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A waterborne polyurethane pressure-sensitive adhesive (WPUPSA) has the advantages of low pollution and good viscoelasticity. However, its poor thermo-tolerance limits its application in the field of high temperatures. Hence, a novel silicone-modified strong thermo-tolerant waterborne polyurethane/polyimide pressure-sensitive adhesive is developed as a way to remedy this problem. The single-chain structure of waterborne polyurethane (WPU) is transformed into a network structure by introducing the three-position network structure to increase the cohesive energy and heat resistance of the WPUPSA. Meanwhile, the primary chain of waterborne polyurethane (WPU) is modified by the reaction between pyromellitic dianhydride (PMDA) and isophorone diisocyanate (IPDI) to include an imide ring and a benzene ring with more stable structures and heat resistance. Characterization results of the prepared WPUPSA show that the thermo-tolerance index of the WPUPSA increases by 15.2% and the room temperature 180° peel strength and shear resistance of the WPUPSA increase by 80.9 and 231.8%, respectively. Meanwhile, the temperature corresponding to the maximum thermal decomposition rate of the samples is improved. More importantly, at 80 and 100 °C, the 180° peel strength and shear resistance of the modified samples are stronger than those of the unmodified samples. In addition, the energy storage modulus of WPUPSAs is also greater than the loss and increases with the increase of the frequency. Viscoelasticity dominates in the samples. This will provide new insight for the development of WPUPSAs in the field of high-temperature resistance.
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PURPOSE: Lateral meningocele syndrome (LMS) is a rare genetic connective tissue disorder which is associated with meningocele-related neurologic dysfunction. Several patients with LMS have been reported. But, guidelines for screening and treatment of LMS have not been established. METHOD AND RESULTS: We review the current knowledge of LMS in the article. Then, we describe a boy for whom a genomic analysis which allowed us to make a diagnosis of LMS and to begin monitoring of his condition for possible neurological complications. CONCLUSION: It would be difficult to make a diagnosis of LMS on the basis of clinical manifestations alone. The natural history of dural ectasia in patients with LMS needs to be better defined to establish surgical indications. Based upon the current literature, ventriculoperitoneal shunting (V-Ps) has been recommended as the first-line surgical treatment option for patients with symptomatic thoracolumbar meningoceles.
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Anormalidades Múltiplas , Meningocele , Meningomielocele , Anormalidades Múltiplas/genética , Criança , Humanos , Masculino , Meningocele/complicações , Meningocele/diagnóstico por imagem , Meningocele/cirurgia , Meningomielocele/cirurgia , Derivação VentriculoperitonealRESUMO
PURPOSE: The aim of this study is to conduct a retrospective review of data obtained in all consecutive patients who had undergone cerebral decompression using the 3-pillar expansive craniotomy (3PEC) in our hospital between 2016 and 2020. METHODS AND RESULTS: We developed a novel craniotomy technique using expansion cranioplasty in patients with traumatic brain injury or stroke, which could relieve intracranial hypertension, maintain cerebral protection, and avoid subsequent cranial repair. Sixteen patients aged 2-18 years old underwent the 3PEC. Two patients, who presented very severe neurological conditions at the admission, died. All surviving patients showed good neurological outcome. None of the survived patients presented with bone flap resorption or sinking flap syndrome. CONCLUSION: The role of decompressive craniectomy has been recently questioned in the pediatric population by the use of decompressive craniotomy. In this limited study of children patients experiencing stroke or traumatic brain injury, 3PEC was proved useful in reducing intracranial pressure (ICP), thus, questioning the role of decompressive craniectomy in children. The technique effectively reduces postoperative complications and eliminates subsequent cranioplasty procedures otherwise introduced by traditional decompressive craniectomy.
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Craniectomia Descompressiva , Hipertensão Intracraniana , Adolescente , Criança , Pré-Escolar , Craniotomia , Descompressão Cirúrgica , Humanos , Hipertensão Intracraniana/cirurgia , Pressão Intracraniana , Estudos Retrospectivos , Resultado do TratamentoRESUMO
PURPOSE: Chiari I malformation (CIM) is a common pediatric neurologic anomaly which could be associated with a variety of genetic disorders. However, it is not always clear whether the observed associations between CIM and RASopathies are real or random. The knowledge of the real association could provide useful guidance to clinicians. Furthermore, it could help to better understand the still unknown genetic etiology of CIM. METHOD AND RESULTS: We reviewed the current knowledge of CIM and RASopathies in the paper. Here, we describe one patient with CIM and Noonan syndrome and three patients with CIM and neurofibromatosis type 1. Three of the four patients underwent standard surgical therapy of Chiari decompression and had a straightforward recovery without further complications from surgery. CONCLUSION: In RASopathy, imaging of the nervous system may be necessary. With the increase in availability of magnetic resonance imaging, we believe that there will be a growing body of evidence to suggest that CIM is more commonly seen in RASopathy. Future studies should attempt to elucidate the pathogenic mechanism responsible for CIM mediated by the RAS/MAPK signaling pathway.
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Malformação de Arnold-Chiari , Neurofibromatose 1 , Malformação de Arnold-Chiari/diagnóstico por imagem , Malformação de Arnold-Chiari/genética , Malformação de Arnold-Chiari/cirurgia , Criança , Humanos , Imageamento por Ressonância Magnética , Transdução de SinaisRESUMO
Microplastic pollution in aquatic environment has raised concern and as a result a number of studies have recently been published to find solutions for its rapid increase. Different methods have been proposed for microplastic identification. Spectral imaging shows a lot of promise for polymer identification; however, the identification time needs to be improved. Hyperspectral imaging (HSI) combined with chemometric analysis can reduce the identification times. In this study, we provide a review of recent studies related to polymer identification using HSI with a focus on the adopted classification algorithm and its factors for the online implementation of HSI. Furthermore, we review the limit of detection by HSI and the effect of particle size on classification accuracy. Additionally, performance of this method for various types of samples is also discussed. We conclude that HSI is possible to be a fast alternative for online microplastic detection.
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Microplásticos , Plásticos , Algoritmos , Imageamento Hiperespectral , PolímerosRESUMO
PURPOSE: The acquired Chiari type I malformation is a rare late complication of supratentorial shunting in children which is often accompanied by abnormal cranial vault thickening. Several surgical treatments for this disease have been proposed including supratentorial skull enlarging procedures and subtentorial craniotomy. But there is still debate about the best treatment strategy for this disease. METHOD AND RESULTS: We reviewed the current knowledge of this disease in the paper. We illustrated one patient of symptomatic acquired Chiari type I malformation who had cysto-peritoneal (C-P) shunting and ventriculoperitoneal (V-P) shunting. We observed the CSF flow dynamic of this patient at different periods. The acquired Chiari type I malformation disappeared on imaging after thinning the occipital planum combined with the standard surgical therapy of Chiari decompression. The symptoms of the patient were relieved after surgery. CONCLUSION: Overshunting manifestations require prompt recognition and management. Preventive measures should be taken which include making a stringent selection of cases being considered for surgery, avoiding C-P drainage, and placing of a programmable valve as initial treatment of intracranial arachnoid cysts (AC) if shunting is considered.
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Cistos Aracnóideos , Malformação de Arnold-Chiari , Cistos Aracnóideos/cirurgia , Malformação de Arnold-Chiari/diagnóstico por imagem , Malformação de Arnold-Chiari/cirurgia , Criança , Craniotomia , Descompressão Cirúrgica , Humanos , Imageamento por Ressonância Magnética , Procedimentos Neurocirúrgicos , Crânio/cirurgiaRESUMO
Mapping small-scale high-precision velocity fields is of great significance to oceanic environment research. Coastal acoustic tomography (CAT) is a frontier technology used to observe large-scale velocity field in the horizontal slice. Nonetheless, it is difficult to observe the velocity field using the CAT in small-scale areas, specifically where the flow field is complex such as ocean ranch and artificial upwelling areas. This paper conducted a sound transmission experiment using four 50 kHz CAT systems in the Panzhinan waterway. Notably, sound transmission based on the round-robin method was recommended for small-scale CAT observation. The travel time between stations, obtained by correlation of raw data, was applied to reconstruct the horizontal velocity fields using Tapered Least Square inversion. The minimum net volume transport was 8.7 m3/s at 12:32, 1.63% of the total inflow volume transport indicating that the observational errors were acceptable. The relative errors of the range-average velocity calculated by differential travel time were 1.54% (path 2) and 0.92% (path 6), respectively. Moreover, the inversion velocity root-mean-square errors (RMSEs) were 0.5163, 0.1494, 0.2103, 0.2804 and 0.2817 m/s for paths 1, 2, 3, 4 and 6, respectively. The feasibility and acceptable accuracy of the CAT method in the small-scale velocity profiling measurement were validated. Furthermore, a three-dimensional (3-D) velocity field mapping should be performed with combined analysis in horizontal and vertical slices.
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This paper investigated the use of spectra and multispectral images for on-site visualized classification of transparent hazards and noxious substances (HNS), such as benzene, xylene, and palm oil, floating on a water surface with the potential use for rapid classification of multiple HNS during a leak accident. Partial least-squares discrimination analysis (PLS-DA) and least-squares support vector machine (LS-SVM) models achieved a classification accuracy of 100% for spectral reflectance (325-900 nm) and multispectral image at nine wavelengths. Wavelength division and selection were applied for spectra and spectral images, respectively, to reduce the difficulty in data collection and to simplify the redundant bands. This was followed by PLS-DA and LS-SVM modeling. The LS-SVM model based on the least wavelengths (365, 410, 450, and 850 nm) of multispectral images was suggested as the most effective method for on-site visualized classification of transparent HNS on a water surface.
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á Jaffe-Campanacci is a rare syndrome characterised by axillary freckles, multiple non-ossifying fibromas of the long bones and jaw, and café-au-lait spots, associated with some features of neurofibromatosis type 1 (NF1). Cherix et al. and Colby and Saul suggested that Jaffe-Campanacci syndrome (JCS) might be a distinct form of NF1. Intracranial arterial dolichoectasia (IADE) is defined as an increase in the length and diameter of at least one intracranial artery. Affected intracranial arteries are dilated, elongated and sometimes tortuous. But in this rare disease of JCS, neither skull damage nor IADE has been previously reported. Here, we introduce the case of an 11-year-old Chinese girl with IADE, skull damage and features of JCS.
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Anormalidades Múltiplas/patologia , Crânio/patologia , Insuficiência Vertebrobasilar/patologia , Neoplasias Ósseas/complicações , Neoplasias Ósseas/patologia , Manchas Café com Leite/complicações , Manchas Café com Leite/patologia , Criança , Feminino , Fibroma/complicações , Fibroma/patologia , Humanos , Melanose/complicações , Melanose/patologia , Síndrome , Insuficiência Vertebrobasilar/complicaçõesRESUMO
Survivin is a tumor-associated gene, which has been detected in a wide variety of human tumors. Previous research has shown that Survivin can affect hepatoma carcinoma cell radiosensitivity. However, little is known about the role of Survivin in ionizing radiation resistance in glioma cells. In this study, we aimed to identify the effects of Survivin on ionizing radiation resistance in glioma cell line T98. Our results showed that downregulation of Survivin gene expression and ionizing irradiation could both inhibit T98 cell proliferation by assays in vitro including CCK-8 and immunohistochemistry. The inhibitory effect of downregulation of Survivin combined with irradiation was the most significant compared with other groups. Results of Western blotting and flow cytometric analysis also showed that downregulation of Survivin combined with the irradiation group achieved the highest apoptosis rate. Experimental results in vivo by intracranial implanting into nude mice were consistent with those in vitro. These findings indicated that ionizing radiation resistance of human T98 glioma cells can be inhibited effectively after Survivin gene silencing.
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Regulação para Baixo , Regulação Neoplásica da Expressão Gênica/genética , Glioma/metabolismo , Proteínas Inibidoras de Apoptose/metabolismo , Radiação Ionizante , Animais , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Proliferação de Células/fisiologia , Expressão Gênica/efeitos dos fármacos , Inativação Gênica/efeitos dos fármacos , Glioma/patologia , Humanos , Camundongos Nus , RNA Interferente Pequeno/farmacologia , Tolerância a Radiação/efeitos dos fármacos , Ensaios Antitumorais Modelo de Xenoenxerto/métodosRESUMO
Adaptive measurement is a major concern when using miniature spectrometers in extreme environments, especially when the ambient temperatures and incident light intensities vary greatly. In this study, parameters, including the signal output and the relevant noise and signal-to-noise ratio (SNR) of a fiber optic spectrometry system composed of a photodiode array miniature spectrometer and external driver electronics were examined at multiple integration times from -50°C to 30°C, well below the specified operating temperature of this spectrometer. The relationships between those parameters and incident light level were also examined, at a single temperature of 0°C. Based on these examinations, temperature-induced biases in the linear operating range of the spectrometer were identified. Signal output and the relevant noise and SNR in response to different integration times, temperatures, and incident light levels were assessed separately. These assessments were then used to develop an adaptive measurement method for estimating the incident light level and setting up an optimal integration time for this spectrometer, while autonomously adapting the variation in the ambient temperature and incident light level simultaneously. This approach provides a general framework for developing an adaptive measurement algorithm for miniature spectrometers, which face tremendous variations in ambient temperature and incident light level.
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Underwater spectral imaging is a promising method for mapping, classification and health monitoring of coral reefs and seafloor inhabitants. However, the spectrum of light is distorted during the underwater imaging process due to wavelength-dependent attenuation by the water. This paper presents a model-based method that accurately restores brightness of underwater spectral images captured with narrowband filters. A model is built for narrowband underwater spectral imaging. The model structure is derived from physical principles, representing the absorption, scattering and refraction by water and the optical properties of narrowband filters, lenses and image sensors. The model coefficients are calibrated based on spectral images captured underwater and in air. With the imaging model available, energy loss due to water attenuation is restored for images captured at different underwater distances. An experimental setup is built and experiments are carried out to verify the proposed method. Underwater images captured within an underwater distance of 260 cm are restored and compared with those in air. Results show that the relative restoration error is 3.58% on average for the test images, thus proving the accuracy of the proposed method.
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OBJECTIVE: The new glioma cell line SHG-139 was established and its phenotype, tumorigenicity, pathological characteristics, derived stem cells SHG139S were studied. METHODS: Immunohistochemistry was used to assess expressions in the patient and mouse tumor tissues, SHG-139 and SHG-139S. Primary SHG-139 culture was performed, cell proliferation, cell cycle and genetic characteristics were assessed. MiRNA (Micro RNA) and LncRNA (Long non-coding RNA) microarray was performed. RESULTS: We found that the glioma tissue was positive for A2B5 (Glial precursors ganglioside), GFAP (Glial fibrillary acidic protein), S-100 (Acid calcium bingding protein), VEGF (Vascular endothelial growth factor), VEGFR (Vascular endothelial growth factor receptor) and negative for Ki-67 (Nuclcar- associated antigen). SHG-139 proliferated significantly within 24h; its total number of chromosomes was 68; ratios of SHG-139 and SHG-139S cells in G1 phase were highest. SHG-139 cells were positive for A2B5, GalC (Galactocerebrosides), GFAP, S-100 and Vimentin, while SHG-139S cells were positive for A2B5, Nestin, and NG2 (Neuron-glia antigen2), and negative for Vimentin and IDHR132H (Isocitrate dehydrogenase); cells rarely stained for CD133 (Cluster of differentiation133). SHG-139 intracranial xenografts expressed GFAP, but no overt oligodendroglioma was observed. In SHG-139S xenografts, GFAP and S-100 were expressed, while CD133 was not detected; a few A2B5(+) cells were found at tumor edges, and typical oligodendroglioma were obtained. In addition, SHG-139S xenograft tumors were more aggressive than those of SHG-139. Anti-mouse CD31 (Cluster of differentiation31) staining revealed murine vessels at the border between xenograft tumor and normal brain tissue; Anti-human CD34 (Cluster of differentiation34) staining was negative. Biochip technology of SHG139S showed several miRNA and lncRNA were differently expressed in SHG139 and SHG139S. CONCLUSIONS: SHG-139 was an astroglioma cell line which yielded stem cells SHG-139S. SHG-139S cells constituted an A2B5(+)/CD133(-) GSC subgroup.
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Glioma/metabolismo , Células-Tronco Neoplásicas/metabolismo , Animais , Biomarcadores/metabolismo , Linhagem Celular Tumoral , Proliferação de Células , Modelos Animais de Doenças , Perfilação da Expressão Gênica , Glioma/diagnóstico , Glioma/genética , Xenoenxertos , Humanos , Imuno-Histoquímica , Cariótipo , Imageamento por Ressonância Magnética , Masculino , Camundongos , MicroRNAs/genética , Gradação de Tumores , Fenótipo , Células Tumorais Cultivadas , Adulto JovemRESUMO
Turbidity measurement is important for water quality assessment, food safety, medicine, ocean monitoring, etc. In this paper, a method that accurately estimates the turbidity over a wide range is proposed, where the turbidity of the sample is represented as a weighted ratio of the scattered light intensities at a series of angles. An improvement in the accuracy is achieved by expanding the structure of the ratio function, thus adding more flexibility to the turbidity-intensity fitting. Experiments have been carried out with an 850 nm laser and a power meter fixed on a turntable to measure the light intensity at different angles. The results show that the relative estimation error of the proposed method is 0.58% on average for a four-angle intensity combination for all test samples with a turbidity ranging from 160 NTU to 4000 NTU.
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Malignant gliomas are the most common primary brain tumors, and the molecular mechanisms involving their progression and recurrence are still largely unclear. Substantial data indicate that the oncogene miR-494-3p is significantly elevated in gliomas, but the molecular functions of miR-494-3p in gliomagenesis are largely unknown. The present study aimed to explore the role of miR-494-3p and its molecular mechanism in human brain gliomas, malignant glioma cell lines, and cancer stem-like cells. The expression level of miR-494-3p in 48 human glioma issues and 8 normal brain tissues was determined using stem-loop real-time polymerase chain reaction (PCR). To study the function of miR-494-3p inhibitor in glioma cells, the miR-494-3p inhibitor lentivirus was used to transfect glioma cells. Transwell invasion system was used to estimate the effects of miR-494-3p inhibitor on the invasiveness of glioma cells. A mouse model was used to test the effect of miR-494-3p inhibitor on glioma proliferation and invasion in vivo. Results showed that the expression of miR-494-3p in human brain glioma tissues was higher than in normal brain tissues. Downregulated expression of miR-494-3p can inhibit the invasion and proliferation and promote apoptosis in glioma cells. Quantitative reverse transcription PCR and Western blotting analysis revealed that the expression of PTEN was increased after downexpression of miR-494-3p in glioma cells (U87 and U251). miR-494-3p inhibitor could prevent migration, invasion, proliferation, and promote apotosis in gliomas through PTEN/AKT pathway. Therefore, the study results have shown that miR-494-3p may act as a therapeutic target in gliomas.
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Apoptose , Movimento Celular , Glioblastoma/genética , Glioblastoma/patologia , MicroRNAs/metabolismo , PTEN Fosfo-Hidrolase/metabolismo , Proteínas Proto-Oncogênicas c-akt/metabolismo , Animais , Linhagem Celular Tumoral , Proliferação de Células , Feminino , Regulação Neoplásica da Expressão Gênica , Glioblastoma/enzimologia , Humanos , Lentivirus/metabolismo , Masculino , Camundongos Nus , MicroRNAs/genética , Pessoa de Meia-Idade , Invasividade Neoplásica , PTEN Fosfo-Hidrolase/genética , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Transdução de Sinais , Transfecção , Ensaios Antitumorais Modelo de XenoenxertoRESUMO
Measurement biases arising from changes in temperature can be a major concern when using miniature spectrometers in extreme environments, particularly when temperature stabilization approaches are not feasible. Here, temperature-related biases of a low-power field spectrometry system comprised of a CMOS miniature monolithic spectrometer module and custom driver electronics were examined between -40°C and +25.6°C, well below the stated operating range of this particular spectrometer. Using these observations, a predictive model was developed to estimate the dark output of the spectrometry system within this extended operating range. This information was used to correct the signal at any measured integration time and temperature to that which would be measured at a reference integration time and temperature. This approach provides a general framework for assessing the temperature dependence of monolithic spectrometers whose field use will occur at temperatures outside of the range examined by the manufacturer.
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OBJECTIVE: To establish a new glioma cell line and analyze its biological characteristics, and to provide a useful cellular tool with new features for cancer research. METHODS: Glioma tissue was taken from surgical specimen clinical of a clinical patient. Primary culture was carried out, and a cell line (SHG139) was established after 10 passages. Immunofluorescence staining was performed to detect the expression of proteins, and cell proliferation and cycle were detected by flow cytometry method (FCM). The biological characteristics of SHG139 cells were detected by chromosome karyotype analysis. SHG139s glioma cells derived from SHG139 glioma cell line were cultured with neural stem cell medium. Then stem cell markers were determined. SHG139s cells were induced with serum-containing medium, and their expression of A2B5, GFAP, ß-III tubulin, and GalC was detected. Intracranial xenograft tumor of both SHG139 glioma cells and SHG139s glioma stem cell spheres was generated in rats. RESULTS: The expressions of A2B5, GalC, GFAP, S-100, and vimentin in the 20 and 60 passages of SHG139 cells were positive, consistent with the immunohistochemical results and pathological features. SHG139 cells proliferated significantly within 24 h after subculture, and their total number of chromosomes was 68 and mostly multiploid. They were positive for A2B5 (84.12±9.96)%, nestin (73.86±5.01)%, and NG2 (73.37±2.09)%. SHG139s cells were induced, and the ratio of positive cells of GFAP, ß-III tubulin and GalC was (92.89±2.24)%, (64.85±4.09)% and (33.57±4.14)%, respectively. CONCLUSIONS: SHG139 is an astroglioma cell line, from which SHG139s cells can be successfully obtained by culture with NSCM. SHG139s cells are of A2B5(+)/CD133(-) GSCs subgroup cells, with potentials of self-renewal and multi-directional differentiation. Compared with the intracranial SHG139 xenograft tumor, the intracranial SHG139s xenograft tumor is more malignant and aggressive.
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Glioma , Animais , Astrocitoma , Neoplasias Encefálicas , Diferenciação Celular , Linhagem Celular Tumoral , Proliferação de Células , Citometria de Fluxo , Humanos , Células-Tronco Neoplásicas , Nestina , Ratos , Transplante Heterólogo , VimentinaRESUMO
BACKGROUND: Extrarenal nephroblastomatosis is a rare entity which occurs in retroperitoneum and inguinal region predominantly. Here we report two cases of primary extrarenal nephroblastomatosis of Han Chinese in Asian in unusual locations, one is located in testis and paratestis, and the other is paraspinal cord. CASE PRESENTATION: Patient 1 was a 19-month-old boy with a hard and nodular mass adherent to the left testis in inguinal region. Patient 2 was a 9-month-old boy with a 1 × 0.7 × 0.4 cm mass in spinal canal at the midline thoracolumbar region. Histological examinations of the two patients after operations revealed extrarenall nephroblastomatosis with multiple nephrogenic foci, composed of immature glomeruli, tubules and blastemal cells.Then the patients were closely monitored without adjuvant chemotherapy, and has been alive and well without any recurrence for >6 months. CONCLUSIONS: Most nephrogenic rests remain subclinical, and thus, complete excision of the lesion with conservative treatment is recommended. Otherwise, nephrogenic rests are close associated with Wilms tumor and regular follow-up is required to ensure early detection of malignant transformation.
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Lesões Pré-Cancerosas/patologia , Neoplasias da Medula Espinal/patologia , Neoplasias Testiculares/patologia , Tumor de Wilms/patologia , Humanos , Lactente , Masculino , Lesões Pré-Cancerosas/cirurgia , Neoplasias da Medula Espinal/cirurgia , Neoplasias Testiculares/cirurgia , Tumor de Wilms/cirurgiaRESUMO
OBJECTIVE: Acute rupture and hemorrhage of pediatric brain arteriovenous malformations (AVMs) may lead to cerebral herniation or intractable intracranial hypertension, necessitating emerging surgical interventions to alleviate intracranial pressure. However, there is still controversy regarding the timing of treatment for ruptured AVMs. This study aimed to assess the feasibility of utilizing three-pillar expansive craniotomy (3PEC) at different times during the treatment of pediatric ruptured supratentorial AVMs. METHODS: A retrospective analysis was conducted on all consecutive cases of acute rupture in supratentorial AVM children who underwent 3PEC at a single institution from 2020 to 2022. General information, clinical characteristics, radiological data, and prognosis were reviewed and analyzed. RESULTS: Thirteen children were included in the analysis. The intracranial pressure of all patients decreased to below 15 mmHg within 10 days. The expansion volume of the cranial cavity of the patients increased by 18.3 cm3 (95% confidence interval, 10.2-26.3; P < 0.001) compared to the hematoma volume. None of the patients required decompressive craniectomy due to intractable intracranial hypertension caused by cerebral swelling. The median waiting period for patients with delayed AVMs treatment was 8 days, during which no rebleeding occurred. CONCLUSIONS: Emergency intervention with 3PEC in children experiencing acutely ruptured supratentorial AVMs appears to be feasible. For children requiring delayed management of the AVMs, 3PEC may diminish the risk of rebleeding during the waiting period and shorten the waiting period.