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Biomechanics of Brain Injuries

  • D. A. Stålhammar
Part of the Advances in Neurotraumatology book series (NEUROTRAUMATOL., volume 3)

Abstract

The biomechanics of brain injuries describes how the impact of forces directed to the head are related to the primary physical and physiological effects in the skull and the brain.

Keywords

Head Injury Subdural Hematoma Angular Acceleration Abbreviate Injury Scale Diffuse Axonal Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Abbreviated Injury Scale 1985 Revision. American Association for Automotive Medicine, Arlington Heights IL. 60005. USAGoogle Scholar
  2. 2.
    Adams JH, Mitchell DE, Graham DI, Doyle D (1977) Diffuse brain damage of immediate impact type. Its relationship to ‘Primary brain-stem damage’ in head injury. Brain 100: 489–502PubMedCrossRefGoogle Scholar
  3. 3.
    Adams JH, Graham D, Scott G, Parker L, Doyle D (1980) Brain damage in fatal non-missile head injury. J Clin Pathol 33: 1132–1145PubMedCrossRefGoogle Scholar
  4. 4.
    Adams JH, Graham DI, Murray LS, Scott G (1982a) Diffuse axonal injury due to nonmissile head injury in humans: An analysis of 45 cases. Ann Neurol 12: 557–563PubMedCrossRefGoogle Scholar
  5. 5.
    Adams JH, Graham DI, Gennarelli TA (1982b) Neuropathology of acceleration-induced head injury in the subhuman primate. In: Grossman RG, Gildenberg PL (eds) Head injury: basic and clinical aspects. Raven Press, New York, pp 141–150Google Scholar
  6. 6.
    Aldman B, Ljung C, Thorngren L (1982) Intracranial deformation patterns due to impulsive loading-A model study. Paper for presentation at technical Session No 2 Biomechanics and Dummy Development of the 9th ESV Conference in Kyoto, November 3, 1982Google Scholar
  7. 7.
    Drake CG (1961) Subdural haematoma from arterial rupture. J Neurosurg 18: 597–601PubMedCrossRefGoogle Scholar
  8. 8.
    Friede RL (1961) Experimental acceleration concussions. Arch Neurol (Chicago) 4: 449–462Google Scholar
  9. 9.
    Gadd CW (1967) Use of a weighted impulse criterion for estimating injury hazard. In: 10th Stapp Car Crash Conference Proceedings, 8–9 November 1966, Alamogordo NM, New York: SAE paper no. 660793, pp 164–174Google Scholar
  10. 10.
    Gennarelli TA (1984) Clinical and experimental head injury. In: Aldman B, Chapon A (eds) The biomechanics of impact trauma. Elsevier Science Publishing Company, Amsterdam, pp 103–115Google Scholar
  11. 11.
    Gennarelli TA (1985) The state of the art of head injury biomechanics. A review. Proceedings from the 29th Annual Conference, Washington, DC, October 7–9, 1985Google Scholar
  12. 12.
    Gennarelli TA, Thibault LE (1982) Biomechanics of acute subdural hematoma. J Trauma 22: 680–686PubMedCrossRefGoogle Scholar
  13. 13.
    Gennarelli TA, Abel JM, Adams H, Graham D (1979) Differential tolerance of frontal and temporal lobes to contusion induced by angular acceleration. Proceedings of Twenty-third Stapp Car Crash Conference, October 17–19, San Diego, California. Published by Society of Automotive Engineers, Inc. 400 Commonwealth Drive, Warrendale, Pennsylvania 15096, pp 563–586Google Scholar
  14. 14.
    Gennarelli TA, Thibault LE, Adams JH, Graham DI, Thompson CJ, Marcincin RP (1982a) Diffuse axonal injury and traumatic coma in the primate. Ann Neurol 12: 564–574PubMedCrossRefGoogle Scholar
  15. 15.
    Gennarelli TA, Spielman GM, Langfitt TW, Gildenberg PL, Harrington T, Jane JA, Marshall LF, Miller JD, Pitts LH (1982b) Influence of the type of intracranial lesion on outcome from severe head injury. J Neurosurg 56: 26–32PubMedCrossRefGoogle Scholar
  16. 16.
    von Gierke HE (1966) On the dynamics of some head injury mechanisms. In: Caveness WF, Walker AE (eds) Head injury. Conference proceedings. JB Lippincott Company, Philadelphia Toronto, pp 383–396Google Scholar
  17. 17.
    Goldsmith W (1966) The physical processes producing head injuries. In: Caveness WF, Walker AE (eds) Head injury. Conference proceedings. JB Lippincott Company, Philadelphia Toronto, pp 350–382Google Scholar
  18. 18.
    Goldsmith W (1972) Biomechanics of head injury. In: Fung YC, Perrone N, Anliker M (eds) Biomechanics. Its foundation and objectives. Prentice-Hall, Englewood Cliffs, NJ, pp 585–634Google Scholar
  19. 19.
    Goldsmith W (1983) Some aspects of the physical and mathematical modeling of loading to head/neck systems and implications of current DOT injury criteria. In: Head and neck injury. A Consensus Workshop, Department of Transportation HS 806 434. Government Printing Office, Washington, DC pp 133–148Google Scholar
  20. 20.
    Goldsmith W, Ommaya AK (1984) Head and neck injury criteria and tolerance levels. In: Aldman B, Chapon A (eds) The biomechanics of impact trauma. Elsevier Science Publishers B.V. Amsterdam, pp 149–187Google Scholar
  21. 21.
    Guillermain P (1986) Traumatic extradural hematomas. In: McLaurin RL (ed) Advances in neurotraumatology. Extracerebral collections. Springer, Wien New York, pp 1–50Google Scholar
  22. 22.
    Gurdjian ES, Lissner HR, Webster JE (1947) The Mechanism of production of linear skull fracture. Further studies on deformation of the skull by the “stresscoat” technique. J Surg Gynecol Obstet 85: 195–210Google Scholar
  23. 23.
    Gurdjian ES, Webster JE, Lissner HR (1955) Observations on the mechanism of brain concussion, contusion, and laceration. J Surg Gynecol Obstet 101: 680–690Google Scholar
  24. 24.
    Higgins LS, Schmall RA (1967) A device for the investigation of head injury effected by non-deforming head acceleration. Proc 11th Stapp Car Crash Conference, Society of Automotive Engineers, Inc., New York, pp 57–72CrossRefGoogle Scholar
  25. 25.
    Hirsch A, Ommaya A, Mahone R (1970) Tolerance of subhuman primate brain to cerebral concussion. Chapter XVI. In: Gurdjian ES, Lange WA, Patrick LM, Thomas LM (eds) Impact injury and crash protection. Ch C Thomas, Springfield, Illinois, pp 352–369Google Scholar
  26. 26.
    Hodgson VR (1967) Tolerance of the facial bones to impact. Am J Anat 120: 113–122CrossRefGoogle Scholar
  27. 27.
    Holbourn AHS (1943) Mechanics of head injuries. Lancet 2: 438–441CrossRefGoogle Scholar
  28. 28.
    Hooper R (1959) Observations on extradural haemorrhage. Br J Surg 47: 71–87PubMedCrossRefGoogle Scholar
  29. 29.
    Kornhauser M (1954) Prediction and evaluation of sensitivity to transient accelerations. J Appl Mech 21: 371–380Google Scholar
  30. 30.
    Kornhauser M, Gold A (1962) Application of the impact sensitivity method to animate structures. Proceedings of a Symposium: Impact Acceleration Stress. Washington, National Academy of Sciences, National Research Council, pp 333–344Google Scholar
  31. 31.
    Lee MC, Melvin JW, Ueno K (1987) Finite element analysis of traumatic subdural hematoma. 31st Stapp Car Crash, Society of Automotive Engineers, Inc. 400 Commonwealth Drive Warrendale, PA 15096-0001, Conference Proceedings, pp 67–77CrossRefGoogle Scholar
  32. 32.
    Lindgren SO (1966) Experimental studies of mechanical effects in head injury. Acta Chir Scand [Suppl] 360: 1–100Google Scholar
  33. 33.
    Lindgren S (1983) Mechanical and clinical approaches to head injury criteria. In: Head and neck injury Criteria. A Consensus Workshop, Department of Transportation HS 806 434. Government Printing Office, Washington, DC, pp 49–61Google Scholar
  34. 34.
    Lissner HR, Lebow M, Evans FG (1960) Experimental studies on the relation between acceleration and intracranial pressure changes in man. Surg Gynec Obstet 111: 329–338PubMedGoogle Scholar
  35. 35.
    Liu YK (1979) Biomechanics and biophysics of CNS trauma. In: Odom GL (ed) Central nervous system trauma research. Status report, pp 36–52Google Scholar
  36. 36.
    Ljung C, Lindgren S, Aldman B (1983) On the analytical approach to head injury criteria. Proceedings of a Workshop on Head and Neck Injury Criteria. US Department of Transportation. National Highway Traffic Safety Administration. Washington, DC, pp 194–197Google Scholar
  37. 37.
    Löfgren J, Pellettieri L (1967) Epidemiologia della contusione del lobo temporale. Minerva Neurochir 11: 242–246PubMedGoogle Scholar
  38. 38.
    Lubock P, Goldsmith W (1980) Experimental cavitation studies in a model head-neck system. J Biomech 13: 1041–1052PubMedCrossRefGoogle Scholar
  39. 39.
    Löwenhielm P (1975) Mathematical stimulation of gliding contusions. J Biomech 8: 351–356PubMedCrossRefGoogle Scholar
  40. 40.
    Melvin JW, Evans FG (1971) A strain energy approach to the mechanics of skull fracture. Proc 15th Stapp Car Crash Conference, Society of Automotive Engineers, Inc, New York, pp 666–685CrossRefGoogle Scholar
  41. 41.
    Mitchell DE, Adams JH (1973) Primary focal impact damage to the brainstem in blunt head injuries. Does it exist? Lancet 4: 215–218CrossRefGoogle Scholar
  42. 42.
    Ommaya AK (1968) Mechanical properties of tissues of the nervous system. J Biomechanics 1: 127–138CrossRefGoogle Scholar
  43. 43.
    Ommaya AK (1985) Biomechanics of head injury: Experimental aspects. In: Nahum AM, Melvin J (eds) The Biomechanics of Trauma. Appleton-Century-Crofts, Norwalk, Connecticut, pp 245–269Google Scholar
  44. 44.
    Ommaya AK, Gennarelli TA (1974) Cerebral concussion and traumatic unconsciousness: Correlation of experimental and clinical observations on blunt head injuries. Brain 97: 633–654PubMedCrossRefGoogle Scholar
  45. 45.
    Pudenz RH, Shelden HC (1946) The lucite calvarium. A method for direct observation of the brain. II. Cranial trauma brain movement. J Neurosurg 3: 487–505PubMedCrossRefGoogle Scholar
  46. 46.
    Sellier K, Unterharnscheidt F (1963) Mechanik und Pathomorphologie der Hirnschäden nach stumpfer Gewalteinwirkung auf den Schädel. Springer, Berlin Heidelberg New YorkGoogle Scholar
  47. 47.
    Shenkin HA (1982) Acute subdural hematoma. Review of 39 consecutive cases with high incidence of cortical artery rupture. J Neurosurg 57: 254–257PubMedCrossRefGoogle Scholar
  48. 48.
    Sjövall H (1943) The genesis of skull and brain injuries. An anatomical and physical study. Munksgaard, CopenhagenGoogle Scholar
  49. 49.
    Stalnaker RL, Low TC, Lin AC (1987) Translational energy criteria and its correlation with head injury in the sub-human primate. Proceedings of the 1987 International Conference on the Biomechanics of Impact, Birmingham, pp 223–238Google Scholar
  50. 50.
    Strich SJ (1956) Diffuse degeneration of the cerebral white matter in severe dementia following head injury. J Neurol Neurosurg Psychiatry 19: 163–185PubMedCrossRefGoogle Scholar
  51. 51.
    Starmark JE, Stålhammar D, Holmgren E (1988) The Reaction Level Scale (RLS85). Manual and guidelines. Acta Neurochir (Wien) 991: 12–20CrossRefGoogle Scholar
  52. 52.
    Stålhammar D (1975) Experimental brain damage from fluid pressures due to impact acceleration. 1. Design of experimental procedure. Acta Neurol Scand 52: 7–26PubMedCrossRefGoogle Scholar
  53. 53.
    Stålhammar D (1990) Mechanism of brain injury. In: Winken PJ, Bruyn GW, Klawans HL (eds) Head injury. Handbook of clinical neurology. Elsevier Science Publishers B. V., Amsterdam, in pressGoogle Scholar
  54. 54.
    Stålhammar D, Olsson Y (1975a) Experimental brain damage from fluid pressures due to impact acceleration. 3. Morphological observations. Acta Neurol Scand 52: 38–55PubMedCrossRefGoogle Scholar
  55. 55.
    Stålhammar D, Olsson Y (1975b) Experimental brain damage from fluid pressures due to impact acceleration. 4. Comparative studies with acceleration-concussion. Acta Neurol Scand 52: 94–110PubMedCrossRefGoogle Scholar
  56. 56.
    Teasdale G, Galbraith S (1981) Acute traumatic intracranial hematomas. Progress in Neurological Surgery 10: 66–99Google Scholar
  57. 57.
    Teasdale G, Jennett B (1974) Assessment of coma and impairment of consciousness. A practical scale. Lancet ii 81–84CrossRefGoogle Scholar
  58. 58.
    Thibault LE, Gennarelli TA (1985) Biomechanics and craniocerebral trauma. In: Becker DP, Povlishick JT (eds) Central nervous system trauma. Status report, National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, pp 379–389Google Scholar
  59. 59.
    Tomlinson BE (1970) Brain-stem lesions after head injury. J Clin Pathol 23 [Suppl 4]: 154–165CrossRefGoogle Scholar
  60. 60.
    Tornheim PA, Liwnicz BH, Hirsch CS, Brown DL, McLaurin RL (1983) Acute responses to blunt head trauma. Experimental model and gross pathology. J Neurosurg 59: 431–438PubMedCrossRefGoogle Scholar
  61. 61.
    Tsubokawa T, Nakamura S, Hayashi N, Miyagami M, Taguma N, Yamada J, Kurisaka M, Sugawara T, Shinozaki H, Goto T, Takeuchi T, Moriyasu N (1975) Experimental primary fatal head injury caused by linear acceleration — biomechanics and pathogenesis. Neurol Med Chir 15: 57–65CrossRefGoogle Scholar
  62. 62.
    Unterharnscheidt F, Higgins LS (1969) Traumatic lesions of brain and spinal cord due to nondeforming angular acceleration of the head. Texas Reports on Biology and Medicine 27: 127–166PubMedGoogle Scholar
  63. 63.
    Yarnell PR, Lynch S (1973) The ‘ding’: Amnestic states in football trauma. Neurology 23: 196–197PubMedGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1991

Authors and Affiliations

  • D. A. Stålhammar
    • 1
  1. 1.Department of NeurosurgerySahlgren’s HospitalGöteborgSweden

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