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Subdural hematomas are one of the frequent complications of head injuries. Such hematomas result from exceeding the border strength values of bridging veins. Subdural haemorrhages are life-threatening and are a frequent cause of considerable pathologies. Traffic participants and also soldiers who participate in armed conflicts are the most vulnerable to head injuries. Although hematomas have been studied for many years the mechanism of hematoma formation has not been fully clarified as yet. In the paper, the effort of brain tissue structures due to the propagation of shock wave was analyzed. Particular attention was paid to the deformation ability and changes in the energy of bridging veins. This research was concerned with changes in mechanical properties of these veins in the frontal, parietal and occipital regions of the brain. For the present research the authors have constructed finite element models of brain tissue fragments and conducted numerical studies taking into account the boundary conditions arising from violent overloads that result from combat operations. As a result of the numerical analysis conducted, critical values of strain and stress have been obtained. The analysis showed high diversity in the properties of the different regions of the brain tissue. The studies carried out by the authors rendered it possible to assess the effort of the tissue structures of veins in connection with mechanical parameters, including geometrical parameters, in particular in relation to the likelihood of hematoma formation.
Czasopismo
Rocznik
Tom
Strony
21--31
Opis fizyczny
Bibliogr. 27 poz., rys., wykr.
Twórcy
autor
- University of Zielona Góra, Faculty of Mechanical Engineering, Zielona Góra, Poland
- University of Zielona Góra, Faculty of Computer, Electrical and Control Engineering, Zielona Góra, Poland
autor
- Wrocław Medical University, Department of Radiology, Wrocław, Poland
autor
- University of Zielona Góra, Faculty of Mechanical Engineering, Zielona Góra, Poland
Bibliografia
- [1] Chafi M.S., Karami G., Ziejewski M. Biomechanical assessment of brain dynamic responses due to blast pressure waves, Ann Biomed Eng, 2010, vol. 38, 490–504.
- [2] Chapman J. C., Diaz-Arrastia R. Military traumatic brain injury: a review, Alzheimers Dement., 2014, vol. 10, 97–104.
- [3] Coombs J. B., Coombs B. L., Chin E. J. Acute spontaneous subdural hematoma in a middle-aged adult: case report and review of the literature, J Emerg Med, 2014, vol. 47, 63–68.
- [4] Czyż M., Ścigała K., Jarmundowicz W., Będziński R. The biomechanical analysis of the traumatic cervical spinal cord injury using finite element approach. Acta Bioeng Biomech, 2008, vol. 10, 43–54.
- [5] Czyż M., Ścigała K., Jarmundowicz W., Będziński R. Numerical model of the human cervical spinal cord-the development and validation. Acta Bioeng Biomech, 2011, vol. 13, 51–58.
- [6] Famaey N., Ying Cui Z., Umuhire Musigazi G., Ivens J., Depreitere B., Verbeken E., Vander Sloten J. Structural and mechanical characterisation of bridging veins: A review, J Mech Behav Biomed, 2015, vol. 41, 222–240.
- [7] Von Holst H., Li X. Consequences of the dynamic triple peak impact factor in Traumatic Brain Injury as Measured with Numerical Simulation, Frontiers in neurology, 2013, vol. 4, 23.
- [8] Holzapfel G.A. Determination of material models for arterial walls from uniaxial extension tests and histological structure, J Theor Biol, 2006, vol. 238, 290–302.
- [9] Horanin-Dusza M. The analysis of the biomechanical and histological properties of cerebral bridging veins in alcoholics and nonalcoholics-the importance in the subdural hematomas etiology (in Polish), Dissertation, Wroclaw Medical University, 2009.
- [10] Huang H.M., Lee M.C., Chiu W.T., Chen C.T., Lee S.Y. Three-dimensional finite element analysis of subdural hematoma, J. Traum., 1999, vol. 47, 538–544.
- [11] Jankowska M.A., Bartkowiak-Jowsa M., Będziński R. Experimental and constitutive modeling approaches for a study of biomechanical properties of human coronary arteries, J Mech Behav Biomed, 2015, vol. 50, 1–12.
- [12] Ji S., Zhu Q., Dougherty L., Margulies S.S. In vivo measurements of human brain displacement, Stapp Car C J, 2004, vol. 48, 227–237.
- [13] Karwacka M., Siemiński M., Nyka, W.M. Epidural and subdural hematoma (in Polish), Via Medica, 2007.
- [14] Kędzia A, Kędzia E., Kędzia W. Vascular Catastrophes and the Venous System of the Human Brain, Adv Clin Exp Med, 2010, vol. 19(1), 63–176.
- [15] Kleiven S. Predictors for traumatic brain injuries evaluated through accident reconstructions, Stapp Car C J, 2007, vol. 51, 81–114.
- [16] Krzystała E., Mężyk A., Kiciuk S. Analysis of threat to crew posed by explosion of charge placed under wheeled armoured vehicle (in Polish), SCI. P. WSOWL. 2011, vol. 1, 159.
- [17] Mazumder M.M.G., Miller K., Bunt S., Mostayed A., Joldes G., Day R., Hart R., Wittek A. Mechanical properties of the brain-skull interface. Acta Bioeng Biomech, 2013, vol. 15, 3–11.
- [18] Mcallister T.W. Neurobehavioral sequelae of traumatic brain injury: evaluation and management, World psychiatry, 2008, vol. 7, 3–10.
- [19] Miller K., Wittek A., Joldes G. Biomechanics of the brain for computer-integrated surgery. Acta Bioeng Biomech, 2010, vol. 12, 25–37.
- [20] Monea A.G., Baeck K., Verbeken E., Verpoest I., Vander Sloten J., Goffin J., Depreitere B. The biomechanical behaviour of the bridging vein-superior sagittal sinus complex with implications for the mechanopathology of acute subdural haematoma, J. Mech Behav Biomed, 2014, vol. 32, 155–165.
- [21] Monson K. L., Goldsmith W., Barbaro N. M., Manley G. T. Significance of source and size in the mechanical response of human cerebral blood vessels. J Biomech, 2005, vol. 38, 737–744.
- [22] Ratajczak M., Będziński R. An investigation of brain structure deformations under impact loading. International Conference of the Polish Society of Biomechanics, Łódź, Poland, 2014, 183-184.
- [23] Roth S., Raul J. S., Willinger R. Finite element modelling of paediatric head impact: global validation against experimental data, Comput Meth Prog Bio, 2010, vol. 99, 25– 33.
- [24] Ruan J.S., Khalil T., King A.I. Dynamic response of the human head to impact by three-dimensional finite element analysis, J Biomed Eng, 1994, vol. 116, 44–50.
- [25] WORLD HEALTH ORGANIZATION, Projections of Mortality and Burden of Disease to 2030: Deaths by Income Group, Geneva, 2002.
- [26] Yamashima T., Friede R. L. Why do bridging veins rupture into the virtual subdural space? J Neurol Neurosur P S., 1984, vol. 47,121–127.
- [27] Zhang L., Yang K. H., King A.I. Comparison of brain responses between frontal and lateral impacts by finite element modeling. J Neurotraum, 2001, vol. 18, 21–30.
Uwagi
PL
Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.
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Bibliografia
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bwmeta1.element.baztech-b59af3d5-9a6f-4a1b-857a-84720d1c0982