BACKGROUND In bow hunter’s syndrome(BHS),also known as rotational vertebral artery(VA)syndrome,there is dynamic/rotational compression of the VA producing verte-brobasilar insufficiency.Most occurrences involve atlan...BACKGROUND In bow hunter’s syndrome(BHS),also known as rotational vertebral artery(VA)syndrome,there is dynamic/rotational compression of the VA producing verte-brobasilar insufficiency.Most occurrences involve atlantoaxial rather than mid-cervical VA compromise,the latter being rarely reported.Herein,we detail successful VA decompression at mid-cervical spine,given a departure from its usual course.CASE SUMMARY The patient,a 45-year-old man,presented to our hospital with occipital headache and vertigo.Computed tomography angiography showed anomalous C4 entry of right VA,with compression upon head rotation to that side.Thyroid cartilage and anterior tubercle of C5 transverse process were visibly at fault.We opted for sur-gery,using an anterior cervical approach to remove the anterior tubercle.Patient recovery was uneventful and brought resolution of all preoperative symptoms.CONCLUSION BHS is an important consideration where aberrant coursing of VA and neurologic symptoms coexist.展开更多
DOZENS of years ago BaiShuxiang’s performance inthe first-ever showing ofSwan Lake on the Chinese stage an-nounced the arrival of ballet inChina.Since then years of trial anderror,setbacks and progress,haveshown that...DOZENS of years ago BaiShuxiang’s performance inthe first-ever showing ofSwan Lake on the Chinese stage an-nounced the arrival of ballet inChina.Since then years of trial anderror,setbacks and progress,haveshown that the borrowed art isflourishing on the Chinese stage.The First“White Swan”The reception accorded to West-ern ballet in China,an ancient coun-try,proves that the Chinese peoplecan include breadth of vision amongtheir many other strong points.展开更多
It is with great pleasure that I am serving asa Guest Editor for a special issue of the ChinaCommunications on Communications and InformationSecurity for a second time.The goal of this issue is a continuation of theSp...It is with great pleasure that I am serving asa Guest Editor for a special issue of the ChinaCommunications on Communications and InformationSecurity for a second time.The goal of this issue is a continuation of theSpecial Issue by the same Editor which waspublished by CIC in February 2007.We展开更多
February 2017Elsevier would like to bring to your attention a pagination gap in Volume/Issue 12/1.Unfortunately,there is a pagination gap between article'Effect of ionization of drug on drug solubilization in SMED...February 2017Elsevier would like to bring to your attention a pagination gap in Volume/Issue 12/1.Unfortunately,there is a pagination gap between article'Effect of ionization of drug on drug solubilization in SMEDDS prepared using Capmul MCM and caprylic acid'(Authors:Suhua Li1,Parshotam Madan,Senshang Lin)and article'Preparation and characterisation of solid dispersions of tanshinone IIA,cryptotanshinone and total tanshinones”(Xifeng Zhai,Chunguang Li,George Binh Lenon,Charlie C.L.Xue,Weize Li).展开更多
The CHINESE JOURNAL OF METAL SCIENCE AND TECHNOLOGY was startedin 1985 and was the only metallurgical periodical in English at that time in China.It is pub-lished under the auspices of The Chinese Society for Metals a...The CHINESE JOURNAL OF METAL SCIENCE AND TECHNOLOGY was startedin 1985 and was the only metallurgical periodical in English at that time in China.It is pub-lished under the auspices of The Chinese Society for Metals and managed by the Institute ofMetal Research,The Chinese Academy of Sciences(CAS).The editor-in-chief is ProfessorChangxu SHI,member of CAS and director of the Division of Technological Science,CAS.展开更多
BACKGROUND Bow hunter’s syndrome(BHS)is a rare but surgically treatable cause of vertebrobasilar insufficiency due to dynamic rotational occlusion of the vertebral artery.Typically,patients present with posterior cir...BACKGROUND Bow hunter’s syndrome(BHS)is a rare but surgically treatable cause of vertebrobasilar insufficiency due to dynamic rotational occlusion of the vertebral artery.Typically,patients present with posterior circulation transient ischaemic symptoms such as presyncope,syncope,vertigo,diplopia,and horizontal nystagmus,but irreversible deficits,including medullary and cerebellar infarctions,have also been described.CASE SUMMARY A 70-year-old patient presented an acute onset of vertigo and gait instability triggered by right head rotation.His medical history included previous episodes of unilateral left neck and occipital pain followed by light-headedness,sweating,and blurred vision when turning his head,and these episodes were associated with severe degenerative changes in the atlanto-dens and left atlanto-axial facet joints and right rotation of the C2 cervical vertebrae.Brain magnetic resonance imaging revealed the presence of acute bilateral cerebellar ischaemic lesions,while static vascular imaging did not reveal any vertebral artery abnormalities.Dynamic ultrasonography and angiography were performed and confirmed the presence of a dynamic occlusion of the vertebral artery V3-V4 segment when the head was rotated to the right secondary to left C1-C2 bone spur compression.Surgical decompression led to complete resolution of paroxysmal symptoms without neurological sequelae.CONCLUSION BHS should be considered in cases of repeated posterior circulation transient ischaemic attack or ischaemic stroke,particularly when associated with high cervical spine abnormalities.展开更多
文摘BACKGROUND In bow hunter’s syndrome(BHS),also known as rotational vertebral artery(VA)syndrome,there is dynamic/rotational compression of the VA producing verte-brobasilar insufficiency.Most occurrences involve atlantoaxial rather than mid-cervical VA compromise,the latter being rarely reported.Herein,we detail successful VA decompression at mid-cervical spine,given a departure from its usual course.CASE SUMMARY The patient,a 45-year-old man,presented to our hospital with occipital headache and vertigo.Computed tomography angiography showed anomalous C4 entry of right VA,with compression upon head rotation to that side.Thyroid cartilage and anterior tubercle of C5 transverse process were visibly at fault.We opted for sur-gery,using an anterior cervical approach to remove the anterior tubercle.Patient recovery was uneventful and brought resolution of all preoperative symptoms.CONCLUSION BHS is an important consideration where aberrant coursing of VA and neurologic symptoms coexist.
文摘DOZENS of years ago BaiShuxiang’s performance inthe first-ever showing ofSwan Lake on the Chinese stage an-nounced the arrival of ballet inChina.Since then years of trial anderror,setbacks and progress,haveshown that the borrowed art isflourishing on the Chinese stage.The First“White Swan”The reception accorded to West-ern ballet in China,an ancient coun-try,proves that the Chinese peoplecan include breadth of vision amongtheir many other strong points.
文摘It is with great pleasure that I am serving asa Guest Editor for a special issue of the ChinaCommunications on Communications and InformationSecurity for a second time.The goal of this issue is a continuation of theSpecial Issue by the same Editor which waspublished by CIC in February 2007.We
文摘February 2017Elsevier would like to bring to your attention a pagination gap in Volume/Issue 12/1.Unfortunately,there is a pagination gap between article'Effect of ionization of drug on drug solubilization in SMEDDS prepared using Capmul MCM and caprylic acid'(Authors:Suhua Li1,Parshotam Madan,Senshang Lin)and article'Preparation and characterisation of solid dispersions of tanshinone IIA,cryptotanshinone and total tanshinones”(Xifeng Zhai,Chunguang Li,George Binh Lenon,Charlie C.L.Xue,Weize Li).
文摘The CHINESE JOURNAL OF METAL SCIENCE AND TECHNOLOGY was startedin 1985 and was the only metallurgical periodical in English at that time in China.It is pub-lished under the auspices of The Chinese Society for Metals and managed by the Institute ofMetal Research,The Chinese Academy of Sciences(CAS).The editor-in-chief is ProfessorChangxu SHI,member of CAS and director of the Division of Technological Science,CAS.
文摘BACKGROUND Bow hunter’s syndrome(BHS)is a rare but surgically treatable cause of vertebrobasilar insufficiency due to dynamic rotational occlusion of the vertebral artery.Typically,patients present with posterior circulation transient ischaemic symptoms such as presyncope,syncope,vertigo,diplopia,and horizontal nystagmus,but irreversible deficits,including medullary and cerebellar infarctions,have also been described.CASE SUMMARY A 70-year-old patient presented an acute onset of vertigo and gait instability triggered by right head rotation.His medical history included previous episodes of unilateral left neck and occipital pain followed by light-headedness,sweating,and blurred vision when turning his head,and these episodes were associated with severe degenerative changes in the atlanto-dens and left atlanto-axial facet joints and right rotation of the C2 cervical vertebrae.Brain magnetic resonance imaging revealed the presence of acute bilateral cerebellar ischaemic lesions,while static vascular imaging did not reveal any vertebral artery abnormalities.Dynamic ultrasonography and angiography were performed and confirmed the presence of a dynamic occlusion of the vertebral artery V3-V4 segment when the head was rotated to the right secondary to left C1-C2 bone spur compression.Surgical decompression led to complete resolution of paroxysmal symptoms without neurological sequelae.CONCLUSION BHS should be considered in cases of repeated posterior circulation transient ischaemic attack or ischaemic stroke,particularly when associated with high cervical spine abnormalities.
