RESUMO
Although the combination of MR imaging findings and clinical evidence of hypertension may suggest the diagnosis of posterior reversible encephalopathy syndrome (PRES), MR imaging findings with only involvement of the medulla oblongata pose a diagnostic dilemma. In the cases presented here, we demonstrated MR imaging findings of a presumed brain stem (medulla oblongata) variant of PRES and emphasized the diagnostic value of diffusion-weighted imaging (DWI).
Assuntos
Imagem de Difusão por Ressonância Magnética , Encefalopatia Hipertensiva/patologia , Bulbo/patologia , Anti-Hipertensivos/uso terapêutico , Transtornos da Consciência/patologia , Humanos , Hipertensão/tratamento farmacológico , Encefalopatia Hipertensiva/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Recuperação de Função FisiológicaRESUMO
We present a series of measurements examining the penetration force required to push a flat plate vertically through a dense granular medium, focusing in particular on the effects of the bottom boundary of the vessel containing the medium. Our data demonstrate that the penetration force near the bottom is strongly affected by the surface properties of the bottom boundary, even many grain diameters above the bottom. Furthermore, the data indicate an intrinsic length scale for the interaction of the penetrating plate with the vessel bottom via the medium. This length scale, which corresponds to the extent of local jamming induced by the penetrating plate, has a square root dependence both upon the plate radius and the ambient granular stress near the bottom boundary, but it is independent of penetration velocity and grain diameter.