Resection of Intracranial Giant Cavernous Malformation: Case Report and Literature Review

Cerebral cavernous malformations are a rare and congenital vascular malformation that can present as a challenge in neurosurgical management. The term “giant cerebral cavernous malformations” still does not have a clear definition in the literature, with a wide variety of results. It is known, however, that there is an association between the size of the cavernoma and postoperative sequelae, especially in those with a size greater than 3 cm in its largest diameter. We present a case report of resection of a giant brain cavernoma measuring approximately 8 cm in its largest diameter, emphasizing on clinical presentation, diagnoses and postoperative evolution. Additionally, we performed a comprehensive review of the existing literature on the subject, addressing the epidemiology, pathophysiology, diagnostic methods, treatment options, and prognosis associated with this condition.

Comparative analysis of thermodynamic and mechanical responses between underground hydrogen storage and compressed air energy storage in lined rock caverns

Underground hydrogen storage(UHS)and compressed air energy storage(CAES)are two viable largescale energy storage technologies for mitigating the intermittency of wind and solar power.Therefore,it is meaningful to compare the properties of hydrogen and air with typical thermodynamic storage processes.This study employs a multi-physical coupling model to compare the operations of CAES and UHS,integrating gas thermodynamics within caverns,thermal conduction,and mechanical deformation around rock caverns.Gas thermodynamic responses are validated using additional simulations and the field test data.Temperature and pressure variations of air and hydrogen within rock caverns exhibit similarities under both adiabatic and diabatic simulation modes.Hydrogen reaches higher temperature and pressure following gas charging stage compared to air,and the ideal gas assumption may lead to overestimation of gas temperature and pressure.Unlike steel lining of CAES,the sealing layer(fibre-reinforced plastic FRP)in UHS is prone to deformation but can effectively mitigates stress in the sealing layer.In CAES,the first principal stress on the surface of the sealing layer and concrete lining is tensile stress,whereas UHS exhibits compressive stress in the same areas.Our present research can provide references for the selection of energy storage methods.

Endovascular treatment of direct carotid cavernous fistula resulting from rupture of intracavernous carotid aneurysm: A case report

BACKGROUND Direct carotid cavernous fistulas(CCFs)are typically the result of a severe traumatic brain injury.High-flow arteriovenous shunts secondary to rupture of an intracavernous aneurysm,resulting in direct CCFs,are rare.The use of a pipeline embolization device in conjunction with coils and Onyx glue for treatment of direct high-flow CCF resulting from ruptured cavernous carotid artery aneurysm in a clinical setting is not well documented.CASE SUMMARY A 58-year-old woman presented to our department with symptoms of blepharoptosis and intracranial bruits for 1 wk.During physical examination,there was right eye exophthalmos and ocular motor palsy.The rest of the neurological examination was clear.Notably,the patient had no history of head injury.The patient was treated with a pipeline embolization device in the ipsilateral internal carotid artery across the fistula.Coils and Onyx were placed through the femoral venous route,followed by placement of the pipeline embolization device with assistance from a balloon-coiling technique.No intraoperative or perioperative complications occurred.Preoperative symptoms of bulbar hyperemia and bruits subsided immediately after the operation.CONCLUSION Pipeline embolization device in conjunction with coiling and Onyx may be a safe and effective approach for direct CCFs.

Endoscopic ultrasound-guided lauromacrogol injection for treatment of colorectal cavernous hemangioma:Two case reports

BACKGROUND Colorectal cavernous hemangioma is a rare vascular malformation resulting in recurrent lower gastrointestinal hemorrhage,and can be misinterpreted as colitis.Surgical resection is currently the mainstay of treatment,with an emphasis on sphincter preservation.CASE SUMMARY We present details of two young patients with a history of persistent hematochezia diagnosed with colorectal cavernous hemangioma by endoscopic ultrasound(EUS).Cavernous hemangioma was relieved by several EUS-guided lauromacrogol injections and the patients achieved favorable clinical prognosis.CONCLUSION Multiple sequential EUS-guided injections of lauromacrogol is a safe,effective,cost-efficient,and minimally invasive alternative for colorectal cavernous hemangioma.

A preliminary site selection system for underground hydrogen storage in salt caverns and its application in Pingdingshan,China

Large‐scale underground hydrogen storage(UHS)provides a promising method for increasing the role of hydrogen in the process of carbon neutrality and energy transition.Of all the existing storage deposits,salt caverns are recognized as ideal sites for pure hydrogen storage.Evaluation and optimization of site selection for hydrogen storage facilities in salt caverns have become significant issues.In this article,the software CiteSpace is used to analyze and filter hot topics in published research.Based on a detailed classification and analysis,a“four‐factor”model for the site selection of salt cavern hydrogen storage is proposed,encompassing the dynamic demands of hydrogen energy,geological,hydrological,and ground factors of salt mines.Subsequently,20 basic indicators for comprehensive suitability grading of the target site were screened using the analytic hierarchy process and expert survey methods were adopted,which provided a preliminary site selection system for salt cavern hydrogen storage.Ultimately,the developed system was applied for the evaluation of salt cavern hydrogen storage sites in the salt mines of Pingdingshan City,Henan Province,thereby confirming its rationality and effectiveness.This research provides a feasible method and theoretical basis for the site selection of UHS in salt caverns in China.

Intermittent melena and refractory anemia due to jejunal cavernous lymphangioma:A case report

BACKGROUND Lymphangiomas in the gastrointestinal tract are extremely rare in adults.As a benign lesion,small intestine lymphangiomas often remain asymptomatic and pose challenges for definitive diagnosis.However,lymphangiomas can give rise to complications such as abdominal pain,bleeding,volvulus,and intussusception.Here,we report a case of jejunal cavernous lymphangioma that presented with intermittent melena and refractory anemia in a male adult.CASE SUMMARY A 66-year-old man presented with intermittent melena,fatigue and refractory anemia nine months prior.Esophagogastroduodenoscopy and colonoscopy were performed many times and revealed no apparent bleeding.Conservative management,including transfusion,hemostasis,gastric acid secretion inhibition and symptomatic treatment,was performed,but the lesions tended to recur shortly after surgery.Ultimately,the patient underwent capsule endoscopy,which revealed a more than 10 cm lesion accompanied by active bleeding.After singleballoon enteroscopy and biopsy,a diagnosis of jejunal cavernous lymphangioma was confirmed,and the patient underwent surgical resection.No complications or recurrences were observed postoperatively.CONCLUSION Jejunal cavernous lymphangioma should be considered a cause of obscure gastrointestinal bleeding.Capsule endoscopy and single-balloon enteroscopy can facilitate diagnosis.Surgical resection is an effective management method.

Giant cavernous aneurysms occluded by aneurysmal thrombosis,calcification,parent artery occlusion:A case report and review of literature

BACKGROUND Patients with giant intracranial aneurysms(GIAs)are at a high risk of rupture,morbidity,and mortality even after surgical or endovascular treatment.We described a case of a spontaneously occluded GIA secondary to gradual growth of the GIA,continuously progressed aneurysmal thrombosis,complete aneurysmal calcification and complete occlusion of the parent artery-the right internal carotid artery(RICA).CASE SUMMARY A 72-year-old female patient complained of sudden pain in her right eye upon admission to our hospital.She had been diagnosed with a GIA[30 mm(axial)×38 mm(coronal)×28 mm(sagittal)]containing an aneurysmal thrombus located in the cavernous sinus segment of RICA diagnosed by magnetic resonance imaging(MRI),enhanced MRI,and magnetic resonance angiography more than 14 years ago.Later,with slow growth of the cavernous carotid GIA,aneurysmal thrombosis progressed continuously,spontaneous occlusion of the RICA,complete aneurysmal calcification,and occlusion of the GIA occurred gradually.She had no history of subarachnoid hemorrhage but missed the chance for endovascular therapy at an early stage.As a result,she was left with severe permanent sequelae from the injuries to the right cranial nerves Ⅱ,Ⅲ,Ⅳ,V1/V2,and Ⅴ.CONCLUSION The risk of rupture of the cavernous carotid GIAs was relatively low and possibly further be reduced by the stasis flow and spontaneous occlusion of the parent artery internal carotid artery(ICA)induced by the mass effect of the cavernous carotid GIAs and the extremely rare aneurysmal calcification.However,nowadays,it is advisable to recommend early endovascular treatment for the cavernous carotid GIAs to prevent injuries to the surrounding intracranial nerves and occlusion of the ICA,mainly caused by the mass effect of the cavernous carotid GIAs.

Rock mass response for lined rock caverns subjected to high internal gas pressure

The storage of hydrogen gas in underground lined rock caverns(LRCs)enables the implementation of the first fossil-free steelmaking process to meet the large demand for crude steel.Predicting the response of rock mass is important to ensure that gas leakage due to rupture of the steel lining does not occur.Analytical and numerical models can be used to estimate the rock mass response to high internal pressure;however,the fitness of these models under different in situ stress conditions and cavern shapes has not been studied.In this paper,the suitability of analytical and numerical models to estimate the maximum cavern wall tangential strain under high internal pressure is studied.The analytical model is derived in detail and finite element(FE)models considering both two-dimensional(2D)and three-dimensional(3D)geometries are presented.These models are verified with field measurements from the LRC in Skallen,southwestern Sweden.The analytical model is inexpensive to implement and gives good results for isotropic in situ stress conditions and large cavern heights.For the case of anisotropic horizontal in situ stresses,as the conditions in Skallen,the 3D FE model is the best approach.

Study on cavern evolution and performance of three mixers in agitation of yield-pseudoplastic fluids

The hydrodynamic performance of three mixers single shaft central mixer(SSC), single shaft off-centred mixer(SSO), dual shaft off-centred mixer(DSO), was investigated in the mixing of yield-pseudoplastic fluids(xanthan gum solutions) in the laminar regime. To explore and determine the efficiency of three mixers, both numerical and experimental approaches were adopted. The fluid rheology was described by the Herschel–Bulkley rheological model. Computational fluid dynamics was employed to simulate the apparent viscosity distribution, mixing time, and the flow pattern inside the stirred tank. The developed model was validated through experimentally measured torque. The influence mechanism of the rotational speed and fluid rheology on the cavern evolution was explored deeply. The performances of three mixers in this work were compared at the constant power input and fluid rheology with respect to the flow pattern, mixing time, and mixing efficiency. The results verify that the faster the rotating speed, the greater influence of the fluid rheology on the cavern evolution, and the more uniform apparent viscosity distribution. Moreover, the mixing time decreases continuously as the increasing power consumption per unit volume, and the dimensionless mixing time of DSO mixer was nearly 42.8% and 6.1% shorter than that of SSC and SCO mixer at the same Reynolds number, respectively. According to the mixing efficiency criteria, these data also revealed that DSO was more efficient than SSC and SSO.

Spalling failure of deep hard rock caverns

Spalling is a typical brittle failure phenomenon of hard rock in deep caverns under high geostress.In this study,key issues are systematically studied concerning the spalling failure of deep hard rock caverns.First,the prismatic rock specimens with small thicknesses(i.e.width×thickness×height:20 mm×50 mm×100 mm)are employed in our tests which not only successfully simulate the spalling failure of hard rock in the laboratory but also obtain a reasonable spalling strength similar to that of the rock mass.Then,a series of spalling experiments is carried out to investigate the mechanism of spalling failure of deep hard rock caverns.Our results show that the intermediate principal stress,weak dynamic disturbances,and rock microstructure have significant effects on the spalling failure.The spalling strength is approximately(0.3–0.8)UCS,where UCS is the uniaxial compressive strength of the cylindrical rock sample with a diameter of around 50 mm.The spalling strength increases first and then decreases with increasing intermediate principal stress.Moreover,an empirical spalling strength criterion and a numerical method of spalling failure are proposed.This numerical method can not only simulate the spalling failure zone formed by tangential compressive stress concentration after excavation under different intermediate principal stresses,but also successfully simulate the failure transition from tensile mode to shear mode associated with confinement change in deep hard rock caverns.Furthermore,an acoustic emission-based early warning method using neural network is proposed to predict the spalling failure.Finally,a technical roadmap for preventing and controlling spalling failure of deep hard rock caverns is presented after summarizing the successful experiences in a typical engineering case.

Effect of rock joints on lined rock caverns subjected to high internal gaspressure

The storage of hydrogen gas in lined rock caverns(LRCs)may enable the implementation of the firstlarge-scale fossil-free steelmaking process in Sweden,but filling such storage causes joints in the rockmass to open,concentrating strains in the lining.The structural interaction between the LRC componentsmust be able to reduce the strain concentration in the sealing steel lining;however,this interaction iscomplex and difficult to predict with analytical methods.In this paper,the strain concentration in LRCsfrom the opening of rock joints is studied using finite element(FE)analyses,where the large-and small-scale deformation behaviors of the LRC are coupled.The model also includes concrete crack initiation anddevelopment with increasing gas pressure and rock joint width.The interaction between the jointed rockmass and the reinforced concrete,the sliding layer,and the steel lining is demonstrated.The results showthat the rock mass quality and the spacing of the rock joints have the greatest influence on the straindistributions in the steel lining.The largest effect of rock joints on the maximum strains in the steellining was observed for geological conditions of“good”quality rock masses.

Application of transmesenteric vein extrahepatic portosystemic shunt in treatment of symptomatic portal hypertension with cavernous transformation of portal vein

Purpose:To evaluate the feasibility and efficacy of a transmesenteric vein extrahepatic portosystemic shunt(TmEPS)for the treatment of cavernous transformation of the portal vein(CTPV).Materials and methods:The clinical data of 20 patients with CTPV who underwent TmEPS between December 2020and January 2022 at Henan Provincial People’s Hospital were retrospectively collected.The superior mesenteric vein(SMV)trunk was patent or partially occluded in these patients.An extrahepatic portosystemic shunt between the inferior vena cava and the SMV was established using a stent graft through an infraumbilical median longitudinal mini-laparotomy.The technical success,efficacy,and complication rates were evaluated,and the preand postoperative SMV pressures were compared.Patients’clinical outcomes and shunt patency were assessed.Results:TmEPS was successfully performed in 20 patients.The initial puncture success rate of the balloon-assisted puncture technique is 95%.The mean SMV pressure decreased from 29.1±2.9 mmHg to 15.6±3.3 mmHg(p<0.001).All symptoms of portal hypertension resolved.No fatal procedural complications occurred.During the follow-up period,hepatic encephalopathy occurred in two patients.The remaining patients remained asymptomatic.All shunts were patent.Conclusions:TmEPS is a feasible,safe,and effective treatment option for patients with CTPV.

Determination of convergence of underground gas storage caverns using non-invasive methodology based on land surface subsidence measurement

Undergroundgas storage caverns aremonitoredfor environmental safety in termsof equipmentandpotential emissions,particularly methane emissions from the underground and above-ground parts of the storage facility.Periodical measurements of land surface deformations and costly echometric measurements of convergence of individual storage facilities are carried out.The aims of environmental monitoring are:(1)to eliminate potential hazards in the shortest time,(2)assess the overall impact of intensive operation of storage facilities on the environment,(3)developmonitoringmethods relevant to environmental protection,and(4)take actions in case of failure.The paper presents a solution to the problem of determination of the convergence of underground caverns in a salt rock mass based on the results of land surface subsidence measurements carried out using the Gauss-Markov equalization algorithm.Themethod makes it possible for ongoing control of cavern volume convergence after each subsidence measurement on the ground surface and determining the actual impact of the use frequency(injection-mediumconsumption)on the convergence in time.The presentedmethodology is universal and verified on caverns located in a salt rockmass.The Gauss-Markov inversion model is the first used in this area,hence its application is significant.

Retroperitoneal cavernous hemangioma misdiagnosed as lymphatic cyst:A case report and review of the literature

BACKGROUND Primary abdominal and retroperitoneal cavernous hemangioma is a vascular tumor and rarely seen in the clinic.Due to the lack of specific imaging features,retroperitoneal cavernous hemangioma cannot be diagnosed accurately.Some symptoms may develop with the enlargement of lesion volume or the occurrence of complications such as rupture or oppression.We report here a special case who was admitted with chronic abdominal pain.Admission examination suggested a retroperitoneal lymphatic duct cyst.Laparoscopic resection of the retroperitoneal mass was performed,and histological examination confirmed retroperitoneal cavernous hemangioma.CASE SUMMARY The patient was a 43-year-old Tibetan woman with intermittent left lower abdominal pain and discomfort 3 years ago.Ultrasonography revealed a cystic mass in the retroperitoneum with clear boundaries,internal septa,and no blood flow signal.Computed tomography(CT)and magnetic resonance imaging(MRI)showed an irregular space-occupying mass in the retroperitoneum,and retroperitoneal lymphatic cyst was considered.Plain CT scanning showed multiple cystlike hypo-intense shadows in the retroperitoneum,partially fused into a mass,and no obvious enhancement was found on enhanced scanning.MRI showed multiple irregular clump-like long T1 and long T2 signal shadows above the pancreas,within which linear short T2 signal shadows were seen.Diffusionweighted imaging sequence showed hypo-signal shadows,without obvious enhancement on enhanced scanning.Ultrasound,CT,and MRI all suggested the possibility of retroperitoneal lymphatic cyst.However,the patient was finally diagnosed with retroperitoneal cavernous hemangioma by pathological examination.CONCLUSION Retroperitoneal cavernous hemangioma is a benign lesion,and it is difficult to make a diagnosis preoperatively.Surgical resection may be the only treatment,which not only allows histopathological confirmation as a diagnostic purpose and excludes any risk of malignancy,but also avoids invasion of adjacent tissues,oppression,and other complications as a therapeutic goal.

High-flow priapism due to bilateral cavernous artery fistulas treated by unilateral embolization:A case report

BACKGROUND High flow priapism(HFP)is a rare type of priapism.Perineal trauma is the most common cause of HFP.Trauma-induced penile artery injury may lead to an arterial-cavernosal fistula,whereas persistent irregular arterial blood flow entering the corpora cavernosum can cause a persistent penile erection.The routine treatment of HFP focuses on addressing the abnormal penile erectile status and avoiding post-treatment erectile dysfunction.Interventional embolization is an important therapeutic modality for HFP,and bilateral embolization therapy is currently the most commonly used technique for patients with bilateral cavernous artery fistulas;however,unilateral embolization therapy has yet to be reported.CASE SUMMARY Herein,we report of the case of a 26-year-old Chinese male who presented with a persistent abnormal erection for 12 h after perineal impact injury.Medical history,cavernous arterial blood gas analysis and radiological examinations led to a diagnosis of HFP caused by bilateral cavernous artery fistulas.We performed routine conservative treatment(compression therapy and ice application)for the patient after admission;however,10 d later,his symptoms had not been relieved.After completion of the preoperative workup,right(severe side)selective perineal artery embolization was performed;the left cavernous artery fistula was left untreated.After postoperative continuation of conservative treatment for 72 h,the patient experienced complete penile thinning.The patient had no symptoms of erectile dysfunction over a follow-up period of 12 mo.CONCLUSION Compared with bilateral cavernous artery fistula embolization,we believe that unilateral cavernous artery fistula embolization can achieve positive clinical efficacy and reduce the risk of postoperative erectile dysfunction secondary to penile ischemia.

Pancreatic cavernous hemangioma complicated with chronic intracapsular spontaneous hemorrhage:A case report and review of literature

BACKGROUND Pancreatic cavernous hemangioma(pCH)is a rare type of benign vascular tumor.Making the right diagnosis is challenging due to low clinical suspicion and the lack of existing cross-sectional imaging tools to distinguish it from other pancreatic lesions.CASE SUMMARY We describe a male patient,age 18,who presented with a pCH.Computed tomography,magnetic resonance imaging,and ultrasound showed cystic space in the tail of the pancreas.A dark spot sign on the T2 weighted image sequence was observed.Clinically,a mucinous cystic neoplasm with hemorrhage was suspected preoperatively by combining imaging,and the operative indication was clear.The patient underwent a distal pancreatic tumor resection under laparoscopic control.Immunohistochemical staining for CD31 and CD34 was positive;D2-40 was positive in interstitial lymphatic vessels and negative in vascular epithelial cells;and calcium-binding protein was negative.The results support the diagnosis of pCH combined with chronic intracapsular spontaneous hemorrhage.No complications or recurrences were observed during the follow-up period.CONCLUSION Chronic spontaneous hemorrhage may occur in pCH,which may greatly influence the accuracy of diagnosis using imaging modalities.Surgical resection for uncertain pCH seems reasonable with a good outcome.

基于有限域结构的LRC码的存在性讨论

假设C是有限域Fq上的(n,k)线性码,若码字的每个分量值是其他r个分量值的函数,则称C为(n,k,r)LRC码,这里r相对于码长来说是个较小的数。基于有限域结构构造LRC码的方法通常有3种:利用有限域的加法结构、乘法结构及其子域上的向量空间结构。然而,这些构造方法不是对任意局部参数为r的LRC码都能构造。为了解决这个问题,本文通过组合代数等方法,对任意给定素数p,提出了Fq上G-多项式存在的充分条件,讨论了一类局部参数r=p2+p-1的局部恢复码的存在条件,并通过两个实例来说明相关问题。

压气储能地下储气库衬砌裂缝分布特征及演化规律研究

地下储气库衬砌的主要作用是将内压传递给围岩,且同时作为柔性密封层的附着基层。高内压作用下衬砌开裂可导致密封层出现反射型裂缝,进而引起高压气体的泄漏。为深入认识地下储气库衬砌的开裂特征,开发了基于FLAC3D平台的衬砌裂缝分析程序,研究了衬砌配筋方式、配筋率、钢筋保护层厚度、围岩类别和温压循环荷载作用等因素对衬砌开裂演化特征的影响。研究成果表明:对衬砌采取合理的配筋方式和改善围岩质量的措施可有效控制衬砌裂缝的宽度;采用分区配筋的方式可有效控制圆形断面隧洞式储气库衬砌中的最大裂缝宽度,同时降低衬砌的配筋量。空气压力和温度同步变化引起的热力耦合效应还有助于减小衬砌中出现的裂缝宽度。

新能源用钢管的应用现状、需求分析及思考

“双碳”战略下新能源及相关产业发展给钢管带来新的应用场景,对钢管的功能和性能提出新的需求。聚焦于碳捕获、利用与封存技术领域中的CO_(2)输送用管、氢能领域中的氢气输送用管和储能领域中的盐穴压缩空气储能用注采管,总结了新能源用钢管的应用现状和研究进展,分析了各领域用管需求,并就“双碳”背景下新能源用钢管的基础理论研究、关键技术开发和标准体系建设等方面进行了思考,提出了建议。

中国大规模盐穴储氢需求与挑战

氢能是来源广泛且低碳清洁的能源,大力发展氢能产业是实现双碳目标和应对全球能源转型的重要举措。在氢能“制备―储存―运输―应用”全产业链中,储氢难问题长期制约着氢能产业高质量发展。盐穴储氢具有成本低、规模大、安全性高和储氢纯度高等突出优势,是未来氢能大规模储备的重要发展方向,也是我国能源低碳转型的重大战略需求。综合调研了我国制氢产业和氢能消费现状,分析了我国盐穴储氢的需求。调研了国外利用盐穴储存天然气和氢气的技术及工程现状,总结了我国盐穴储气库发展和建设历程。对比了利用盐穴储存天然气、氦气、压缩空气和氢气的异同点,提出我国盐穴储氢面临三大科技挑战:层状盐岩氢气渗透与生化反应、盐穴储氢库井筒完整性管控、储氢库群灾变孕育与防控。研究成果明确了我国氢气储备需求的快速增长趋势和大规模盐穴储氢的重点攻关方向。