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Journal ArticleDOI

Compartmental analysis of compliance and outflow resistance of the cerebrospinal fluid system

Anthony Marmarou, +2 more
- 01 Nov 1975 - 
- Vol. 43, Iss: 5, pp 523-534
TLDR
The distribution of compliance and outflow resistance between cerebral and spinal compartments was measured in anesthetized, ventilated cats by analysis of the cerebrospinal fluid (CSF) pressure response to changes in CSF volume.
Abstract
✓ The distribution of compliance and outflow resistance between cerebral and spinal compartments was measured in anesthetized, ventilated cats by analysis of the cerebrospinal fluid (CSF) pressure response to changes in CSF volume. Cerebral and spinal compartments were isolated by inflating a balloon positioned epidurally at the level of C-6. The change of CSF volume per unit change in pressure (compliance) and change of CSF volume per unit of time (absorption) were evaluated by inserting pressure data from the experimental responses into a series of equations developed from a mathematical model. It was found that 68% of total compliance is contributed by the cerebral compartment while the remaining 32% is contained within the spinal axis. The cerebral compartment accounted for 84% of total CSF absorption. The mechanism for spinal absorption appears to be similar in that no differences were obvious on the basis of pressure dynamics.

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Citations
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Cerebral hemodynamics during arterial and CO2 pressure changes: in vivo prediction by a mathematical model

TL;DR: A new simple mathematical model of intracranial hemodynamics aimed at routine clinical investigation is performed and suggests that the model is able to reproduce the measured time patterns of V(MCA) and ICP in all 44 tracings by using values for the parameters that lie within the ranges reported in the pathophysiological literature.
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Upright patient positioning in the management of intracranial hypertension

TL;DR: Marked diminution in intracranial pressure was observed in the sitting or semisitting position in the 13 patients with documented intrac cranial hypertension as well as in the 11 in whom intrac Cranium pressure was not elevated.
Journal ArticleDOI

How common is normal cerebrospinal fluid pressure in spontaneous intracranial hypotension

TL;DR: Normal CSF pressure is common in patients with SIH; the absence of a low opening pressure should not exclude this condition and this suggests the influence of other factors.
Journal ArticleDOI

Spinal and cranial contributions to total cerebrospinal fluid transport

TL;DR: It is concluded that the spinal subarachnoid compartment has an important role in CSF clearance and is responsible for approximately one-fourth of total CSF transport.
Journal ArticleDOI

Traumatic brain injury, hemorrhagic shock, and fluid resuscitation: effects on intracranial pressure and brain compliance

TL;DR: Data support the hypothesis that reduction in brain compliance can occur secondary to elevation of CVP following resuscitation from hemorrhagic shock, which may worsen intracranial hypertension in patients with traumatic brain injury and hemorrhagicshock.
References
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Journal ArticleDOI

The pressure-volume curve of the cerebrospinal fluid space in dogs

TL;DR: The cerebrospinal fluid pressure‐volume curve was determined by measuring the pressure response to rapid injection of fluid into the cisterna magna of dogs, by means of a constant flow infusion pump.
Journal ArticleDOI

Cranial and spinal components of the cerebrospinal fluid pressure‐volume curve

TL;DR: A quantitative analysis of the contributions of the cranial and spinal compartments to the cerebrospinal fluid pressure‐volume curve was made using dogs using dogs to represent the effects on the fluid pressure of forced alterations in the volume of the intracranial vascular bed.
Journal ArticleDOI

Pressure-Volume Considerations in Infantile Hydrocephalus

TL;DR: Evidence of normal ventricular pressure does not exclude the possibility of progressive hydrocephalus, and increased pressure is likely to occur for quite long periods while the hydrocephalic infant is engaged in normal infantile activities.
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