The conventional P300 Bel system for character spelling is typically composed of a paradigm that displays flashing characters and a classifier which identifies target characters. Typically a user has to type each character of a word at a time: this spelling process is slow and it can take several minutes to type an entire word. In this work, we propose a new word typing scheme by integrating a word suggestion mechanism via a dictionary search into the conventional P300-based speller. Our new P300-based word typing system consists of an initial character spelling paradigm, a smart dictionary unit to give suggestions of possible words, and the final word selection paradigm to select a word out of the suggestions. Our proposed methodology reduces typing time significantly and makes word typing more convenient. We have tested our system with four subjects and our results demonstrate an average words typing time of 1.66 minute, whereas the conventional took 2.9 minute for the same words.

Technical advances with devices such as catheters, balloons, and stents have widened the indications for endovascular coiling for unfavorable aneurysms. The authors report two cases of coil embolization for a wide-neck bifurcated aneurysm with anterograde horizontal stenting via microcatheter looping. Two women, aged 56 and 38 years, respectively, had an undertall- and overwide-neck aneurysm with bifurcated branches at the basilar bifurcation and middle cerebral bifurcation, respectively. The delivery microcatheter was steamed so that it could be looped deliberately to the opposite vessel. The enterprise stent was first anchored to the vessel of the posterior cerebral artery on one side. The remaining portion was spanned into a looped microcatheter to the opposite branch while pushing the stent. The Neuroform Atlas stent was passed directly through the looped segment of the microcatheter at the M2 branch and spanned horizontally by unsheathing. Under horizontal stenting, complete coil embolization was achieved without immediate or delayed complications in both cases. This novel technique presents a viable option for stent-assisted coiling within an optimal anatomy.

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