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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

Hypothesis about the physiopathology of acute deterioration and sudden death caused by colloid cysts of the third ventricle.

TL;DR: It seems possible that acute deterioration is initiated by an increase in sagittal sinus pressure, which provokes acute brain swelling, with a series of often-irreversible events, leading to sudden death.
Journal ArticleDOI

Pressure-volume conditions in patients with subarachnoid and/or intraventricular hemorrhage

TL;DR: An equation was derived from the PVI model that describes the relationship between the Psyst:Pdiast ratio and the P VI that increases ICP from the diastolic to the systolic level and does not correlate with ICP.
Journal ArticleDOI

Quasi-steady-state compartmental model of intracranial fluid dynamics.

TL;DR: A lumped-parameter compartmental model for the cerebrovascular fluid system is constructed and solved for quasi-steady-state flow and predicts the pressure waves in the various compartments of the intracranial region in response to changes in the arterial pressure.
Journal ArticleDOI

Impaired pulsation absorber mechanism in idiopathic normal pressure hydrocephalus: laboratory investigation.

TL;DR: The results suggest that the human intracranial system shows frequency dependence as seen in animal experiments and imply that reduced frequency-dependent compliance may be responsible for elevated ICP amplitude observed in patients who respond to CSF shunting.
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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