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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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Journal ArticleDOI

Impact of cerebral perfusion pressure and autoregulation on intracranial dynamics: a modeling study.

TL;DR: The present study emphasizes the relevant role of CPP changes, elicited by acute arterial hypotension, in intracranial dynamics and estimates the pressure-volume index (PVI), which is significantly affected by the active response of cerebral vessels.
Journal ArticleDOI

Subtle deterioration in shunted childhood hydrocephalus. A biomechanical and clinical profile.

TL;DR: This study documents that subtle deterioration in shunted hydrocephalic children is accompanied by abnormally compliant pressure-volume curves and these children develop ventricular enlargement and neurological deterioration without acute episodic pressure waves.
Journal ArticleDOI

Management of Entrapped Temporal Horn by Temporal Horn to Prepontine Cistern Shunting

TL;DR: This work describes an alternate approach involving temporal horn to prepontine cistern shunting followed by radiosurgery of the offending lesion in a 41-year-old woman with a history of meningiomatosis with progressive, incapacitating headache.
Journal ArticleDOI

Influences of brain tissue poroelastic constants on intracranial pressure (ICP) during constant-rate infusion

TL;DR: Based on the simulated infusion curves from the FE model, artificial neural network (ANN) was used to find an optimised parameter set that best fit the experimental curve, and confirmed the limitation of linear poroelasticity in modelling the transient constant-rate infusion.
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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