Mechanical Properties of the Rat Brain: Effect of Age and Anatomical Region

Author(s):  
Benjamin S. Elkin ◽  
Barclay Morrison

Of the 1.5 million traumatic brain injuries (TBI) every year, about 250,000 require hospitalization and result in 50,000 deaths[1]. Outcome after TBI is strongly dependent on age[2, 3]. Because there is no pharmacological treatment for the head injured patient, prevention of TBI is paramount. By gaining an in depth understanding of injury biomechanics, it may be possible to design more effective protection either in the form of helmets or automotive safety systems. To this end, finite element models are frequently employed to understand the induced brain deformation due to injurious loading scenarios[4].

Author(s):  
Zhe Yu ◽  
Woo Hyeun Kang ◽  
Barclay Morrison

Approximately 1.5 million traumatic brain injuries (TBI) occur each year which result in 50,000 deaths, and about 80,000 people are left with a permanent disability. The annual cost associated with these injures is estimated to be $60 billion. Because there is no pharmacological treatment for TBI, engineering strategies to prevent these injuries enabled through an improved understanding of injury biomechanics is crucial. To this end, finite element models play a central role for predicting brain deformation induced by various loading scenarios such as falls or motor vehicle accidents. Novel protection strategies can then be tested in silico before the start of physical testing. However, in their current form, finite element models predict only mechanical responses and cannot predict the biological response of the brain tissue to the imposed deformation.


Author(s):  
Iscander M. Maissan ◽  
Boris Vlottes ◽  
Sanne Hoeks ◽  
Jan Bosch ◽  
Robert Jan Stolker ◽  
...  

Abstract Background Ambulance drivers in the Netherlands are trained to drive as fluent as possible when transporting a head injured patient to the hospital. Acceleration and deceleration have the potential to create pressure changes in the head that may worsen outcome. Although the idea of fluid shift during braking causing intra cranial pressure (ICP) to rise is widely accepted, it lacks any scientific evidence. In this study we evaluated the effects of driving and deceleration during ambulance transportation on the intra cranial pressure in supine position and 30° upright position. Methods Participants were placed on the ambulance gurney in supine position. During driving and braking the optical nerve sheath diameter (ONSD) was measured with ultrasound. Because cerebro spinal fluid percolates in the optical nerve sheath when ICP rises, the diameter of this sheath will distend if ICP rises during braking of the ambulance. The same measurements were taken with the headrest in 30° upright position. Results Mean ONSD in 20 subjects in supine position increased from 4.80 (IQR 4.80–5.00) mm during normal transportation to 6.00 (IQR 5.75–6.40) mm (p < 0.001) during braking. ONSD’s increased in all subjects in supine position. After raising the headrest of the gurney 30° mean ONSD increased from 4.80 (IQR 4.67–5.02) mm during normal transportation to 4.90 (IQR 4.80–5.02) mm (p = 0.022) during braking. In 15 subjects (75%) there was no change in ONSD at all. Conclusions ONSD and thereby ICP increases during deceleration of a transporting vehicle in participants in supine position. Raising the headrest of the gurney to 30 degrees reduces the effect of breaking on ICP.


2019 ◽  
Vol 66 (5) ◽  
pp. 1456-1467 ◽  
Author(s):  
Arnold D. Gomez ◽  
Andrew K. Knutsen ◽  
Fangxu Xing ◽  
Yuan-Chiao Lu ◽  
Deva Chan ◽  
...  

1993 ◽  
pp. 515-518
Author(s):  
D. Deyo ◽  
◽  
P. Brockenbrough ◽  
R. Briggs ◽  
P. Fatouros ◽  
...  

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