• Journal of Korean Neurosurgical Society
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• 제42권1호
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• pp.35-41
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• 2007

Objective : Determining the location of paraclinoid aneurysms for microsurgery is important for selecting treatment options, especially when deciding on the release of the dural ring in direct clipping. We examined the reliability of using the optic strut as an anatomical landmark for evaluating the location of paraclinoid aneurysms. Methods : Cadaveric dissection was performed to establish the relationship of the optic strut to the dural ring. Results from these anatomic studies were compared with the three-demensional computed tomographic angiographic [3D-CTA] findings of nine patients with ten paraclinoid aneurysms between May 2004 and October 2005. These, 3D-CTA results were then compared with intraoperative findings. Results : The inferior boundary of the optic strut accurately localized the point at the proximal dural ring in cadaveric study. The optic strut and its relationship to the aneurysms was well observed on the multiplanar reformats of 3D-CTA. During microsurgery, nine of ten aneurysms were verified to arise from distal to the upper surface of the optic strut. Two aneurysms that had arisen between the inferior and superior boundary of the optic strut were observed to lie within the carotid cave. One aneurysm which had arisen at the inferior boundary of the optic strut and directed inferiorly was observed to lie within the cavernous sinus just after the release of the proximal ring. Conclusion : The optic strut, as identified with multiplanar reformats of 3D-CTA, provided a reliable anatomic landmark for the proximal rings and an important information about the location of aneurysms around the anterior clinoid process (ACP). Therefore, 3D-CTA and the optic strut could become an invaluable tool and a landmark in the assessment of the location of paraclinoid aneurysms for microsurgery.

• Journal of Korean Neurosurgical Society
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• 제54권1호
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• pp.14-18
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• 2013

Objective : Although removal of the anterior clinoid process (ACP) is essential surgical technique, studies about quantitative measurements of the space broadening by the anterior clinoidectomy are rare. The purposes of this study are to investigate the dimension of the ACP, to quantify the improved exposure of the parasellar space after extradural anterior clinoidectomy and to measure the correlation of each structure around the paraclinoidal area. Methods : Eleven formalin-fixed Korean adult cadaveric heads were used and frontotemporal craniotomies were done bilaterally. The length of C6 segment of the internal carotid artery on its lateral and medial side and optic nerve length were checked before and after anterior clinoidectomy. The basal width and height of the ACP were measured. The relationships among the paraclinoidal structures were assessed. The origin and projection of the ophthalmic artery (OA) were investigated. Results : The mean values of intradural basal width and height of the ACP were 10.82 mm and 7.61 mm respectively. The mean length of the C6 lateral and medial side increased 49%. The mean length of optic nerve increased 97%. At the parasellar area, the lengths from the optic strut to the falciform liament, distal dural ring, origin of OA were 6.69 mm, 9.36 mm and 5.99 mm, respectively. The distance between CN III and IV was 11.06 mm. Conclusion : With the removal of ACP, exposure of the C6 segments and optic nerve can expand 49% and 97%, respectively. This technique should be among a surgeon's essential skills for treating lesions around the parasellar area.

• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 2009년도 정기 학술대회
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• pp.209-212
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• 2009

최근 국내에서 적용되고 있는 콘크리트 충진 FRP 스트럿은 시공성 및 경제성 면에서 매우 뛰어난 공법으로 주목 받고 있으나 그 설계 및 시공에 있어 아직도 불확실한 요소를 내포하고 있다. 특히 최근에는 PSC 박스 거더교에서 교폭을 늘리고 자중을 줄이기 위해 콘크리트 충진 FRP 스트럿을 설치하는 공법이 다수 시공되고 있다. 본 연구에서는 이러한 대상교량에 대해 현장시험을 실시하여 교량시스템에서의 콘크리트 충진 FRP 스트럿 거동을 분석하는데 목적이 있다. 특히 전자기파 간섭에 면역이 우수한 광센서인 FBG 센서를 기반으로 하는 계측을 실시하여 잡음이 없는 우수한 결과를 성공적으로 획득하였다. 그 결과 FRP 스트럿은 하중 재하 위치와 속도에 관계없이 압축응력 상태에 존재하고 있으며 횡방향 거동에 지배되고 있음을 확인하였다.