• Computers and Concrete
• /
• v.13 no.1
• /
• pp.135-147
• /
• 2014

Strut-and-tie model (STM) has been recommended by many codes and standards as a rational model for discontinuity regions in structural members. STM has been adopted in ACI building code for analysis of reinforced concrete (RC) deep beams since 2002. However, STM recommended by ACI 318-11 is only applicable for analysis of ordinary RC deep beams. This paper aims to develop the STM for CFRP strengthened RC deep beams through the strut effectiveness factor recommended by ACI 318-11. Two sets of RC deep beams were cast and tested in this research. Each set consisted of six simply-supported specimens loaded in four-point bending. The first set had no CFRP strengthening while the second was strengthened by means of CFRP sheets using two-side wet lay-up system. Each set consisted of six RC deep beams with shear span to effective depth ratio of 0.75, 1.00, 1.25, 1.50, 1.75, and 2.00.The value of strut effectiveness factor recommended by ACI 318-11 is modified using a proposed empirical relationship in this research. The empirical relationship is established based on shear span to effective depth ratio.

• Journal of Yeungnam Medical Science
• /
• v.9 no.2
• /
• pp.422-426
• /
• 1992

One case of Congenital Cutis Aplasia is presented. The defect involved includes full-thickness skin defect of scalp and cranium. The patient was treated with debridement of dirty necrosed crust which covered exposed dura mater and with double opposing rotation flap including pericranium for bone regneration. The donor site was covered with skin graft from right thigh. During operation, the superficial temporal arterty was found to be short and weak. And after operation, the margin of flap were congested and finally necrotized. The necrotic wound was treated with conservative management. The vascular impairment is thought to be main course of Congenital Cutis Aplasia. So we conclude that the treatment of choice is conservative management or careful flap surgery for coverage of defect area.

• Journal of Korean Neurosurgical Society
• /
• v.29 no.10
• /
• pp.1372-1376
• /
• 2000

The authors present two cases of lytic skull metastasis from thyroid carcinoma. The first case is a 62-year-old female who was diagnosed as thyroid cancer one year ago. She complained a mass over the right parietal area but showed no neurological abnormalities. The mass didn't invade the dura, and was completely removed. Histopathological examination revealed the insular thyroid carcinoma, composed of undifferenciated cells that were responded to thyroglobulin in immunohistochemical staining. The second case is a 75-year-old female who complained a mass over the right parietal and neck area without any neurological abnormality. The mass was confined to the epidural region which was associated with osteolytic change of skull. It was also completely removed. Histopathological examination of mass revealed the follicular thyroid carcinoma.

• Journal of Korean Neurosurgical Society
• /
• v.40 no.3
• /
• pp.206-209
• /
• 2006

Objective : Traditionally, standard access to the posterior fossa was a suboccipital craniectomy. After introducing the technique and benefit of posterior fossa craniotomy, several surgeons have used this procedure to manage various pathologies in posterior fossa in children. Though this approach offers several advantages over conventional suboccipital craniectomy, the elevation of bone flap is not easy in adult because of the irregular contour of inner bone surface and tight adhesion of dura to the skull. The aim of this article is to describe the technical aspects of this approach and to delineate the important landmarks for a safe and quick performance in adult. Methods : We report on our series of twenty-five adult patients who underwent craniotomy for posterior fossa pathologies between 2002 and 2005. The maximal follow-up period was 4 years. Results : None of the patients complained of persistent headache and no CSF leaks have occurred postoperatively. We have encountered only two cases of transient subcutaneous CSF retention after craniotomy. Three-dimensional reconstruction of the CT scan confirmed the well-fitted suboccipital bone contour after craniotomy. And patients were satisfied with the cosmetic results. Conclusion : This method is safer and simpler. It restores normal anatomical planes and improves protection of the contents of the posterior fossa. The authors recommend craniotomy as an alternative method of access to the posterior fossa in all age groups.

• Journal of Korean Neurosurgical Society
• /
• v.49 no.5
• /
• pp.299-301
• /
• 2011

A case of a symptomatic spinal extradural meningeal cyst (SEMC) in Klippel-Trenaunay syndrome (KTS) is introduced. A 38-year-old woman presented with right L2 radiculopathy. She underwent operations for varicose veins in both her lower extremities. She had port-wine nevi on her trunk and extremities. The edematous change in both legs had waxed and waned. Magnetic resonance imaging showed an $11.8{\times}13$ mm extradural meningeal cyst growing through the intervertebral foramen in L2-3. Multiple meningeal cysts were located in the dorsal aspect of the spinal cord from T3 to T10. A $5.8{\times}6.2$ mm cyst was also found in left pleural cavity. The extradural meningeal cyst was completely excised and the preoperative symptom was improved. KTS is a congenital disorder due to a mesodermal abnormality, which may predispose the dura to weakness. The SEMC may occur through the dural defect or weakened point.

• Journal of Korean Neurosurgical Society
• /
• v.49 no.5
• /
• pp.284-286
• /
• 2011

Glossopharyngeal neuralgia is a relatively rare condition characterized by severe, paroxysmal episodes of lancinating pain in the tongue, throat, ear, and tonsil. This disorder is assumed to be due to compression of the glossopharyngeal nerve by vascular structures. A 47-year-old woman complaining of sharp and lancinating pain in the right periauricular and submandibular areas visited our hospital. Swallowing, chewing, and lying on her right side triggered the pain. Her neurologic examination revealed no specific abnormalities. The results of routine hematologic and blood chemistry studies were all within normal limits. Carbamazepine and gabapentin were given, but her symptoms persisted. Her pain was temporarily relieved only by narcotic pain medication. MRI showed an arachnoid cyst located in the right cerebellomedullary cistern extending to the cerebellopontine cistern. Cyst removal was performed via a right retrosigmoid approach. Lateral suboccipital craniotomy was performed using the right park-bench position. After opening the dura and cerebellopontine angle, the arachnoid cyst was exposed. The arachnoid cyst was compressing the flattened lower cranial nerves at the right jugular fossa. Her symptoms resolved postoperatively. Two months after the operation, she was completely free from her previous symptoms.

• Journal of Korean Neurosurgical Society
• /
• v.53 no.1
• /
• pp.46-48
• /
• 2013

Chondrosarcoma is a very uncommon malignant primary bone tumor, especially, it occurs extremely rare in the spine. A 52-year-old man was admitted to the emergency room with sudden paraplegia. Twelve hours prior to a paraplegic event, he visited an outpatient clinic with discomfort and tenderness around the medial border of the right scapular, and his neurologic status was absolutely intact. Magnetic resonance imaging showed a lobulated soft tissue mass from T3 to T5, which extended to the epidural space. Computed tomography scans showed soft tissue mass on the spinal posterior arch and osteolytic change of the adjacent bony structures. Emergent surgery was performed and the lesion was removed. Dark reddish blood and gel-like material were encountered around the dura and posterior arch during the operation. Multiple pulmonary nodules were found on a chest CT scan and a biopsy of one of them had been proven to be a metastasis of chondrosarcoma. The histologic examination showed dedifferentiated chondrosarcoma. The patient's neurologic deficit was improved slowly from ASIA A to ASIA D. Chondrosarcoma in the spine is extremely rare, even more with acute hemorrhage and sudden expansion into the epidural space. We named it chondrosarcoma apoplexy. We should consider the possibility of a hemorrhagic event when the patient's neurologic deficit worsens suddenly with spinal bone tumor.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
• /
• v.24 no.1
• /
• pp.47-55
• /
• 1994

Post operative maxillary cyst may arise after the surgical treatment for maxillary sinusitis with the symtoms of swelling, pain, and pus discharge in the buccal region. It is examined by Waters' view, panoramic view and other intraoral radiographs, but quite variable radiologically. Most of the cyst is seen round or ovoid shape radiolucency, destruction, expansion and thinning of the lateral wall or posterior wall, and roots of the adjacent teeth may be resorbed. We studied about 117 cases of the post operative maxillary cysts which diagnosed in department of oral and maxillofacial radiology, Seoul National University Hospital. We analyzed and obtained following results. 1. These cysts occured more frequently in male than in female and the incidence is highest in the 4th and 5th decade. 2. Initial radical operation of maxillary sinus were performed mainly between the age of 10 and 45 years, and about 60% of the patients were 15 to 25 years. 3. Pain and swelling on buccal area, pus discharge, and toothache are most chief compaints, seven cases were found at routine examination without symtoms. 4. Most of these cysts were unilocular with smooth and well-defined border. 5. The majority of the cysts occurred in the anterolateral wall of maxillary sinus. 6. Dental changes of the lesional area were loss of lamina dura and root resorption, but about 55% were not changed.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
• /
• v.24 no.1
• /
• pp.7-21
• /
• 1994

Fifty-two cases of traumatic bone cysts in 50 patients were analysed clinically and radiologically. The obtained results were as follows; 1. Women showed a slightly higher incidence than did men (56% of patients) and the average age proved to be 18.6 years. 2. The majority of the cases were asymptomatic. being detected incidentally. and over the half of the cases occurred in the mandibular symphyseal region. 3. All cases were unilocular and the largest diameter of the lesions varied from 1 to 10㎝, mean 3㎝. 4. Some degree of marginal condensation was present in 28 cases and 23 cases presented pencil-sketch appearance. 5. Many anatomical cortical plates (especially, mandibular inferior cortex and lamina durae) consisted of the margin of the lesions partly. 6. Erosive change of the mandibular inferior cortex was caused by 12 cysts, but cortical expansion only by 3 cysts including 2 cases of buccal expansion. 7. The lesion enveloped the roots of the adjacent teeth in 27 cases and scalloping was present between roots in 17 cases. 8. Lamina dura of the teeth was destroyed by only 1 cyst, and in 1 case root resorption was noticed. But there was no divergence of the roots of teeth.

• Journal of Acupuncture Research
• /
• v.32 no.4
• /
• pp.11-16
• /
• 2015

Objectives : The purpose of this study is to determine the safe needling depth of Pungbu($GV_{16}$) retrospectively by using magnetic resonance imaging (MRI). Methods : We chose 114 Brain or C-spine MRI images from the Sang-Ji hospital picture archiving communication system. We measured the shortest distance from skin to cerebral dura mater passing by posterior edge of the foramen magnum on the sagittal view for the depth of Pungbu. We analyzed the differences between male and female measured values by using a student t-test. Results : The average depth of male insertion was $49.71{\pm}6.32mm$ and the shortest depth of insertion was 36.29 mm. The average depth of female insertion was $39.84{\pm}5.25mm$ and the shortest depth of insertion was 30.02 mm. The results showed a significant difference according to gender (p=0.00). Conclusions : The depth of male insertion is deeper than that of female, and the safe needling depth in the case of males is 36.29-67.35 mm, while the safe needling depth in the of females is 30.02-52.18 mm.