scholarly journals A Porcine Model of Traumatic Brain Injury via Head Rotational Acceleration

Author(s):  
D. Kacy Cullen ◽  
James P. Harris ◽  
Kevin D. Browne ◽  
John A. Wolf ◽  
John E. Duda ◽  
...  
2013 ◽  
Vol 71 (10) ◽  
pp. 802-806 ◽  
Author(s):  
Almir Ferreira de Andrade ◽  
Matheus Schmidt Soares ◽  
Gustavo Cartaxo Patriota ◽  
Alessandro Rodrigo Belon ◽  
Wellingson Silva Paiva ◽  
...  

Objective Intracranial hypertension (IH) develops in approximately 50% of all patients with severe traumatic brain injury (TBI). Therefore, it is very important to identify a suitable animal model to study and understand the pathophysiology of refractory IH to develop effective treatments. Methods We describe a new experimental porcine model designed to simulate expansive brain hematoma causing IH. Under anesthesia, IH was simulated with a balloon insufflation. The IH variables were measured with intracranial pressure (ICP) parenchymal monitoring, epidural, cerebral oximetry, and transcranial Doppler (TCD). Results None of the animals died during the experiment. The ICP epidural showed a slower rise compared with parenchymal ICP. We found a correlation between ICP and cerebral oximetry. Conclusion The model described here seems useful to understand some of the pathophysiological characteristics of acute IH.


Author(s):  
Thomas Blaine Hoshizaki ◽  
Clara Karton ◽  
R. Anna Oeur ◽  
Marshall Kendall ◽  
Lauren Dawson ◽  
...  

Brain injuries are prevalent in the sport of American football. Helmets have been used which effectively have reduced the incidence of traumatic brain injury, but have had a limited effect on concussion rates. In an effort to improve the protective capacity of American football helmets, a standard has been proposed by National Operating Committee on Standards for Athletic Equipment that may better represent helmet-to-helmet impacts common to football concussions. The purpose of this research was to examine the National Operating Committee on Standards for Athletic Equipment standard and a new impact method similar to the proposed National Operating Committee on Standards for Athletic Equipment standard to examine the information these methods provide on helmet performance. Five National Operating Committee on Standards for Athletic Equipment–certified American football helmets were impacted according to the National Operating Committee on Standards for Athletic Equipment standard test and a new method based on the proposed standard test. The results demonstrated that the National Operating Committee on Standards for Athletic Equipment test produced larger linear accelerations than the new method, which were a reflection of the stiffer compliance of the standard meant to replicate traumatic brain injury mechanisms of injury. When the helmets were impacted using a new helmet-to-helmet method, the results reflected significant risk of concussive injury but showed differences in rotational acceleration responses between different helmet models. This suggests that the new system is sensitive enough to detect the effect of different design changes on rotational acceleration, a metric more closely associated with risk of concussion. As only one helmet produced magnitudes of response lower than the National Operating Committee on Standards for Athletic Equipment pass/fail using the new system, and all helmets passed the National Operating Committee on Standards for Athletic Equipment standard, these results suggest that further development of helmet technologies must be undertaken to reduce this risk in the future. Finally, these results show that it would be prudent to use both standards together to address risk of injury from traumatic brain injury and concussion.


2016 ◽  
Vol 7 ◽  
Author(s):  
Brian D. Stemper ◽  
Alok S. Shah ◽  
Matthew D. Budde ◽  
Christopher M. Olsen ◽  
Aleksandra Glavaski-Joksimovic ◽  
...  

2018 ◽  
Vol 228 ◽  
pp. 84-92 ◽  
Author(s):  
Michael Weykamp ◽  
Vahagn C. Nikolian ◽  
Isabel S. Dennahy ◽  
Gerald A. Higgins ◽  
Patrick E. Georgoff ◽  
...  

2017 ◽  
Vol 11 (1) ◽  
pp. dmm030387 ◽  
Author(s):  
Guoxiang Wang ◽  
Yi Ping Zhang ◽  
Zhongwen Gao ◽  
Lisa B. E. Shields ◽  
Fang Li ◽  
...  

Shock ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Timothy M. Guenther ◽  
Marguerite W. Spruce ◽  
Lindsey M. Bach ◽  
Connor M. Caples ◽  
Carl A. Beyer ◽  
...  

Surgery ◽  
2013 ◽  
Vol 154 (2) ◽  
pp. 234-243 ◽  
Author(s):  
John O. Hwabejire ◽  
Guang Jin ◽  
Ayesha M. Imam ◽  
Michael Duggan ◽  
Martin Sillesen ◽  
...  

Trauma ◽  
2016 ◽  
Vol 19 (3) ◽  
pp. 196-206 ◽  
Author(s):  
T Blaine Hoshizaki ◽  
Andrew Post ◽  
Marshall Kendall ◽  
Janie Cournoyer ◽  
Philippe Rousseau ◽  
...  

Much of what is known concerning human brain injury thresholds is based upon impacts to cadavers and animal models that were used to generate the Wayne State Concussion Tolerance Curve (WSTC) and similar curves. These curves are the foundation for predictive metrics used in standard development as well as helmet design. These curves were based upon a very narrow range of impacts; impacts whose characteristics differ greatly from how the head is impacted in sport. This research examines the uses of time-based curves like the WSTC in the context of understanding mechanisms of brain injury and head protection. Published linear/rotational acceleration magnitude/duration data from Hybrid III laboratory reconstructions of brain injury events were plotted. This research further develops the understanding of injury thresholds in comparison to threshold curves such as the WSTC and Brain Injury Curve Leuven. The data demonstrate the relationships between magnitude and duration of dynamic response on minor traumatic brain injury (mTBI) in sport.


2017 ◽  
Vol 225 (4) ◽  
pp. S67
Author(s):  
Michael B. Weykamp ◽  
Vahagn C. Nikolian ◽  
Isabel S. Dennahy ◽  
Patrick E. Georgoff ◽  
Gerry A. Higgins ◽  
...  

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