2022
DOI: 10.1038/s42003-022-04128-8
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Long-term recovery behavior of brain tissue in hydrocephalus patients after shunting

Abstract: The unpredictable complexities in hydrocephalus shunt outcomes may be related to the recovery behavior of brain tissue after shunting. The simulated cerebrospinal fluid (CSF) velocity and intracranial pressure (ICP) over 15 months after shunting were validated by experimental data. The mean strain and creep of the brain had notable changes after shunting and their trends were monotonic. The highest stiffness of the hydrocephalic brain was in the first consolidation phase (between pre-shunting to 1 month after … Show more

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Cited by 12 publications
(23 citation statements)
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References 92 publications
(163 reference statements)
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“…In the future, more prospective multicenter studies can be used to validate our findings and elucidate the underlying mechanisms. Recent studies have reported that BP and hemodynamic changes are effective indicators in the diagnosis and treatment of large groups of brain disorders 45,46 . Therefore, with methodological adaptation (e.g., including other proposed metrics of cerebral circulation), the findings might be extended to the cohorts with other brain disorders, for example, hydrocephalus and cerebral atrophy, to enable the early detection of severe symptoms and improve the diagnosis and treatment 47 …”
Section: Discussionmentioning
confidence: 99%
“…In the future, more prospective multicenter studies can be used to validate our findings and elucidate the underlying mechanisms. Recent studies have reported that BP and hemodynamic changes are effective indicators in the diagnosis and treatment of large groups of brain disorders 45,46 . Therefore, with methodological adaptation (e.g., including other proposed metrics of cerebral circulation), the findings might be extended to the cohorts with other brain disorders, for example, hydrocephalus and cerebral atrophy, to enable the early detection of severe symptoms and improve the diagnosis and treatment 47 …”
Section: Discussionmentioning
confidence: 99%
“…This work represents an innovation in the characterization of LP-based drug-delivery systems that can be extended to different types of nanoparticles for the treatment of many diseases. The formulations presented here were tested for crossing the BBB and releasing specific drugs into the diseased area of the brain; for this reason, they can be potentially developed and optimized for other neurological diseases besides AD and GBM, including the case of hydrocephalus patients, where the BBB has been a great hurdle for drug delivery to the brain [ 46 , 47 ]. Such a deep Raman analysis was proposed here for the first time to study functionalized LPs as therapeutics for brain diseases.…”
Section: Discussionmentioning
confidence: 99%
“…COMSOL Multiphysics (version 5.3; COMSOL, Inc., Burlington, MA, USA) was used for geometrical modeling, mesh generation, and finite element analysis (FEA) to calculate output forces, displacements, von Mises stresses, and cation concentrations in IPMCs. FEA-based simulation is common to solve biological problems [ 23 , 24 , 25 ]. The transport of diluted species and general form partsssial differential equations were used to define Nernst–Planck and Poisson equations, respectively, during FE simulation of IPMCs.…”
Section: Methodsmentioning
confidence: 99%