Elevated Fluid Pressure Research Articles

IIH, SIH and headache: Diagnosis and treatment update

Idiopathic intracranial hypertension (IIH) and spontaneous intracranial hypotension (SIH) are two major secondary headache disorders resulting from abnormal intracranial pressure (ICP). This short communication outlines the pathophysiology, diagnostic criteria, and management strategies for IIH and SIH. IIH predominantly affects obese women of childbearing age and presents with daily headaches, visual disturbances, and papilledema. It is characterized by elevated cerebrospinal fluid (CSF) pressure, with diagnosis supported by imaging and lumbar puncture. Treatment includes weight reduction, medications, and surgical interventions in refractory cases. SIH, conversely, is caused by spontaneous spinal CSF leaks and presents with acute orthostatic headaches. Diagnosis is supported by neuroimaging and lumbar puncture, revealing low CSF pressure. Treatment includes supported care, (targeted) epidural blood patch, with surgical repair considered in refractory cases. Advances in imaging and treatment have significantly improved outcomes for both conditions.

Clinical characteristics and outcomes of patients with antibody-related autoimmune encephalitis presenting with disorders of consciousness: A prospective cohort study.

To explore the clinical characteristics, short- and long-term functional outcomes, and risk factors for antibody-related autoimmune encephalitis (AE) in patients with disorders of consciousness (DoC). Clinical data were collected from AE patients admitted to Xuanwu Hospital of Capital Medical University from January 2012 to December 2021, and patients were followed up for up to 24 months after immunotherapy. A total of 312 patients with AE were included: 197 (63.1%) with anti-NMDAR encephalitis, 71 (22.8%) with anti-LGI1 encephalitis, 20 (6.4%) with anti-GABAbR encephalitis, 10 (3.2%) with anti-CASPR2 encephalitis, 10 (3.2%) with anti-GAD65 encephalitis, and 4 (1.3%) with anti-AMPAR2 encephalitis. Among these patients, 32.4% (101/312) presented with DoC, and the median (interquartile range, IQR) time to DoC was 16 (7.5, 32) days. DoC patients had higher rates of various clinical features of AE (p < .05). DoC was associated with elevated lumbar puncture cerebrospinal fluid (CSF) pressure, CSF leukocyte count, and specific antibody titer (p < .05). A high percentage of patients in the DoC group had a poor prognosis at discharge and at 6 months after immunotherapy (p < .001), but no significant difference in prognosis was noted between the DoC group and the non-DoC group at 12 and 24 months after immunotherapy. Dyskinesia (OR = 3.266, 95% CI: 1.550-6.925, p = .002), autonomic dysfunction (OR = 5.871, 95% CI: 2.574-14.096, and p < .001), increased CSF pressure (OR = 1.007, 95% CI: 1.001-1.014, p = .046), and modified Rankin scale (mRS) score ≥3 at the initiation of immunotherapy (OR = 7.457, 95% CI: 3.225-18.839, p < .001) were independent risk factors for DoC in AE patients. DoC is a relatively common clinical symptom in patients with AE, especially critically ill patients. Despite requiring longer hospitalization, DoC mostly improves with treatment of the primary disease and has a good long-term prognosis after aggressive life support and combination immunotherapy.

Deformation mechanisms and fluid conditions of mélange shear zones associated with seamount subduction

Lithologic heterogeneity and the presence of fluids have been linked to seamount subduction and collocated with slow earthquakes. However, the deformation mechanisms and fluid conditions associated with seamount subduction remain poorly understood. The exhumed Chichibu accretionary complex on Amami-Oshima Island preserves mélange shear zones composed of mudstone-dominated mélange and basalt–limestone mélange deformed under sub-greenschist facies metamorphism. The mudstone-dominated mélange contains sandstone, siliceous mudstone, and basalt lenses in an illitic matrix. The basalt–limestone mélange contains micritic limestone and basalt lenses in a chloritic matrix derived from the mixing of limestone and basalt at the foot of a seamount. The basalt–limestone mélange overlies the mudstone-dominated mélange, possibly representing a submarine landslide from the seamount onto trench-fill terrigenous sediments. The asymmetric S–C fabrics in both mélanges show top-to-SE shear consistent with megathrust-related shear. Quartz-filled shear and extension veins in the mudstone-dominated mélange indicate brittle failure at near-lithostatic fluid pressure and low differential stress. Microstructural observations show that deformation in the mudstone-dominated mélange was accommodated by dislocation creep of quartz and combined quartz pressure solution with frictional sliding of illite, whereas the basalt-limestone mélange was accommodated by frictional sliding of chlorite and dislocation creep of coarse-grained calcite, with possible pressure solution creep and diffusion creep of fine-grained calcite. The mélange shear zones formed in association with seamount subduction record temporal changes in deformation mechanisms, fluid pressure, and stress state during megathrust shear with brittle failure under elevated fluid pressure, potentially linking tremor generation near subducting seamounts.

Comparative Study on Flow Characteristics in Deep Marine and Marine-Continental Transitional Shale in the Southeastern Sichuan Basin, China.

Permeability is a significant characteristic of porous media and a crucial parameter for shale gas development. This study focuses on deep marine and marine-continental transitional shale in the southeastern Sichuan area using the gas pulse decay testing method to systematically analyze the gas permeability, stress sensitivity, and gas transport mechanisms of shale under different pressure conditions and directions. The results show that the porosity and gas permeability of the deep marine shale are greater compared to those of the marine-continental transitional shale. The elevated fluid pressure in the deep marine shale offers superior conditions for the preservation of nanopores, while the high quartz content provides advantageous conditions for fluid transport in nanopore channels. The permeability and stress sensitivity of the deep marine shale are greater than those of the marine-continental transitional shale, and the stress sensitivity is greater in the perpendicular bedding direction than in the parallel bedding direction, possibly related to the mineral composition of shale and the compaction it has undergone. The flow mechanism of the deep marine shale is transition flow and Knudsen flow, while that of the marine-continental transitional shale is transition flow. The deep marine shale possesses smaller nanopore sizes and a higher quantity of micropores, which create advantageous conditions for gas transport within nanopores. During the process of extracting shale gas, the extraction of gas causes a decrease in pore pressure and an increase in effective stress, resulting in a reduction in permeability. However, when the pore pressure reaches a specific value, the enhanced slippage effect leads to an increase in permeability, which is advantageous for gas extraction. In the later stage of shale gas well production, intermittent production plans can be developed considering the strength of the slippage effect, leading to a significant improvement in production efficiency.

Pediatric Idiopathic Intracranial Hypertension: Clinical Presentations, Risk Factors, and Prognostic Indicator

Background: Idiopathic intracranial hypertension (IIH) is characterized by elevated cerebrospinal fluid pressure without space-occupying lesions, infections, or alterations in brain parenchyma. Diagnosing IIH in children poses a significant challenge for pediatricians, given the often nonspecific nature of clinical signs and symptoms. Objectives: Our study aims to evaluate the clinical presentations and potential risk factors among pediatric individuals diagnosed with IIH, considering the limited research in this particular domain. Methods: Clinical data from pediatric patients diagnosed with IIH who sought care at Tehran's primary referral children's hospitals were collected from 2013 to 2021, spanning eight years. These patients were subsequently contacted to follow up on the presence of persistent headaches and visual problems. Detailed records of their initial signs and symptoms were documented. To identify prognostic factors associated with persistent headaches and visual problems in pediatric IIH patients, binary logistic regression analysis was conducted. Results: A total of 81 pediatric patients were included in the study, with a mean age of 13.56 ± 4.404 years at the time of their IIH diagnosis. The most frequently reported clinical symptom among these patients was headache, observed in 85.2% of cases, followed by diplopia (50.6%), visual impairment (46.9%), and nausea with/without vomiting (44.4%). Furthermore, a substantial proportion of the patients were underweight (weight percentiles &lt; 3). Our analysis showed that male patients and those without strabismus experienced significantly more recurrent episodes of IIH (P = 0.013 and P = 0.013, respectively). Notably, recurrent episodes and higher weight percentiles emerged as predictive factors for future persistent visual problems within our study population (P = 0.032 and P = 0.045, respectively). Conclusions: Recurrence of IIH was significantly less in female patients and those with strabismus. Additionally, we found that both lower and higher weight percentiles, as well as the occurrence of recurrent episodes, served as predictive factors for the development of persistent visual problems. However, our model could not predict persistent headaches.

Thecaloscopy Reduces the Risk of Recurrent Perineural (Tarlov) Cysts after Microsurgical Resection.

Sacral Tarlov cysts (TCs), often asymptomatic, can cause significant pain and severe neurological dysfunction. Conventional treatments are generally associated with high recurrence and complication rates. Specifically, the substantial recurrence rates, which can reach as high as 50%, significantly impact long-term outcomes. Recent evidence increasingly supports the hypothesis that the formation of Tarlov cysts (TCs) may be associated with inflammatory processes within the nerve root sheath, further exacerbated by elevated cerebrospinal fluid (CSF) pressure. This retrospective study explores thecaloscopy, combined with surgical techniques, as a more effective alternative. We observed a total of 78 patients, 48 of whom underwent endoscopic fenestration of the arachnoid sheath in addition to microsurgical resection of the TC. We found that the fenestration of the arachnoid sheath at the level of lumbosacral spinal nerve root entry led to a significantly decreased risk of developing recurrent TCs (5/48 vs. 9/30). Only one of the patients suffered from a persistent new bladder dysfunction after microsurgical resection. This presented technique provides a promising treatment path for the future management of TCs, offering a safe and more effective treatment option compared to previous methods. Additionally, the advantages of the thecaloscopy provide pathophysiological implications regarding the development of perineural cysts.

96 The Proportion of Patients with Cerebrospinal Fluid Biomarkers Consistent with Alzheimer’s Disease in a Cohort with Suspected Normal Pressure Hydrocephalus

Objective:Normal pressure hydrocephalus (NPH) is characterized by pathologically enlarged ventricles without elevated cerebrospinal fluid (CSF) pressure along with a triad of clinical symptoms including gait disturbances, urinary incontinence, and cognitive impairment. NPH is evaluated with lumbar drain trials (LDTs) where CSF is removed over several days to determine if patients would benefit from ventricular shunting. Candidate selection and success for these surgeries remains challenging because other diseases such as Alzheimer’s disease (AD) share common features with NPH in cognitive impairment and enlarged ventricles. Prior research has found that 20%-40% of presumed NPH cases have AD pathology as determined by brain biopsy or autopsy. CSF biomarkers of AD can be altered in NPH and are not always conclusive, complicating the interpretation of results when formulating diagnoses and prognoses. Studies to refine the analyses of AD CSF biomarkers in NPH are needed. We aimed to examine the frequency of CSF biomarker results among patients presenting for NPH evaluations with LDTs.Participants and Methods:62 patients presented for LDTs upon physician recommendations. CSF specimens were sent to Mayo Clinic Laboratories for Alzheimer Disease Evaluation (ADEVL) that utilizes Elecsys (Lenexa, KS) CSF electrochemiluminescence immunoassays (Roche Diagnostics, Basel, Switzerland) to measure levels of amyloid-beta 42 (Aβ42), total tau (t-tau), and phosphorylatedtau (p-tau), and p-tau:Aβ42 ratio. Results were classified based on interpretation through the Amyloid/Tau/Neurodegeneration (ATN) framework1: 1) AD - biomarker profile consistent with AD pathologic change, 2) non-AD profile - biomarker levels normal or inconsistent with AD pathologic change, or 3) indeterminate - biomarkers were incongruous with only one or two abnormal levels of Aβ42, t-tau, p-tau, or ptau: Aβ42. Indeterminate cases may represent altered protein levels due to CSF dynamics or AD-related pathologic change. In reviewing recent research on CSF dynamics and AD biomarkers in NPH2 a p-tau threshold of 15 pg/mL was derived and implemented such that cases with Aß42 &lt;=1026 pg/mL and p-tau &lt;15 pg/mL were designated as suspected non-AD, and those with Aß42 &lt;=1026 pg/mL and p-tau &gt;15 pg/mL were designated suspected AD.Results:Of the 62 LDT cases, 12 (19.35%) were classified as AD, 31 (50%) were indeterminate and 22 (35.48%) were non-AD. Of the 31 indeterminate cases, 21 (33.87% of the overall sample) were suspected non-AD and 7 (11.29% of the full sample) were categorized as suspected AD.Conclusions:Our findings show that 20%-30% of patients presenting for LDT showed evidence for AD-type pathologic change, consistent with prior reports of AD pathology in cases of possible NPH. Half of all LDT cases had indeterminate AD CSF biomarker results, the interpretations of which were confounded by the potential alterations of CSF biomarkers levels due to NPH independent of AD. Our findings emphasize the need to establish better approaches to interpreting CSF AD biomarkers in evaluating NPH. Future research should examine the discriminative utility of CSF AD biomarkers and the selected p-tau threshold in indeterminate cases for predicting response to LDT and shunting.

Deep and ultra-deep basin brittle deformation with focus on China

This volume describes progress in understanding brittle structures in deep and ultra-deep (>4 km to > 7 km) sedimentary basins. Under deep conditions in sandstone, carbonate rocks, shale, and other rocks, fluid charge and resource recovery are sensitive to faults and opening-mode fractures. In China, work is in progress on deep, deformed, and tectonically active basins including drilling of wells expected to exceed 10 km in depth. Papers describing fractures in horizontal wells indicate locally highly clustered spatial arrangements. Orientation patterns record protracted superposed deformation. Despite deep settings, open fractures are abundant, and wide (>1 mm) fractures with varying amounts of sealing calcite are common. Differences in cement abundances are due to the diagenetic history of fractures, not their origins (e.g., tectonic loading or elevated pore fluid pressure). In carbonate rocks, solution enhanced strike-slip faults and fractures with cavernous porosity are present, and in sandstone enigmatic enhanced host-rock porosity halos a few mm wide locally surround sealed fractures. Owing to differences in thermal exposure due to recent (>6 Ma to present) rapid deep burial (in some cases >2000 m) and locally low geothermal gradients, some fractures at great depths are less diagenetically altered than those at shallower depths in the North American Cordillera. Contrasts in diagenesis may affect fracture size, spatial arrangement, and connectivity.

Dynamics of cerebrospinal fluid pressure alterations and bilateral transverse-sigmoid sinus morphologies in Asian patients with venous pulsatile tinnitus.

This study was performed to investigate the dynamics of intracranial pressure (ICP) alterations and bilateral transverse-sigmoid sinus morphologies in patients with venous pulsatile tinnitus (PT). This retrospective study involved 27 patients with venous PT associated with sigmoid sinus wall anomalies. ICP and ICP metrics were measured by cerebrospinal fluid manometry and internal jugular vein compression tests. Correlation analysis was performed to determine the statistical correlation between ICP and the morphological metrics. The mean ICP was 212.5 ± 47.3 mmH2O. The median was 130 (range, 55-150) mmH2O. The was linearly correlated with the open lumbar pressure, and a significant difference was found between patients with normal and elevated cerebrospinal fluid pressure. The was linearly correlated with the and . was linearly correlated with Complete obstruction of flow patency should be avoided in patients with low ICP and large volumetric/patency differences in the bilateral transverse-sigmoid sinus systems.

Correlation between retinal vein pulse amplitude, estimated intracranial pressure, and postural change

Spaceflight associated neuro-ocular syndrome (SANS) is common amongst astronauts on long duration space missions and is associated with signs consistent with elevated cerebrospinal fluid (CSF) pressure. Additionally, CSF pressure has been found to be elevated in a significant proportion of astronauts in whom lumbar puncture was performed after successful mission completion. We have developed a retinal photoplethysmographic technique to measure retinal vein pulsation amplitudes. This technique has enabled the development of a non-invasive CSF pressure measurement apparatus. We tested the system on healthy volunteers in the sitting and supine posture to mimic the range of tilt table extremes and estimated the induced CSF pressure change using measurements from the CSF hydrostatic indifferent point. We found a significant relationship between pulsation amplitude change and estimated CSF pressure change (p < 0.0001) across a range from 2.7 to 7.1 mmHg. The increase in pulse amplitude was highest in the sitting posture with greater estimated CSF pressure increase (p < 0.0001), in keeping with physiologically predicted CSF pressure response. This technique may be useful for non-invasive measurement of CSF pressure fluctuations during long-term space voyages.

Shattered Veins Elucidate Brittle Creep Processes in the Deep Slow Slip and Tremor Region

AbstractDeep Slow Slip and Tremors (SSTs) are a combination of transient clusters of tectonic tremors and slow slip associated with extremely elevated fluid pressures. SSTs are thought to reflect a transition from viscous to brittle plate interface rheology and likely exert a first‐order control on megathrust seismicity. Nevertheless, the deformation mechanisms governing the source of SSTs remain elusive. We herein document the occurrence of vein networks precipitated and brecciated within the deep SST region under blueschist‐facies conditions. These lawsonite‐rich vein sets exhibit extensive evidence of brittle deformation and are spatially related to localized, finely milled (cataclastic) shear bands. Petro‐geochemical data reveal that brittle deformation was accompanied by the injection of several ultramafic‐, mafic‐ and metasedimentary‐derived fluid pulses, imprinting characteristic Cr, high field strength elements, and light over heavy rare earth elements positive anomalies in the vein breccias while leaching light rare earth elements from the cataclastic blueschist host. Our results suggest that metamorphic veins represent zones of mechanical anisotropy within the rock volume prone to localized shearing, brittle deformation and episodic injection of externally derived fluids. These networks demonstrate the importance of former vein sets as structural heterogeneities in triggering fluid‐controlled brittle creep events. The combined effects of high pore fluid pressures and rheological heterogeneities in the form of metamorphic veins could trigger the nucleation and propagation of SSTs at the margins of this mechanically anisotropic environment, and thus determine where slip will take place along deep subduction interfaces.

Leakage Threshold of a Saddle Point

The threshold condition for leakage inception is of great interest to many engineering applications, and it is essential for seal design. In the current study, the leakage threshold is studied by means of a numerical method for a mechanical contact problem between an elastic bi-sinusoidal surface and a rigid flat surface. The coalesce process of the contact patches is first investigated, and a generalized form of solution for the relation between the contact area ratio and the average applied pressure is acquired. The current study shows that the critical value of the average applied pressure and the corresponding contact area required to close the percolation path can be represented as a power law of a shape parameter, if the effect of the hydrostatic load from the pressurized fluid is ignored. With contact patches merged under a constant applied load, the contact breakup process is investigated with elevated sealed fluid pressure condition, and it is shown that the leakage threshold is a function of the excess pressure, which is defined as a ratio between the average applied pressure and the critical pressure under dry contact conditions.Graphical abstract

Absence of cortical lesions after the first seizure in a patient with anti-myelin oligodendrocyte glycoprotein-associated cortical encephalitis

A 31-year-old man developed headache and generalized convulsions. At the time of the first seizure, there was no distinct MRI abnormality. He was admitted to the hospital with repeated seizures, left-sided hemiparesis, and left-sided neglect. He had a slight fever, elevated cerebrospinal fluid (CSF) pressure, and increased CSF cell count with predominance of mononuclear cells. A repeat MRI scan on day 8 after the recurrent seizure showed cortical edema in the right cerebral hemisphere on fluid-attenuated inversion recovery (FLAIR), abnormal high signal on DWI, and decreased apparent diffusion coefficient. The patient was diagnosed with aseptic meningoencephalitis and treated with antiviral drugs and methylprednisolone pulse therapy. Serum anti-myelin oligodendrocyte glycoprotein (MOG) antibody was subsequently detected, and prednisolone was added to treat the FLAIR-hyperintense lesions in anti-MOG antibody associated encephalitis with seizures (FLAMES). It is important to identify the clinical picture and typical images of FLAMES to allow early treatment.

Permeability evolution during pressure-controlled shear slip in saw-cut and natural granite fractures

Fluid injection into rock masses is involved during various subsurface engineering applications. However, elevated fluid pressure, induced by injection, can trigger shear slip(s) of pre-existing natural fractures, resulting in changes of the rock mass permeability and thus injectivity. However, the mechanism of slip-induced permeability variation, particularly when subjected to multiple slips, is still not fully understood. In this study, we performed laboratory experiments to investigate the fracture permeability evolution induced by shear slip in both saw-cut and natural fractures with rough surfaces. Our experiments show that compared to saw-cut fractures, natural fractures show much small effective stress when the slips induced by triggering fluid pressures, likely due to the much rougher surface of the natural fractures. For natural fractures, we observed that a critical shear displacement value in the relationship between permeability and accumulative shear displacement: the permeability of natural fractures initially increases, followed by a permeability decrease after the accumulative shear displacement reaches a critical shear displacement value. For the saw-cut fractures, there is no consistent change in the measured permeability versus the accumulative shear displacement, but the first slip event often induces the largest shear displacement and associated permeability changes. The produced gouge material suggests that rock surface damage occurs during multiple slips, although, unfortunately, our experiments did not allow quantitatively continuous monitoring of fracture surface property changes. Thus, we attribute the slip-induced permeability evolution to the interplay between permeability reductions, due to damages of fracture asperities, and permeability enhancements, caused by shear dilation, depending on the scale of the shear displacement.

Fast and Slow Earthquakes in Alaska: Implications from a Three-Dimensional Thermal Regime and Slab Metamorphism

Fast and slow earthquakes are predominantly generated along faults constituting active plate boundaries. Characterized by repeated devastating earthquakes and frequent slow slip events and tremors, the Alaska megathrust presents a chance to understand the complicated dynamics of a subduction system changing from steep to shallow dips associated with enigmatically abundant fast and slow seismic events. Based on three-dimensional thermal modeling, we find that the downgoing metamorphosed oceanic crust containing bound water releases a large amount of fluid and causes the recurrence of fast and slow earthquakes by elevated pore fluid pressure and hydrofracturing. The seismogenic interface and the slow slip events (SSEs) identified beneath the Upper Cook Inlet coincide well with the slab metamorphic dehydration regions. The observed slow earthquakes with quasi-stable fault slips preferentially occur, accompanied by high dehydration and temperature downdip along the transition zone.

A review of natural hydrofractures in rocks

AbstractHydrofractures, or hydraulic fractures, are fractures where a significantly elevated fluid pressure played a role in their formation. Natural hydrofractures are abundant in rocks and are often preserved as magmatic dykes or sills, and mineral-filled fractures or mineral veins. However, we focus on the formation and evolution of non-igneous hydrofractures. Here we review the basic theory of the role of fluid pressure in rock failure, showing that both Terzaghi’s and Biot’s theories can be reconciled if the appropriate boundary conditions are considered. We next discuss the propagation of hydrofractures after initial failure, where networks of hydrofractures may form or hydrofractures may ascend through the crust as mobile hydrofractures. As fractures can form as a result of both tectonic stresses and an elevated fluid pressure, we address the question of how to ascertain whether a fracture is a hydrofracture. We argue that extensional or dilational fractures that formed belowc.2–3 km depth are, under normal circumstances, hydrofractures, but at shallower depth they may, but must not be hydrofractures. Since veins and breccias are often the products of hydrofractures that are left in the geological record, we discuss these and critically assess which vein structures can, and which do not necessarily, indicate hydrofracturing. Hydrofracturing can suddenly and locally change the permeability in a rock by providing new fluid pathways. This can lead to highly dynamic self-organization of crustal-scale fluid flow.

Gas Sources, Migration, and Accumulation Systems: The Shallow Subsurface and Near-Seafloor Gas Hydrate Deposits

Compared with the deeply buried marine gas hydrate deposits, gas hydrates in the shallow subsurface, close to and at the seafloor, have attracted more attention owing to their concentrated distribution, high saturation, and easy access. They accumulate at relatively shallow depths &lt;100–120 m and occur as gas hydrate-bearing mounds (also known as hydrate outcrops, pingoes) at the seafloor derived from the growth of hydrates in the shallow subsurface or as pure hydrate chunks formed by gas leakage. This paper reviews and summarizes such gas hydrate systems globally from the perspective of gas sources, migration pathways, and accumulation processes. Here, we divided them into four categories: fault-chimney-controlled, diapir-fault-controlled, fault-controlled, and submarine mud volcano-controlled deposits. Gas chimneys originate immediately above the restricted regions, mostly affected by faults where high gas concentrations trigger elevated pore fluid pressures. Diapirism derives a dendritic network of growth faults facilitating focused gas discharge and hydrate formation near the seafloor. Furthermore, pre-existing faults or fractures created by overpressured gas from greater depths in accretionary tectonics at convergent margins act as preferential pathways channeling free gas upwards to the seafloor. Gas flux rates decrease from the submarine mud volcano center to its margins, creating a concentric pattern of distributing temperature, gas concentrations, and hydrate contents in shallow sediments around the mud volcano. Hydrate-bound hydrocarbons are commonly of thermogenic origin and correspond to high-background geothermal conditions, whereas microbial gas is dominant in a few cases. The presence of heavier hydrocarbons mitigates the inhibition of hydrate formation by salt or heat. Fluid migration and pathways could be compared to the “blood” and “bones” in an organic system, respectively. The root of a pathway serves as the “heart” that gathers and provides considerable free gas concentrations in a restricted area, thereby triggering pore fluid pressures as one important drive force for focused fluid flow in impermeable sediments (the organic system). Besides the suitable temperature and pressure conditions, a prerequisite for the formation and stability of hydrate deposits in the shallow subsurface and at the seafloor is the sufficient supply of gas-rich fluids through the hydrate stability zone. Thus, the proportion of gas migrating from deep sources is significantly larger than that trapped in hydrates. As such, such marine hydrate deposits seem more like temporary carbon storage rather than the main culprit for climate warming at least in a short period.

Intracranial pressure, lateral sinus patency, and jugular ultrasound hemodynamics in patients with venous pulsatile tinnitus.

The clinical and hemodynamic characteristics of venous pulsatile tinnitus (PT) patients with normal or elevated cerebrospinal fluid pressure (CSFP) have not been clearly differentiated. This study aimed to explore CSFP among patients with PT as the solitary symptom, as well as quantitatively and qualitatively assess the role of the degree of transverse sinus (TS) stenosis and jugular hemodynamics in venous PT patients. A total of 50 subjects with venous PT with or without sigmoid sinus wall anomalies (SSWAs) were enrolled in this study. In addition to radiologic assessments for TS stenosis and invagination of arachnoid granulation (AG) in TS, CSFP and jugular hemodynamics were measured via cerebrospinal fluid (CSF) manometry and Doppler ultrasound. Apart from group comparisons and correlation analyses, multivariate linear regression, and receiver operating characteristic (ROC) models were used to identify the sensitivity and specificity of the index of transverse sinus stenosis (ITSS) and hemodynamic variables with inferential significance. The mean CSFP of all cases was 199.5 ± 52.7 mmH2O, with no statistical difference in CSFP between the diverticulum and dehiscence groups. Multivariate linear regression analysis demonstrated that CSFP was linearly correlated with ITSS and pulsatility index (PI). ROC analysis showed that the area under the ROC curve of PI was 0.693 at 200 mmH2O threshold, and the best PI cut-off value was 0.467, with a sensitivity of 65.7% and specificity of 81.8%. For 250 mmH2O threshold, the area under the ROC curve of PI was 0.718, and the best PI cut-off value was 0.467 with a sensitivity of 68.4% and specificity of 75.0%. Additionally, the area under the ROC curve of ITSS was 0.757, and the best ITSS cutoff value was 8.5 (p = 0.002, 95% CI = 0.616–0.898) with a sensitivity of 72.4% and specificity of 75.0% at 200 mmH2O threshold. In conclusion, patients with venous PT as the only presenting symptom should be suspected of having borderline or increased CSFP when they present with high ITSS, BMI and low PI. Further, AG in TS without encephalocele and empty sellae are not limiting findings for differentiating the level of CSFP in patients with venous PT.

Geologic Evidence of Lithostatic Pore Fluid Pressures at the Base of the Subduction Seismogenic Zone

AbstractGeophysical and rheological work below the subduction seismogenic zone suggest that elevated pore fluid pressures (Pfs) may facilitate slow slip and tremor. However, quantification of Pf and its variation in this environment remain indirect and incomplete. We examine brittle‐frictional deformation within metasedimentary rocks from an exhumed subduction zone. Here, penetrative foliation formed under viscous deformation conditions by pressure‐solution creep at 0.9 GPa, 300–350°C, and differential stresses &lt;35 MPa. Three sets of crack‐seal veins, precipitated at peak subduction temperatures, cross‐cut this foliation. Mechanical inversions of these veins indicate they formed within a single stress field orientation with foliation, but at different magnitudes of differential stress. These deformation structures reveal near‐lithostatic Pf that fluctuated in time by perhaps only ∼4 MPa, resulting in cyclic mode I and shear fracturing and viscous flow, and support slow slip and tremor mechanisms that require or are enhanced by high Pf and low differential stress.

A giant sand injection complex: Processes and implications for basin evolution and subsurface fluid flow

Giant sand injection complexes form, intricate, basin-scale fluid plumbing systems and document the remobilisation and intrusion of several tens of cubic kilometres of sand within the shallow crust in stratigraphic units 1009s metres thick. This is the first detailed and extensive account of the Panoche Giant Injection Complex (PGIG), a regionally significant outcrop (&gt;300 km²) and part of a larger subsurface development (&gt;4000 km²) identified in boreholes and on seismic reflection data. Magnificent exposure of the PGIC occurs along the north western margin of the San Joaquin Valley and presents the opportunity to examine the regional geological significance of a giant sand injection complex and its origin in the context of a late Cretaceous – early Paleocene forearc basin. Between 25 and 49 km³ of sand were remobilised and injected, at least 0.35 km³ of which extruded onto the paleo-seafloor. Large sandstone intrusions often &gt;10 m thick and laterally extensive on a kilometer scale formed saucer-shaped intrusions, wing-like intrusions and a variety of sill geometries along with volumetrically smaller randomly oriented dikes in a 200–300 m thick interval. Dikes prevail below and above this interval, some reaching the paleo seafloor and extruding sand. Networks of propagating hydrofractures form intensely brecciated host strata, some of which were intruded by sand. All intrusions formed in a single pulsed event in which the most intense hydrofracturing caused by supra-lithostatic fluid pressure occurred approximately 600 to 800 m below the paleo seafloor. A crudely orthogonal arrangement of dikes is preserved with most oriented normal, and less commonly oriented parallel to the oceanic trench associated with the late Mesozoic to early Tertiary North Pacific subduction. Dikes orthogonal to the trench opened against the minimum horizontal stress, which was parallel to the trench. Dikes parallel to the trench opened against the regional maximum horizontal stress along minor faults formed in extension caused by shallow crustal deformation. There is no evidence that compressional tectonics influenced the onset of elevated pore fluid pressure necessary to promote sand injection. However, tectonic compression was responsible for creating the basin physiography that locally increased subsidence and accelerated chemical diagenesis in the basin centre. PGIC outcrop, located along the basin margins, was unlikely to have experienced heating above 70 °C, equivalent about 2 km burial, so the effects of chemical diagenesis in the host strata of the injection complex had negligible potential to evolve significant pore water volume. In a deeper part of the basin approximately 150 km to the south, lateral equivalents of the host strata were subjected to heating &gt;100 °C and would expel significant volumes of water displaced by quartz cementation and clay dehydration that caused lateral pressure transfer to the north and western margin of the basin where the PGIC formed. Estimates of the total volume of water expelled from the deep basin suggest that a fluid volume equivalent to a gross rock volume reduction &lt;1% would have provided a fluid budget sufficient to fluidise and inject the sand that forms the PGIC. In terms of areal and vertical extent, volume and architecture the PGIC shares strong similarity with the regionally developed giant injectite systems of Tertiary age in the North Sea basin. In both cases regional sand injection is genetically linked to pressure transfer toward the basin margin from more rapidly subsiding basin centres. Aqueous fluid is derived from thermally driven chemical diagenesis of thick deep water clastic sandstone and smectitic mudstone or from deeper, stratigraphically older, aquifers.