. Galvanic corrosion of the Brook's fusion secondary to current flow between dissimilar metal alloys resulted in catastrophic instrumentation failure and subarachnoid hemorrhage.
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