Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke

Decompressive Craniectomy (DC) surgery is recommended to treat patients who suffered from large ischaemic cerebral infarction. Although DC surgery has been proven to reduce intracranial pressure (ICP) within the skull, too large of DC opening may contribute to risk of tissue injury. Computational st...

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Main Authors: Aina Najwa, Nadzri, Mohd Jamil Mohamed, Mokhtarudin, Wan Naimah, Wan Ab Naim, Payne, Stephen J.
Format: Conference or Workshop Item
Published: Springer 2022
Subjects:
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author Aina Najwa, Nadzri
Mohd Jamil Mohamed, Mokhtarudin
Wan Naimah, Wan Ab Naim
Payne, Stephen J.
author_facet Aina Najwa, Nadzri
Mohd Jamil Mohamed, Mokhtarudin
Wan Naimah, Wan Ab Naim
Payne, Stephen J.
author_sort Aina Najwa, Nadzri
collection UMP
description Decompressive Craniectomy (DC) surgery is recommended to treat patients who suffered from large ischaemic cerebral infarction. Although DC surgery has been proven to reduce intracranial pressure (ICP) within the skull, too large of DC opening may contribute to risk of tissue injury. Computational studies nowadays are very useful in predicting and decision making, especially in clinical studies. Therefore, a simulation was performed using mathematical modeling on an idealized 3D brain model to evaluate the outcome of different skull opening sizes in DC towards treating the brain tissue swelling in ischaemic stroke. The model is simulated based on poroelastic theory and capillary filtration. Our results show that larger craniectomy size may reduce the midline shift of the ventricle due to swelling tissue. Nevertheless, the bulging of swollen tissue out from the skull opening causes a little amount of stress applied at the edges of the opening. This modelling work may be used for further research in further research in evaluating the suitable craniectomy size for DC.
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spelling UMPir352302022-09-19T08:09:52Z http://umpir.ump.edu.my/id/eprint/35230/ Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke Aina Najwa, Nadzri Mohd Jamil Mohamed, Mokhtarudin Wan Naimah, Wan Ab Naim Payne, Stephen J. RC Internal medicine TJ Mechanical engineering and machinery Decompressive Craniectomy (DC) surgery is recommended to treat patients who suffered from large ischaemic cerebral infarction. Although DC surgery has been proven to reduce intracranial pressure (ICP) within the skull, too large of DC opening may contribute to risk of tissue injury. Computational studies nowadays are very useful in predicting and decision making, especially in clinical studies. Therefore, a simulation was performed using mathematical modeling on an idealized 3D brain model to evaluate the outcome of different skull opening sizes in DC towards treating the brain tissue swelling in ischaemic stroke. The model is simulated based on poroelastic theory and capillary filtration. Our results show that larger craniectomy size may reduce the midline shift of the ventricle due to swelling tissue. Nevertheless, the bulging of swollen tissue out from the skull opening causes a little amount of stress applied at the edges of the opening. This modelling work may be used for further research in further research in evaluating the suitable craniectomy size for DC. Springer 2022 Conference or Workshop Item PeerReviewed Aina Najwa, Nadzri and Mohd Jamil Mohamed, Mokhtarudin and Wan Naimah, Wan Ab Naim and Payne, Stephen J. (2022) Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke. In: Enabling Industry 4.0 through Advances in Manufacturing and Materials: Selected Articles from iM3F 2021, Malaysia , 20 September 2021 , Virtually hosted by Universiti Malaysia Pahang. pp. 599-607.. ISBN 978-981-19-2890-1 (Published) https://doi.org/10.1007/978-981-19-2890-1_56
spellingShingle RC Internal medicine
TJ Mechanical engineering and machinery
Aina Najwa, Nadzri
Mohd Jamil Mohamed, Mokhtarudin
Wan Naimah, Wan Ab Naim
Payne, Stephen J.
Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke
title Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke
title_full Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke
title_fullStr Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke
title_full_unstemmed Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke
title_short Simulation of Craniectomy Size in Decompressive Craniectomy for Ischaemic Stroke
title_sort simulation of craniectomy size in decompressive craniectomy for ischaemic stroke
topic RC Internal medicine
TJ Mechanical engineering and machinery
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