Spontane durale arteriovenöse Fistel am Sinus cavernosus: Demaskierung nach endoskopischer Nasennebenhöhlen-Operation

Zusammenfassung: Spontane arteriovenöse Fisteln können sich über längere Zeit symptomlos entwickeln, bevor sie mit Strömungsgeräuschen, Visusminderung, Exophthalmos und konjunktivaler Injektion symptomatisch werden. Wir stellen den seltenen Fall einer okkulten parainfektiösen duralen arteriovenösen Fistel vor. Diese demaskierte sich postoperativ durch akute Verschlechterung der venösen Drainage, möglicherweise aufgrund der intraoperativen Lagerung, positiver Beatmungsdrucke und Stauung durch die Nasentamponad

Consequences of the Timing of Menarche on Female Adolescent Sleep Phase Preference

Most parents experience their children's puberty as a dramatic change in family life. This is not surprising considering the dynamics of physical and psychosocial maturation which occur during adolescence. A reasonable question, particularly from the parents' perspective, is: when does this vibrant episode end and adulthood finally start? The aim of the present study was to assess the relationship between puberty and the changes in sleep phase preferences during female maturation and adulthood by a cross-sectional survey. The results from 1'187 females aged 5 to 51 years based on self-report measures of sleep preferences on weekdays and on free days as well as the occurrence of menarche, show that in contrast to prepubertal children, adolescent females exhibit a striking progression in delaying their sleep phase preference until 5 years after menarche. Thereafter, the sleep phase preference switches to advancing. The current study provides evidence that a clear shift in sleep-wake cycles temporally linked to menarche heralds the beginning of “adult-like” sleep-wake behaviour in women and can be used as a (chrono)biological marker for the onset of adulthood

[Spontaneous dural arterio-venous fistula at the cavernous sinus: detected by decompensation following endoscopic sinus surgery]

Spontaneous dural arterio-venous fistulas can imperceptibly develop over a long time period before they suddenly develop symptoms like bruit, loss of vision, exophthalmos and conjunctival injection. We present the rare case of an occult, para-infectious, dural arterio-venous fistula which became symptomatic after endoscopic sinus surgery. Conjunctival injection and slight exophthalmos developed due to decompensation of venous drainage probably by intraoperative positioning of the patient, positive pressure ventilation and nasal packing