Biomechanical analysis of skull trauma and opportunity in neuroradiology interpretation to explain the post-concussion syndrome: literature review and case studies presentation
| Autor: | Bruno Ella, Jean-Marc. Auteur du texte Vital, Yannick Distriquin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty Craniocerebral trauma lcsh:R895-920 Neuroimaging computed) Tomography (X-ray 030218 nuclear medicine & medical imaging Head trauma 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Concussion medicine Humans Radiology Nuclear Medicine and imaging Brain Concussion Neuroradiology Post-concussion syndrome business.industry Skull Finite element analysis medicine.disease Biomechanical Phenomena Stenosis medicine.anatomical_structure Radiology Narrative Review Presentation (obstetrics) Tomography X-Ray Computed business 030217 neurology & neurosurgery Jugular foramen |
| Zdroj: | European Radiology Experimental, Vol 4, Iss 1, Pp 1-9 (2020) European Radiology Experimental |
| ISSN: | 2509-9280 |
| DOI: | 10.1186/s41747-020-00194-x |
| Popis: | Traumatic head injuries are one of the leading causes of emergency worldwide due to their frequency and associated morbidity. The circumstances of their onset are often sports activities or road accidents. Numerous studies analysed post-concussion syndrome from a psychiatric and metabolic point of view after a mild head trauma. The aim was to help understand how the skull can suffer a mechanical deformation during a mild cranial trauma, and if it can explain the occurrence of some post-concussion symptoms. A multi-step electronic search was performed, using the following keywords: biomechanics properties of the skull, three-dimensional computed tomography of head injuries, statistics on skull injuries, and normative studies of the skull base. We analysed studies related to the observation of the skull after mild head trauma. The analysis of 23 studies showed that the cranial sutures could be deformed even during a mild head trauma. The skull base is a major site of bone shuffle. Three-dimensional computed tomography can help to understand some post-concussion symptoms. Four case studies showed stenosis of jugular foramen and petrous bone asymmetries who can correlate with concussion symptomatology. In conclusion, the skull is a heterogeneous structure that can be deformed even during a mild head trauma. |
| Databáze: | OpenAIRE |
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