Risks and therapy options in dural arteriovenous fistulas between branches of the external carotid artery and the cavernous sinus. A case report and review of the literature

INTRODUCTION: Dural arteriovenous fistula of the Arteria carotis externa and the sinus cavernosus are rare vascular malformations. In the literature the prognosis and necessity of treatment is described very variable. PATIENTS AND METHODS: A 90 year old female presents in our outpatient clinic with acute exophthalmus, dilated episcleral veins, cerebral bruits and beginning orbital apex syndrome. After normal computerized axial tomography (CAT) without and with contrast medium, we were able to diagnose a dural AV-fistula by angiography. Shortly after dismission the patient had a spontaneous subarachnoidal haemorrhage with severe neurological symptoms. CONCLUSIONS: The suspect of an intracranial AV-malformation implies a detailed diagnostic search with precise localisation of the process. In any patient with intracerebral and intracranial fistula there has to be an individual check of possible and necessary treatment. It is impossible to classify dural AV-fistula as a benign disease with harmless clinical course.     

Non-invasive vascular imaging of peripheral vessels

The purpose of this review is to describe recent advances in non-invasive vascular imaging techniques and to discuss their current clinical applications for imaging of peripheral vessels. Principles for applying ultrasound, CT angiography (CTA), and magnetic resonance angiography (MRA) for non-invasive imaging of peripheral arteries and veins are presented. Clinical applications are reviewed for different vascular diseases, therapy planning, and follow-up studies. Conventional Doppler and color duplex sonography are the most cost-effective procedures to detect or rule out peripheral arterial occlusive disease (PAOD) and to provide specific recommendations for therapy. In the near future, contrast-enhanced MRA (CE MRA) with additional axial two-dimensional time-of-flight studies to search for non-anatomic runoff will replace diagnostic intra-arterial digital subtraction angiography (DSA) for planning of reconstructive surgery with acquisition slabs displaying projections similar to intra-arterial DSA. Color duplex sonography should also be the first non-invasive technique applied for the detection of peripheral aneurysms. Preoperative or preinterventional therapy planning of aneurysms may be performed by CTA or CE MRA. Compression ultrasound is the imaging procedure of choice in deep venous thrombosis (DVT). In the preoperative assessment of venous incompetence, color duplex sonography is the imaging technique which is sufficient in most cases.     

Negative differential resistance in (100) n-channel silicon inversion layers

A voltage controlled negative differential resistance (NDR) in n-channel MOSFETs of (100) orientation is investigated for lattice temperatures between 1.5 and 100 K in transverse magnetic fields up to 7 Tesla. By variation of the length of the pulses and by investigating samples of different geometry it is shown, that the NDR is not caused by lattice heating. Position and magnitude of the NDR depend substantially on the magnetic field. The observed effects can be explained by cooling of the hot carriers by the magnetic field.     

Varying-coefficient models for geospatial transfer learning

We study prediction problems in which the conditional distribution of the output given the input varies as a function of task variables which, in our applications, represent space and time. In varying-coefficient models, the coefficients of this conditional are allowed to change smoothly in space and time; the strength of the correlations between neighboring points is determined by the data. This is achieved by placing a Gaussian process (GP) prior on the coefficients. Bayesian inference in varying-coefficient models is generally intractable. We show that with an isotropic GP prior, inference in varying-coefficient models resolves to standard inference for a GP that can be solved efficiently. MAP inference in this model resolves to multitask learning using task and instance kernels. We clarify the relationship between varying-coefficient models and the hierarchical Bayesian multitask model and show that inference for hierarchical Bayesian multitask models can be carried out efficiently using graph-Laplacian kernels. We explore the model empirically for the problems of predicting rent and real-estate prices, and predicting the ground motion during seismic events. We find that varying-coefficient models with GP priors excel at predicting rents and real-estate prices. The ground-motion model predicts seismic hazards in the State of California more accurately than the previous state of the art.     

Valence band offset in HgTe/Hg1−xCdxTe superlattices

The valence band offset (Λ) between HgTe and CdTe has been determined by means of an optical investigation of (112)B oriented HgTe/Hg_1−xCd_xTe superlattices. Based on the fact that the difference in energy between the first heavy hole and the first light hole subband is to a good approximation due primarily to Λ, it has been shown that Λ=580±40 meV at 5K. In addition Λ has a significant temperature dependence with a linear coefficient of −0.34±0.02 meV/K, i.e., Λ is 480±40 meV at room temperature.     

Blue-green ZnSe lasers with a new type of active region

We report the results of an experimental study of molecular-beam epitaxy of ZnSe-based laser heterostructures with a new structure of the active region, which contains a fractional-monolayer CdSe recombination region in an expanded ZnSe quantum well and a waveguide based on a variably-strained, short-period superlattice are reported. Growth of a fractional-monolayer CdSe region with a nominal thickness of 2–3 ML, i.e., less than the critical thickness, on a ZnSe surface (Δa/a∼7%) leads to the formation of self-organized, pseudomorphic, CdSe-enriched islands with lateral dimensions ∼10–30 nm and density ∼2×10¹⁰ cm⁻², which serve as efficient centers of carrier localization, giving rise to effective spatial separation of defective regions and regions of radiative recombination and, as a result, a higher quantum efficiency. Laser structures for optical pumping in the (Zn, Mg) (S, Se) system with a record-low threshold power density (less than 4 kW/cm² at 300 K) and continuous-wave laser diodes in the system (Be, Mg, Zn) Se with a 2.5 to 2.8-ML-thick, fractional-monolayer CdSe active region have been obtained. The laser structures and diodes have an improved degradation resistance. Fiz. Tekh. Poluprovodn. 33, 1115–1119 (September 1999)     

Molecular beam epitaxy of alternating-strain ZnSe-based multilayer heterostructures for blue-green lasers

High-quality ZnSe-based heterostructures are grown by uninterrupted molecular beam epitaxy using the concept of strain compensation and alternating-strain multilayers. To verify the advantages of this technique, optically pumped ZnSSe/ZnCdSe laser structures containing short-period superlattices or multiple quantum wells have been grown and studied. A room-temperature injection laser diode with a BeZnSe/ZnSe superlattice waveguide is described. Fiz. Tekh. Poluprovodn. 32, 1272–1276 (October 1998)