Long-Term Corrosion Behavior of Strong and Ductile High Mn-Low Cr Steel in Acidic Aqueous Environments.

To expand the industrial applicability of strong and ductile high Mn-Low Cr steel, a deeper understanding and mechanistic interpretation of long-term corrosion behavior under harsher environmental conditions are needed. From this perspective, the long-term corrosion behaviors of 24Mn3Cr steel under acidic aqueous conditions were examined through a comparison with conventional ferritic steels using the electrochemical measurements (linear polarization resistance and impedance), and immersion test followed by the metallographic observation of corrosion morphologies. In contrast to conventional ferritic steels, 24Mn3Cr steel, which had the lowest corrosion resistance at the early immersion stages (i.e., the highest corrosion current density (icorr) and lowest polarization resistance (Rp)), showed a gradual increase in corrosion resistance with prolonged immersion. Owing to the slow formation kinetics of (Fe,Cr)-enriched oxide scale, a longer incubation time for ensuring a comparatively higher corrosion resistance is required. On the other hand, conventional ferritic steels had an oxide scale with less densification and a lower elemental enrichment level that did not provide an effective anti-corrosion function. From the results, this study can provide significant insight into the industrial applicability of the high Mn-low Cr steel by providing the mechanistic interpretation of corrosion behaviors in acidic aqueous environments.

Effects of the Combined Addition of Zn and Mg on Corrosion Behaviors of Electropainted AlSi-Based Metallic Coatings Used for Hot-Stamping Steel Sheets.

The effects of the combined addition of Zn and Mg on the corrosion resistance of AlSi-based coating for automotive steel sheets were investigated using a variety of analytical and electrochemical techniques. The preferential dissolution of Mg and Zn from MgZn2/Mg2Si phases occurred on the AlSi-based coating that had been alloyed with a smaller portion of Zn and Mg, which contributed to the rapid surface coverage by corrosion products with a protective nature, reducing the corrosion current density. On the other hand, localized corrosion attacks caused by the selective dissolution of Mg were also observed in the AlSi-based coating with a smaller portion of Zn and Mg. Such alloying can also worsen its corrosion resistance when coated additionally with electrodeposited paint. The mechanistic reasons for these conflicting results are also discussed.

Rapid Visual Deterioration Caused by Posterior Fossa Arachnoid Cyst.

Posterior fossa is a site next to the middle fossa where arachnoid cyst frequently occurs. Generally, most arachnoid cysts are asymptomatic and are found incidentally in most cases. Although arachnoid cysts are benign and asymptomatic lesions, patients with posterior fossa arachnoid cysts often complain of headaches, gait disturbance, and ataxia due to the local mass effects on the cerebellum. We observed a patient with a posterior fossa arachnoid cyst who had visual symptoms and a headache, but did not have gait disturbance and ataxia. We recommended an emergency operation for decompression, but the patient refused for personal reasons. After 7 days, the patient revisited our hospital in a state of near-blindness. We suspected that the arachnoid cyst induced the hydrocephalus and thereby the enlarged third ventricle directly compressed optic nerves. Compressed optic nerves were rapidly aggravated during the critical seven days; consequently, the patient's vision was damaged despite the operation. Considering the results of our case, it is important to keep in mind that the aggravation of symptoms cannot be predicted; therefore, symptomatic arachnoid cysts should be treated without undue delay.

Delayed Ischemic Stroke after Flow Diversion of Large Posterior Communicating Artery Aneurysm.

For securing large, giant, and wide-neck aneurysms, conventional coil embolization has substantial limitations, such as incomplete occlusion, recanalization, and a high recurrence rate. To overcome these limitations, a novel paradigm was suggested and, as a result, flow-diverting device was developed. The flow-diverting device is an innovative and effective technique to allow securing of large, giant, and wide-neck aneurysms. In numerous studies, the flow-diverting device has shown better outcomes than coil embolization. However, the flow-diverting device has also some risks, including rupture of aneurysm, intracerebral hemorrhage, and ischemic stroke. In addition, with more experience, unexpected complications are also reported.5)7) In the present case, we experienced a delayed ischemic stroke at 27 days after endovascular treatment. The patient had multiple aneurysms and, among them, we treated a large posterior communicating artery aneurysm using Pipeline™ Embolization Device. The patient was tolerable for 25 days, but then suddenly presented intermittent right hemiparesis. In the initial diffusion magnetic resonance imaging (MRI), there was no acute lesion; however, in the follow-up MRI, an acute ischemic stroke was found in the territory of anterior choroidal artery which was covered by Pipeline Embolization Device. We suspect that neo-intimal overgrowth or a tiny thrombus have led to this delayed complication. Through our case, we learned that the neurosurgeon should be aware of the possibility of delayed ischemic stroke after flow diversion, as well as, long-term close observation and follow-up angiography are necessary even in the event of no acute complications.

Clinical Analysis of Risk Factors for Recurrence in Patients with Chronic Subdural Hematoma Undergoing Burr Hole Trephination.

OBJECTIVE: Chronic subdural hematoma (CSDH) is one of the most common types of intra-cranial hemorrhages usually associated with trauma. Surgical treatment is the treatment of choice and burr hole trephination (BHT) is widely performed. The recurrence rate in the patients with CSDH is 3.7-30%. This study investigated the risk factors associated with the recurrence of patients with CSDH who underwent BHT. METHODS: One hundred twenty-five patients with CSDH underwent BHT. Eight of 125 patients (6.4%) underwent reoperation for recurrent CSDH. We retrospectively analyzed demographic, clinical and radiological findings, catheter tip location and drainage duration as the risk factors for the recurrence of CSDH. RESULTS: Recurrence of CSDH in the high- or mixed-density groups was significantly higher than those in the low- or iso-density groups (p<0.001). Placement of catheter tip at the temporoparietal area was associated with a significantly higher recurrence rate of CSDH than placement at the frontal area (p=0.006) and the brain re-expansion rate (BRR) was much lower than placement at the frontal area (p<0.001). CONCLUSION: The operation may be delayed in high- and mixed-density groups, unless severe symptoms or signs are present. In addition, placing the catheter tip at the frontal area helps to reduce the incidence of postoperative recurrence of CSDH and to increase the BRR.

Steroid-induced Spinal Epidural Lipomatosis after Suprasella Tumor Resection.

Spinal epidural lipomatosis (SEL) is an abnormal localized accumulation of fat tissues in the epidural space. It is strongly related with steroid administration. The symptoms of SEL are various and range from back pain to paraplegia. In severe cases, decompressive laminectomy is the choice of treatment. A 32-year-old woman who had been under long-term steroid administration after suprasellar tumor resection was admitted for both leg radiating pain and weakness. She was diagnosed with SEL and had a decompressive laminectomy. During the operation, we found the nerve roots were compressed by epidural fat tissues and engorged vessels. After the operation, her radiating pain was relieved and motor weakness was improved.