Multiple Venous Malformations as a Cause of Pulsatile Tinnitus.

INTRODUCTION: Pulsatile tinnitus is a relatively common presentation in otolaryngology clinics, most cases of which have a treatable cause. This presentation warrants a thorough workup to identify treatable, and rule out life-threatening, etiologies. We present a case of a patient with pulsatile tinnitus arising from multiple dilated venous channels in the head and neck. Case Presentation. We present the case of a 65-year-old Caucasian female with a two-year history of progressive, bilateral pulsatile tinnitus, which had become debilitating. Computed-tomographic angiography (CTA) studies ruled out an intracranial vascular cause for her symptoms. However, computed tomography (CT) scanning and magnetic resonance imaging (MRI) revealed multiple dilated bilateral, low-flow, venous channels throughout the head and neck. The proximity of such dilated venous channels to the temporal bone provides a route for sound to be transmitted to the inner ear. CONCLUSION: Arterial, venous, and systemic etiologies can cause pulsatile tinnitus. Arteriovenous malformations (AVMs) of the head and neck represent less than 1% of cases. In our patient, dilated low-flow venous malformations are the likely source of her symptoms, which is the first reported case in the literature.Peer Reviewe

Robotic Semi-Automated Transcranial Doppler Assessment of Cerebrovascular Autoregulation in Post Concussional Syndrome: Methodological Considerations

Abstract Introduction Post-concussive syndrome (PCS) refers to a constellation of physical, cognitive, and emotional symptoms after traumatic brain injury (TBI). Despite its incidence, the underlying mechanisms are unclear. We hypothesised that impaired cerebral autoregulation (CA) is a contributor. Method A prospective, observational study was integrated into outpatient clinics at a tertiary neurosurgical centre. Data points included: demographics, symptoms (Post-Concussion Symptom Scale [PCSS]), neuropsychological assessment (Cambridge Neuropsychological Test Automated-Battery [CANTAB]) and cerebrovascular metrics (Mxa co-efficient and the transient hyperaemic-response ratio [THRR]) - via transcranial Doppler (TCD), plethysmography and bespoke software (ICM+). Results 12 participants were recruited with 2 excluded after unsuccessful cerebrovascular TCD insonation. 10 participants (5 TBI patients, 5 healthy controls) were included in the analysis (median age 26.5, male:female 7:3). Median PCSS scores were 6/126 (TBI subgroup). Median CANTAB percentiles were 78 (healthy controls) and 25 (TBI). Mxa was calculated for 90% and THRR for 50% of participants. Median study time was 127.5 minutes and feedback (n = 6) highlighted the perceived acceptability of the study. Conclusions This pilot study has demonstrated a feasible and reproducible assessment of PCS and CA metrics (non-invasively) in a real-world setting. By scaling this methodology, we hope to test whether CA changes are correlated with symptomatic PCS in patients post-TBI. </jats:sec

Grain-size dependent demagnetizing factors in permanent magnets

This is the final version of the article. Available from the American Institute of Physics via the DOI in this record.The coercive field of permanent magnets decreases with increasing grain size. The grain size dependence of coercivity is explained by a size dependent demagnetizing factor. In Dy free Nd$_2$Fe$_{14}$B magnets the size dependent demagnetizing factor ranges from 0.2 for a grain size of 55 nm to 1.22 for a grain size of 8300 nm. The comparison of experimental data with micromagnetic simulations suggests that the grain size dependence of the coercive field in hard magnets is due to the non-uniform magnetostatic field in polyhedral grains.This work is based on results obtained from the future pioneering program “Development of magnetic material technology for high-efficiency motors” commissioned by the New Energy and Industrial Technology Development Organization (NEDO). We acknowledge the financial support from the Austrian Science Fund (F4112-N13)

High energy product in Battenberg structured magnets

PublishedJournal Article© 2014 AIP Publishing LLC. Multiphase nano-structured permanent magnets show a high thermal stability of remanence and a high energy product while the amount of rare-earth elements is reduced. Non-zero temperature micromagnetic simulations show that a temperature coefficient of remanence of -0.073%/K and that an energy product greater than 400 kJ/m3 can be achieved at a temperature of 450 K in a magnet containing around 40 volume percent Fe65Co35 embedded in a hard magnetic matrix

Influence of defect thickness on the angular dependence of coercivity in rare-earth permanent magnets

This is the final version of the article. Available from the American Institute of Physics via the DOI in this record.The coercive field and angular dependence of the coercive field of single-grain Nd$_{2}$Fe$_{14}$B permanent magnets are computed using finite element micromagnetics. It is shown that the thickness of surface defects plays a critical role in determining the reversal process. For small defect thicknesses reversal is heavily driven by nucleation, whereas with increasing defect thickness domain wall de-pinning becomes more important. This change results in an observable shift between two well-known behavioral models. A similar trend is observed in experimental measurements of bulk samples, where a Nd-Cu infiltration process has been used to enhance coercivity by modifying the grain boundaries. When account is taken of the imperfect grain alignment of real magnets, the single-grain computed results appears to closely match experimental behaviour.We acknowledge the financial support from the Technology Research Association of Magnetic Materials for High Efficient Motors (MagHEM)

Influence of defect thickness on the angular dependence of coercivity in rare-earth permanent magnets

International audienceThe coercive field and angular dependence of the coercive field of single-grain Nd$_{2}$Fe$_{14}$B permanent magnets are computed using finite element micromagnetics. It is shown that the thickness of surface defects plays a critical role in determining the reversal process. For small defect thicknesses reversal is heavily driven by nucleation, whereas with increasing defect thickness domain wall de-pinning becomes more important. This change results in an observable shift between two well-known behavioral models. A similar trend is observed in experimental measurements of bulk samples, where a Nd-Cu infiltration process has been used to enhance coercivity by modifying the grain boundaries. When account is taken of the imperfect grain alignment of real magnets, the single-grain computed results appears to closely match experimental behaviour

Absorbing boundary layers for spin wave micromagnetics

Micromagnetic simulations are used to investigate the effects of different absorbing boundary layers (ABLs) on spin waves (SWs) reflected from the edges of a magnetic nano-structure. We define the conditions that a suitable ABL must fulfill and compare the performance of abrupt, linear, polynomial and tan hyperbolic damping profiles in the ABL. We first consider normal incidence in a permalloy stripe and propose a transmission line model to quantify reflections and calculate the loss introduced into the stripe due to the ABL. We find that a parabolic damping profile absorbs the SW energy efficiently and has a low reflection coefficient, thus performing much better than the commonly used abrupt damping profile. We then investigated SWs that are obliquely incident at 26.6, 45 and 63.4 degrees on the edge of a yttrium-iron-garnet film. The parabolic damping profile again performs efficiently by showing a high SW energy transfer to the ABL and a low reflected SW amplitude