2020
DOI: 10.3390/mca25020022
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Mechanism of Coup and Contrecoup Injuries Induced by a Knock-Out Punch

Abstract: Primary Objective: The interaction of cerebrospinal fluid with the brain parenchyma in an impact scenario is studied. Research Design: A computational fluid-structure interaction model is used to simulate the interaction of cerebrospinal fluid with a comprehensive brain model. Methods and Procedures: The method of smoothed particle hydrodynamics is used to simulate the fluid flow, induced by the impact, simultaneously with finite element analysis to solve the large deformations in the brain model. Main Outcome… Show more

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Cited by 16 publications
(10 citation statements)
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“…FSI simulations using SPH are used to demonstrate and to study the cushioning effect of cerebrospinal fluid [ 58 , 59 , 60 ] and the mechanism of brain injuries induced by an outside loading factor [ 4 , 61 , 62 , 63 ]. In the context of disease diagnosis and management, these models are able to assess the risk of developing neurological complications, such as hemorrhage, following treatment in addition to explaining the possible pathophysiology behind the condition itself [ 64 ].…”
Section: Applicationsmentioning
confidence: 99%
“…FSI simulations using SPH are used to demonstrate and to study the cushioning effect of cerebrospinal fluid [ 58 , 59 , 60 ] and the mechanism of brain injuries induced by an outside loading factor [ 4 , 61 , 62 , 63 ]. In the context of disease diagnosis and management, these models are able to assess the risk of developing neurological complications, such as hemorrhage, following treatment in addition to explaining the possible pathophysiology behind the condition itself [ 64 ].…”
Section: Applicationsmentioning
confidence: 99%
“…2). This coup and contrecoup behaviour can be explained as the brain is suspended inside the skull in cerebrospinal fluid (CSF) [35,36]. However, the CSF usually does not provide enough cushioning for high energy impacts [37].…”
Section: Design and Functionmentioning
confidence: 99%
“…Therefore, three-dimensional modeling might be useful to demonstrate qualitative and quantitative effects of mouthguard usage, since it enables the prediction of stresses/strains and their distribution during a traumatic (sport) impact [ 6 , 7 ]. Finite element analysis (FEA) is one of the most adequate methodologies to evaluate the impact on the skull, under controlled conditions and without harming any patient or animal [ 20 , 21 ]. The aim of this study was to analyze the biomechanical effects of wearing a conventional custom mouthguard (MG) and the novel hybrid occlusal splint-mouthguard (HMG) on the mechanical responses of the teeth, bone, and the device itself, when subjected to compressive occlusal loading.…”
Section: Introductionmentioning
confidence: 99%