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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

A mathematical study of human intracranial hydrodynamics part 1—The cerebrospinal fluid pulse pressure

TL;DR: The model explains the intracranial pressure pulse wave as the result of the pulsating changes in cerebral blood volume (related to cerebrovascular compliance) which occur within a rigid space (i.e., the craniospinal compartment).
Journal ArticleDOI

Quantifying the effect of posture on intracranial physiology in humans by MRI flow studies.

TL;DR: To quantify the effect of posture on intracranial physiology in humans by MRI, and demonstrate the relationship between intrac Cranial compliance (ICC) and pressure (ICP), and the pulsatility of blood and CSF flows.
Journal ArticleDOI

Effects of PEEP on the intracranial system of patients with head injury and subarachnoid hemorrhage: the role of respiratory system compliance.

TL;DR: In patients with low Crs, PEEP has no significant effect on cerebral and systemic hemodynamics, and monitoring of Crs may be useful for avoiding deleterious effects of PEEP on the intracranial system of patients with normal Crs.
Journal ArticleDOI

A Contemporary Definition and Classification of Hydrocephalus

TL;DR: A definition and classification that include all clinical causes and forms of hydrocephalus are suggested and would allow clinicians and basic scientists to communicate effectively, to share information and results, and to develop testable hypotheses.
Journal ArticleDOI

Spaceflight-Induced Intracranial Hypertension and Visual Impairment: Pathophysiology and Countermeasures.

TL;DR: Evidence thus reviewed supports that chronic, mildly elevated intracranial pressure in space (as opposed to more variable ICP with posture and activity on Earth) is largely accounted for by loss of hydrostatic pressures and altered hemodynamics in the intrac Cranial circulation and the cerebrospinal fluid system.
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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