PMID- 27165867 OWN - NLM STAT- MEDLINE DCOM- 20170711 LR - 20170713 IS - 0065-1419 (Print) IS - 0065-1419 (Linking) VI - 122 DP - 2016 TI - Mechanism of Traumatic Brain Injury at Distant Locations After Exposure to Blast Waves: Preliminary Results from Animal and Phantom Experiments. PG - 3-7 LID - 10.1007/978-3-319-22533-3_1 [doi] AB - Purpose Primary blast-induced traumatic brain injury (bTBI) is the least understood of the four phases of blast injury. Distant injury induced by the blast wave, on the opposite side from the wave entry, is not well understood. This study investigated the mechanism of distant injury in bTBI. Materials and Methods Eight 8-week-old male Sprague-Dawley rats were divided into two groups: group 1 served as the control group and did not receive any shock wave (SW) exposure; group 2 was exposed to SWs (12.5 +/- 2.5 MPa). Propagation of SWs within a brain phantom was evaluated by visualization, pressure measurement, and numerical simulation. Results Intracerebral hemorrhage near the ignition site and elongation of the distant nucleus were observed, despite no apparent damage between the two locations in the animal experiment. Visualization, pressure measurement, and numerical simulation indicated the presence of complex wave dynamics accompanying a sudden increase in pressure, followed by negative pressure in the phantom experiment. Conclusion A local increase in pressure above the threshold caused by interference of reflection and rarefaction waves in the vicinity of the brain-skull surface may cause distant injury in bTBI. FAU - Nakagawa, Atsuhiro AU - Nakagawa A AD - Department of Neurosurgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan. nakg_neurosurg@yahoo.co.jp. FAU - Ohtani, Kiyonobu AU - Ohtani K AD - Institute of Fluid Science, Tohoku University, Miyagi, Japan. FAU - Goda, Keisuke AU - Goda K AD - Department of Chemistry, School of Science, University of Tokyo, Tokyo, Japan. AD - Department of Electrical Engineering, University of California, Los Angeles, USA. FAU - Kudo, Daisuke AU - Kudo D AD - Department of Emergency Medicine and Critical Care, Tohoku University Graduate School of Medicine, Miyagi, Japan. FAU - Arafune, Tatsuhiko AU - Arafune T AD - Division of Electrical and Mechanical Engineering, School of Science and Engineering, Tokyo Denki University, Tokyo, Japan. FAU - Washio, Toshikatsu AU - Washio T AD - National Institute of Advanced Industrial Science and Technology, Tsukuba, Japan. FAU - Tominaga, Teiji AU - Tominaga T AD - Department of Neurosurgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan. LA - eng PT - Journal Article PL - Austria TA - Acta Neurochir Suppl JT - Acta neurochirurgica. Supplement JID - 100962752 SB - IM MH - Animals MH - Blast Injuries/*etiology/pathology MH - Brain/pathology MH - Brain Injuries, Traumatic/*etiology/pathology MH - Computer Simulation MH - *Explosions MH - Male MH - *Phantoms, Imaging MH - *Pressure MH - Rats MH - Rats, Sprague-Dawley OTO - NOTNLM OT - Blast injury OT - Neurocritical care OT - Shock wave OT - Traumatic brain injury EDAT- 2016/05/12 06:00 MHDA- 2017/07/14 06:00 CRDT- 2016/05/12 06:00 PHST- 2016/05/12 06:00 [entrez] PHST- 2016/05/12 06:00 [pubmed] PHST- 2017/07/14 06:00 [medline] AID - 10.1007/978-3-319-22533-3_1 [doi] PST - ppublish SO - Acta Neurochir Suppl. 2016;122:3-7. doi: 10.1007/978-3-319-22533-3_1.