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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

Multiplicity of cerebrospinal fluid functions: New challenges in health and disease

TL;DR: This review integrates eight aspects of cerebrospinal fluid (CSF) circulatory dynamics: formation rate, pressure, flow, volume, turnover rate, composition, recycling and reabsorption.
Journal ArticleDOI

Significance of intracranial hypertension in severe head injury.

TL;DR: Of the 48 patients who died, severe intracranial hypertension was the primary cause of death in nearly half and even moderately increased ICP (greater than 20 mm Hg) was associated with higher morbidity in patients with mass lesions and those with diffuse brain injury.
Journal ArticleDOI

A nonlinear analysis of the cerebrospinal fluid system and intracranial pressure dynamics.

TL;DR: Dynamic tests were developed for rapid measurement of CSF formation, absorption resistance, and the bulk intracranial compliance, applicable to clinical settings, providing data that are useful in characterizing the physiological mechanisms responsible for raised ICP and assessing changes induced by therapy.
Journal ArticleDOI

Assessment of cerebral pressure autoregulation in humans - a review of measurement methods

TL;DR: More research on reproducibility and inter-method comparisons is urgently needed, particularly involving the assessment of pressure autoregulation in individuals rather than patient groups, and it is not clear whether the two approaches are interchangeable.
References
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Journal ArticleDOI

Ventricular compliance in dogs with and without aqueductal obstruction

TL;DR: A measure of the response of the intracranial structures to increased pressure is given in animals with and without aqueductal obstruction and findings are discussed in relation to the increase in ventricular size observed during fractional pneumoencephalography.
Journal ArticleDOI

Csf dynamic diagnosis of spinal block ii

TL;DR: The main purpose of the present study was to determine the relation between spinalCSF pressure and the volume of the spinal CSF space, and to elucidate the block aggravating effect of lowering the CSF pressure.
Book ChapterDOI

Computer Modelling of CSF Pressure/Volume and its Relationship to Hydrocephalus

A. Marmarou, +1 more
TL;DR: Computer modelling based upon the contention that in the hydrocephalic infant the degree of compensation to volume disturbance within the cerebrospinal fluid (CSF) compartment is dependent upon only 2 parameters is described.
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