Biomechanics of Head/Brain Due to Angular Head Acceleration

Author(s):  
M. Zoghi-Moghadam ◽  
Ali M. Sadegh

In vehicular collisions, contact sports or falls, in addition to blunt impacts, head is subjected to high angular accelerations. This causes relative motion between the brain and skull and an increase in contact and shear stresses in meningeal region which leads to brain injuries. In our previous study Zoghi et al (14), the mechanical role of the fibrous trabeculae and the Cerebrospinal Fluid (CSF) in Subarachnoid space (SAS) were investigated. This is a continuation study of (14) where the attention is focused on the angular acceleration of head rather than blunt impacts. Improved 2-D solid and fluid global models of the head and a local model of the SAS trabeculae were developed. The CSF pressure distribution and the trabeculae deformations were determined. It is expected that in angular acceleration of head, similar to blunt impact, the arachnoid trabeculae reduce the pressure in the CSF and both play a major role in damping the acceleration.

Author(s):  
M. Zoghi-Moghadam ◽  
Ali Sadegh ◽  
Charles Watkins

The blunt head impacts due to vehicular collisions, contact sports or falls cause relative motion between the brain and skull and an increase in contact and shear stresses in meningeal region. Several models have been developed to better understand brain injuries. In this study the mechanical role of the fibrous trabeculae and the Cerebrospinal Fluid (CSF) in Subarachnoid space (SAS) is investigated. Two-dimensional solid and fluid global models of the head and a local model of the SAS trabeculae were developed. The CSF pressure distribution and the trabeculae deformations were determined. It is concluded that the arachnoid trabeculae reduce the pressure in the CSF and both play a major role in damping the blunt head impact.


Author(s):  
Mohammad Hosseini Farid ◽  
Ashkan Eslaminejad ◽  
Mohammadreza Ramzanpour ◽  
Mariusz Ziejewski ◽  
Ghodrat Karami

Accurate material properties of the brain and skull are needed to examine the biomechanics of head injury during highly dynamic loads such as blunt impact or blast. In this paper, a validated Finite Element Model (FEM) of a human head is used to study the biomechanics of the head in impact and blast leading to traumatic brain injuries (TBI). We simulate the head under various direction and velocity of impacts, as well as helmeted and un-helmeted head under blast waves. It is shown that the strain rates for the brain at impacts and blast scenarios are usually in the range of 36 to 241 s−1. The skull was found to experience a rate in the range of 14 to 182 s−1 under typical impact and blast cases. Results show for impact incidents the strain rates of brain and skull are approximately 1.9 and 0.7 times of the head acceleration. Also, this ratio of strain rate to head acceleration for the brain and skull was found to be 0.86 and 0.43 under blast loadings. These findings provide a good insight into measuring the brain tissue and cranial bone, and selecting material properties in advance for FEM of TBI.


1969 ◽  
Vol 21 (02) ◽  
pp. 294-303 ◽  
Author(s):  
H Mihara ◽  
T Fujii ◽  
S Okamoto

SummaryBlood was injected into the brains of dogs to produce artificial haematomas, and paraffin injected to produce intracerebral paraffin masses. Cerebrospinal fluid (CSF) and peripheral blood samples were withdrawn at regular intervals and their fibrinolytic activities estimated by the fibrin plate method. Trans-form aminomethylcyclohexane-carboxylic acid (t-AMCHA) was administered to some individuals. Genera] relationships were found between changes in CSF fibrinolytic activity, area of tissue damage and survival time. t-AMCHA was clearly beneficial to those animals given a programme of administration. Tissue activator was extracted from the brain tissue after death or sacrifice for haematoma examination. The possible role of tissue activator in relation to haematoma development, and clinical implications of the results, are discussed.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Loredana Cavalli ◽  
Lucia Briscese ◽  
Tiziana Cavalli ◽  
Paolo Andre ◽  
Maria Chiara Carboncini

Acupuncture therapy has been used to treat several disorders in Asian countries and its use is increasing in Western countries as well. Current literature assessed the safety and efficacy of acupuncture in the acute management and rehabilitation of patients with neurologic disorders. In this paper, the role of acupuncture in the treatment of acute severe acquired brain injuries is described, acting on neuroinflammation, intracranial oedema, oxidative stress, and neuronal regeneration. Moreover, beneficial effects of acupuncture on subacute phase and chronic outcomes have been reported in controlling the imbalance of IGF-1 hormone and in decreasing spasticity, pain, and the incidence of neurovegetative crisis. Moreover, acupuncture may have a positive action on the arousal recovery. Further work is needed to understand the effects of specific acupoints on the brain. Allegedly concurrent neurophysiological measurements (e.g., EEG) may help in studying acupuncture-related changes in central nervous system activity and determining its potential as an add-on rehabilitative treatment for patients with consciousness disorders.


2019 ◽  
Vol 20 (12) ◽  
pp. 2982 ◽  
Author(s):  
Gil Yong Park ◽  
Angelo Jamerlan ◽  
Kyu Hwan Shim ◽  
Seong Soo A. An

Transthyretin (TTR) is a thyroid hormone-binding protein which transports thyroxine from the bloodstream to the brain. The structural stability of TTR in tetrameric form is crucial for maintaining its original functions in blood or cerebrospinal fluid (CSF). The altered structure of TTR due to genetic mutations or its deposits due to aggregation could cause several deadly diseases such as cardiomyopathy and neuropathy in autonomic, motor, and sensory systems. The early diagnoses for hereditary amyloid TTR with cardiomyopathy (ATTR-CM) and wild-type amyloid TTR (ATTRwt) amyloidosis, which result from amyloid TTR (ATTR) deposition, are difficult to distinguish due to the close similarities of symptoms. Thus, many researchers investigated the role of ATTR as a biomarker, especially its potential for differential diagnosis due to its varying pathogenic involvement in hereditary ATTR-CM and ATTRwt amyloidosis. As a result, the detection of ATTR became valuable in the diagnosis and determination of the best course of treatment for ATTR amyloidoses. Assessing the extent of ATTR deposition and genetic analysis could help in determining disease progression, and thus survival rate could be improved following the determination of the appropriate course of treatment for the patient. Here, the perspectives of ATTR in various diseases were presented.


2008 ◽  
Vol 107 (3) ◽  
pp. 768-778 ◽  
Author(s):  
Masanori Tachikawa ◽  
Jun Fujinawa ◽  
Masato Takahashi ◽  
Yasuyuki Kasai ◽  
Masahiro Fukaya ◽  
...  

2021 ◽  
Vol 22 (21) ◽  
pp. 11313
Author(s):  
Sana Javaid ◽  
Talha Farooq ◽  
Zohabia Rehman ◽  
Ammara Afzal ◽  
Waseem Ashraf ◽  
...  

The incidences of traumatic brain injuries (TBIs) are increasing globally because of expanding population and increased dependencies on motorized vehicles and machines. This has resulted in increased socio-economic burden on the healthcare system, as TBIs are often associated with mental and physical morbidities with lifelong dependencies, and have severely limited therapeutic options. There is an emerging need to identify the molecular mechanisms orchestrating these injuries to life-long neurodegenerative disease and a therapeutic strategy to counter them. This review highlights the dynamics and role of choline-containing phospholipids during TBIs and how they can be used to evaluate the severity of injuries and later targeted to mitigate neuro-degradation, based on clinical and preclinical studies. Choline-based phospholipids are involved in maintaining the structural integrity of the neuronal/glial cell membranes and are simultaneously the essential component of various biochemical pathways, such as cholinergic neuronal transmission in the brain. Choline or its metabolite levels increase during acute and chronic phases of TBI because of excitotoxicity, ischemia and oxidative stress; this can serve as useful biomarker to predict the severity and prognosis of TBIs. Moreover, the effect of choline-replenishing agents as a post-TBI management strategy has been reviewed in clinical and preclinical studies. Overall, this review determines the theranostic potential of choline phospholipids and provides new insights in the management of TBI.


2019 ◽  
Vol 142 (4) ◽  
Author(s):  
Austin Azar ◽  
Kapil Bharadwaj Bhagavathula ◽  
James Hogan ◽  
Simon Ouellet ◽  
Sikhanda Satapathy ◽  
...  

Abstract Military personnel sustain head and brain injuries as a result of ballistic, blast, and blunt impact threats. Combat helmets are meant to protect the heads of these personnel during injury events. Studies show peak kinematics and kinetics are attenuated using protective headgear during impacts; however, there is limited experimental biomechanical literature that examines whether or not helmets mitigate peak mechanics delivered to the head and brain during blast. While the mechanical links between blast and brain injury are not universally agreed upon, one hypothesis is that blast energy can be transmitted through the head and into the brain. These transmissions can lead to rapid skull flexure and elevated pressures in the cranial vault, and, therefore, may be relevant in determining injury likelihood. Therefore, it could be argued that assessing a helmet for the ability to mitigate mechanics may be an appropriate paradigm for assessing the potential protective benefits of helmets against blast. In this work, we use a surrogate model of the head and brain to assess whether or not helmets and eye protection can alter mechanical measures during both head-level face-on blast and high forehead blunt impact events. Measurements near the forehead suggest head protection can attenuate brain parenchyma pressures by as much as 49% during blast and 52% during impact, and forces on the inner table of the skull by as much as 80% during blast and 84% during impact, relative to an unprotected head.


2021 ◽  
Vol 9 (1) ◽  
pp. 26-30
Author(s):  
Vishwanath Reddy

Background: Brain damage in preterm infants may result from a series of eventsrather than one specific insult. Maturational characteristics with a failingadaptation capacity may predispose the brain to harmful events during bothintrauterine and extrauterine life. The study aimed to detect anomalies in the brain of neonates with neurosonography. Methods : the studywas conducted on patients with clinically suspected lesions in the brain, undergoing NSG for evaluation of brain abnormalities in Prathima Institute ofmedical sciences, Karimnagar.Neurosonographic examinations were performed through anteriorfontanelle in both the coronal and sagittal planes.The examination started in the coronal plane along the coronal suture, with a transducer angled towards the frontal region. Then brain was examined invarious coronal planes by sweeping the transducer from anterior to posterior. Results : The most common abnormality found on neurosonogram in 3 – 5 days was germinal- matrix haemorrahge comprising n=13 (31%) followed by PVL n=12 (28.6%), cyst n=5 (11.9%), flaring n=5 (11.9%), cerebral edema n=4 (9.5%), congenital lesions n=2 (4.8%) and infections n=1 (2.4%). Follow up scan was performed around 2nd week of life, n=24 (57.1%) neonates were showing normal neurosonogram findings, remaining 18 (43%) showing abnormal findings, which are PVL n=6 (14.3%), GMH n=9 (21.4%), cyst n=1(2.4%), cerebral edema n=1 (2.4%) and congenital lesions n=1 (2.4%). Conclusion: High incidence of brain injuries was detected in babies born less than 32 weeks of gestation, weighing less than 1500 gm. The commonest clinical presentation was seizures followed by absent suckling and lethargy. The abnormalities found on the neurosonogram in our study were germinal matrix hemorrhage, periventricular leukomalacia, cystic PVL, corpus callosum agenesis, and TORCH infection.The mortality rate was high in grade III and grade IV GMH.10-14 days followup scan detected new cases of cystic PVL which were not diagnosed in the initial scan


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