RESUMEN
Foramen magnum dural arteriovenous fistula (FM-DAVF) is a subset of craniocervical junction arteriovenous fistulas. We report a rare case of FM-DAVF with early rebleeding and review the literature. A 50-year-old man experienced 3 episodes of intracranial bleeding from a vessel malformation in the acute stage. We identified an FM-DAVF, supplied by multiple feeding arteries (eg, left ascending pharyngeal artery) that drained into the straight sinus and left superior petrosal sinus. The draining vein had venous varices. We performed transarterial feeder embolization and surgical disconnection of the DAVF. Early rebleeding of FM-DAVF is rare. High-risk patients require risk assessment and appropriate treatment as soon as possible in the acute stage.
RESUMEN
This work reports the fabrication of a thiol-functionalized cellulose nanofiber membrane that can effectively adsorb heavy metal ions. Thiol was incorporated onto the surface of cellulose nanofibers, which were fabricated by the deacetylation of electrospun cellulose acetate nanofibers and subsequent esterification of a thiol precursor molecule. Adsorption mechanism was investigated using adsorption isotherms. Adsorption capacity as a function of adsorbate concentration was described well with Langmuir isotherm, suggesting that metal ions form a surface monolayer with a homogenously distributed adsorption energy. Maximum adsorption capacities in the Langmuir isotherm for Cu(II), Cd(II), and Pb(II) ions were 49.0, 45.9, and 22.0 mg·g-1, respectively. The time-dependent adsorption capacities followed a pseudo-second-order kinetic model, suggesting that chemisorption of each doubly charged metal ion occurs with two thiol groups on the surface. These results highlight the significance of surface functionality on biocompatible, nontoxic, and sustainable cellulose materials to expand their potential and applicability towards water remediation applications.