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Cerebrospinal fluid

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neurodegenerative diseases. Intrathecal injection, where drugs are injected directly into the CSF via the lumbar region, and intracerebroventricular injection, targeting the brain's ventricles, are common approaches. These methods ensure that drugs can reach the CNS more effectively than systemic administration, potentially improving therapeutic outcomes and reducing systemic side effects. Advances in this field are driven by ongoing research into novel delivery systems and drug formulations, enhancing the precision and efficacy of treatments. Intrathecal pseudodelivery refers to a particular drug delivery method where the therapeutic agent is introduced into a reservoir connected to the intrathecal space, rather than being released into the CSF and distributed throughout the CNS. In this approach, the drug interacts with its target within the reservoir, allowing for changing the composition of the CSF without systemic release. This method can be advantageous for maximizing efficacy and minimizing systemic side effects.
1356: 77: 49: 346: 528:(hindbrain). Subarachnoid spaces are first evident around the 32nd day of development near the rhombencephalon; circulation is visible from the 41st day. At this time, the first choroid plexus can be seen, found in the fourth ventricle, although the time at which they first secrete CSF is not yet known. 1106:
The composition and rate of CSF generation are influenced by hormones and the content and pressure of blood and CSF. For example, when CSF pressure is higher, there is less of a pressure difference between the capillary blood in choroid plexuses and CSF, decreasing the rate at which fluids move into
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found on the surface of the choroid endothelium, appears to play a role in regulating CSF secretion and composition. It has been hypothesised that CSF is not primarily produced by the choroid plexus, but is being permanently produced inside the entire CSF system, as a consequence of water filtration
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CSF volume is higher on a mL per kg body weight basis in children compared to adults. Infants have a CSF volume of 4 mL/kg, children have a CSF volume of 3 mL/kg, and adults have a CSF volume of 1.5–2 mL/kg. A high CSF volume is why a larger dose of local anesthetic, on a mL/kg basis,
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blood plasma has a much lower concentration of chloride anions than sodium cations. CSF contains a similar concentration of sodium ions to blood plasma but fewer protein cations and therefore a smaller imbalance between sodium and chloride resulting in a higher concentration of chloride ions than
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CSF drug delivery refers to a number of methods designed to administer therapeutic agents directly into the CSF, bypassing the BBB to achieve higher drug concentrations in the CNS. This technique is particularly beneficial for treating neurological disorders such as brain tumors, infections, and
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referred to "excremental liquid" in the ventricles of the brain, which he believed was purged into the nose. But for some 16 intervening centuries of ongoing anatomical study, CSF remained unmentioned in the literature. This is perhaps because of the prevailing autopsy technique, which involved
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CSF moves in a single outward direction from the ventricles, but multidirectionally in the subarachnoid space. Fluid movement is pulsatile, matching the pressure waves generated in blood vessels by the beating of the heart. Some authors dispute this, posing that there is no unidirectional CSF
1563:. In a manuscript written between 1741 and 1744, unpublished in his lifetime, Swedenborg referred to CSF as "spirituous lymph" secreted from the roof of the fourth ventricle down to the medulla oblongata and spinal cord. This manuscript was eventually published in translation in 1887. 440:
CSF contains approximately 0.59% plasma proteins, or approximately 15 to 40 mg/dL, depending on sampling site. In general, globular proteins and albumin are in lower concentration in ventricular CSF compared to lumbar or cisternal fluid. This continuous flow into the
967:. These are exchanged for sodium and chloride on the cell surface facing the interstitium. Sodium, chloride, bicarbonate and potassium are then actively secreted into the ventricular lumen. This creates osmotic pressure and draws water into CSF, facilitated by 531:
The developing forebrain surrounds the neural cord. As the forebrain develops, the neural cord within it becomes a ventricle, ultimately forming the lateral ventricles. Along the inner surface of both ventricles, the ventricular wall remains thin, and a
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develops, producing and releasing CSF. CSF quickly fills the neural canal. Arachnoid villi are formed around the 35th week of development, with arachnoid granulations noted around the 39th, and continuing developing until 18 months of age.
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and more complex species, and as species become progressively more complex, the system of absorption becomes progressively more enhanced, and the role of spinal epidural veins in absorption plays a progressively smaller and smaller role.
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Liquorpheresis is the process of filtering the CSF in order to clear it from endogen or exogen pathogens. It can be achieved by means of fully implantable or extracorporeal devices, though the technique remains experimental today.
1569:, a Swiss physician and physiologist, made note in his 1747 book on physiology that the "water" in the brain was secreted into the ventricles and absorbed in the veins, and when secreted in excess, could lead to hydrocephalus. 1602:
began to popularize lumbar puncture, which he advocated for both diagnostic and therapeutic purposes. In 1912, a neurologist William Mestrezat gave the first accurate description of the chemical composition of CSF. In 1914,
3304: 1377:. CSF is extracted through the needle, and tested. About one third of people experience a headache after lumbar puncture, and pain or discomfort at the needle entry site is common. Rarer complications may include bruising, 1319:: low CSF pressure. It can cause headaches, made worse by standing, moving and coughing, as the low CSF pressure causes the brain to "sag" downwards and put pressure on its lower structures. If a leak is identified, a 1073:
into the venous sinuses around the brain, with valves to ensure one-way drainage. This occurs because of a pressure difference between the arachnoid mater and venous sinuses. CSF has also been seen to drain into
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in the choroid plexus into an interstitial space, with movement guided by a difference in pressure between the blood in the capillaries and the interstitial fluid. This fluid then needs to pass through the
512:, by the fourth week of embryological development three swellings have formed within the embryo around the canal, near to where the head will develop. These swellings represent different components of the 1373:, usually obtained by a procedure called lumbar puncture. Lumbar puncture is carried out under sterile conditions by inserting a needle into the subarachnoid space, usually between the third and fourth 1631:
fish, which do not have a subarachnoid space, is contained within the ventricles of their brains. In mammals, where a subarachnoid space is present, CSF is present in it. Absorption of CSF is seen in
219:. In humans, there is about 125 mL of CSF at any one time, and about 500 mL is generated every day. CSF acts as a shock absorber, cushion or buffer, providing basic mechanical and 971:. CSF contains many fewer protein anions than blood plasma. Protein in the blood is primarily composed of anions where each anion has many negative charges on it. As a result, to maintain 1573:
studied the properties of CSF by vivisection. He discovered the foramen Magendie, the opening in the roof of the fourth ventricle, but mistakenly believed that CSF was secreted by the
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Merril CR, Goldman D, Sedman SA, Ebert MH (March 1981). "Ultrasensitive stain for proteins in polyacrylamide gels shows regional variation in cerebrospinal fluid proteins".
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plasma. This creates an osmotic pressure difference with the plasma. CSF has less potassium, calcium, glucose and protein. Choroid plexuses also secrete growth factors,
1643:, cerebrospinal fluid turns over at a rate of 3–5 times a day. Problems with CSF circulation, leading to hydrocephalus, can occur in other animals as well as humans. 2710:"Arterial supply and venous drainage of the choroid plexus of the human lateral ventricle in the prenatal period as revealed by vascular corrosion casts and SEM" 1030:
There are circadian variations in CSF secretion, with the mechanisms not fully understood, but potentially relating to differences in the activation of the
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may be used to demonstrate and in some circumstances relieve high intracranial pressure. Hydrocephalus is usually treated through the insertion of a
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such as CT scans and MRI scans can be used to investigate for a presumed CSF leak when no obvious leak is found but low CSF pressure is identified.
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is needed in infants. Additionally, the larger CSF volume may be one reason as to why children have lower rates of postdural puncture headache.
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within CSF assisting movement through the cerebral aqueduct. It is present in early intrauterine life but disappears during early development.
393:. CSF is present within the subarachnoid space, which covers the brain and spinal cord, and stretches below the end of the spinal cord to the 137: 1420:
may be used to identify a viral cause. Investigations to the total type and nature of proteins reveal point to specific diseases, including
3565: 3343: 2206:"A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid β" 1335:, often offers symptomatic relief. Treatment of an identified leak may include injection of a person's blood into the epidural space (an 972: 2876: 3275: 3648: 2515:
Janssens E, Aerssens P, Alliët P, Gillis P, Raes M (March 2003). "Post-dural puncture headaches in children. A literature review".
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rapidly into CSF and are removed into the bloodstream as CSF is absorbed. When this goes awry, CSF can become toxic, such as in
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Sharifi M, Ciołkowski M, Krajewski P, Ciszek B (August 2005). "The choroid plexus of the fourth ventricle and its arteries".
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of the brain. The ventricles are a series of cavities filled with CSF. The majority of CSF is produced from within the two
1090:. CSF turns over at a rate of three to four times a day. CSF has also been seen to be reabsorbed through the sheathes of 1042: 3026: 3616: 2123: 445:
dilutes the concentration of larger, lipid-insoluble molecules penetrating the brain and CSF. CSF is normally free of
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circulation, but cardiac cycle-dependent bi-directional systolic-diastolic to-and-from cranio-spinal CSF movements.
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conditions. A lumbar puncture that drains CSF may also be used as part of treatment for some conditions, including
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O (16–24 mmHg or 2.1–3.2 kPa) with the patient sitting up. In newborns, CSF pressure ranges from 8 to 10
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The brain produces roughly 500 mL of cerebrospinal fluid per day at a rate of about 20 mL an hour. This
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and is largely similar to it, except that CSF is nearly protein-free compared with plasma and has some different
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Venturi S, Venturi M (2014). "Iodine, PUFAs and Iodolipids in Health and Disease: An Evolutionary Perspective".
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Testing often includes observing the colour of the fluid, measuring CSF pressure, and counting and identifying
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test of the leaking fluid, when positive, is highly specific and sensitive for the detection for CSF leakage.
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Saunders NR, Habgood MD, Dziegielewska KM (January 1999). "Barrier mechanisms in the brain, I. Adult brain".
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Wright BL, Lai JT, Sinclair AJ (August 2012). "Cerebrospinal fluid and lumbar puncture: a practical review".
1457: 1212: 684: 181: 2288:"Cerebrospinal fluid cytotoxicity in amyotrophic lateral sclerosis: a systematic review of in vitro studies" 1289:, repeated drainage via lumbar puncture, or the insertion of a shunt such as a ventriculo-peritoneal shunt. 3705: 2644: 1429: 1282: 1265:
is a condition of unknown cause characterized by a rise in CSF pressure. It is associated with headaches,
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refers to the density of a substance compared to the density of human cerebrospinal fluid and is used in
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CSF protects the brain tissue from injury when jolted or hit, by providing a fluid buffer that acts as a
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factors, to which slight changes can cause problems or damage to the nervous system. For example, high
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is an abnormal accumulation of CSF in the ventricles of the brain. Hydrocephalus can occur because of
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through the capillary walls into the interstitial fluid of the surrounding brain tissue, regulated by
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is aided by decreasing the amount of CSF in the limited space inside the skull. This decreases total
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of the neural tube close after the first month of development, and CSF pressure gradually increases.
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into the subarachnoid space, where they spread around CSF, meaning substances that cannot cross the
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is continuous with the cerebrospinal fluid. The ependymal cells of the choroid plexus have multiple
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cells lining the choroid plexus into the ventricles, an active process requiring the transport of
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in the neck. When lying down, the CSF pressure as estimated by lumbar puncture is similar to the
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In humans, there is about 125–150 mL of CSF at any one time. This CSF circulates within the
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may reveal enlargement of one or both lateral ventricles, or causative masses or lesions, and
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Ropper, Allan H.; Adams, Raymond D.; Victor, Maurice; Brown, Robert H. (2005). "Chapter 30".
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Choroid plexus of the lateral ventricle produces CSF from the arterial blood provided by the
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CSF allows for the removal of waste products from the brain, and is critical in the brain's
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began treating tubercular meningitis by removing CSF from the subarachnoid space, and
1587:) made note of the fact that the consistency of CSF is altered in meningitis. In 1869 1556:
cutting off the head, thereby removing evidence of CSF before the brain was examined.
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as a result of different causes such as physical trauma or a lumbar puncture, or from
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Iliff JJ, Wang M, Liao Y, Plogg BA, Peng W, Gundersen GA, et al. (August 2012).
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Johnston M (2003). "The importance of lymphatics in cerebrospinal fluid transport".
2660: 2544: 2096: 2010: 1412:, may be indicated by elevated white blood cell levels. A CSF culture may yield the 592:
without being impaired by its own weight, which would cut off blood supply and kill
316:, it was forgotten for centuries, though later was described in the 18th century by 3669: 3595: 3509: 3470: 3380: 3195: 3179: 3083: 2990: 2775: 2656: 2617: 2562:(2nd ed.). Philadelphia, Pa.: Lippincott Williams & Wilkins. p. 292. 2524: 2489: 2448: 2438: 2360: 2350: 2309: 2299: 2225: 2217: 2076: 2041: 1990: 1981:
Felgenhauer K (December 1974). "Protein size and cerebrospinal fluid composition".
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from the interstitial fluid diffuse into the epithelial cells. Within these cells,
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is constantly reabsorbed, so that only 125–150 mL is present at any one time.
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suspended in CSF is equivalent to a mass of 25–50 g. The brain therefore exists in
450: 390: 374: 76: 3183: 3145:(First ed.). London: Springer Cham (published November 2023). pp. 1–67. 2708:
Zagórska-Swiezy K, Litwin JA, Gorczyca J, Pityński K, Miodoński AJ (August 2008).
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The amount of cerebrospinal fluid varies by size and species. In humans and other
870:. The choroid plexus is a network of blood vessels present within sections of the 270:
of the spinal cord. There is also a connection from the subarachnoid space to the
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Schoenwolf GC, Larsen WJ (2009). "Development of the Brain and Cranial Nerves".
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CSF is produced by the choroid plexus in two steps. Firstly, a filtered form of
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Kishimoto N, Sawamoto K (February 2012). "Planar polarity of ependymal cilia".
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antibiotics, or without any identifiable cause at all, particularly in younger
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on the apical surfaces of the ependymal cells beat to help transport the CSF.
3684: 3553: 3543: 3492: 3438: 3375: 3191: 3046: 2951:(21st ed.). Edinburgh: Churchill Livingstone/Elsevier. pp. 1147–8. 2846:(21st ed.). Edinburgh: Churchill Livingstone/Elsevier. pp. 1220–1. 2501: 2111: 1580: 1548: 1468: 1413: 1397: 1286: 1266: 1200: 964: 941:
between cells, which act to prevent most substances flowing freely into CSF.
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Czarniak N, Kamińska J, Matowicka-Karna J, Koper-Lenkiewicz OM (May 2023).
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Various comments by ancient physicians have been read as referring to CSF.
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on their apical surfaces that beat to move the CSF through the ventricles.
2053: 2002: 1045:(cerebellopontine angle and the adjacent part of the lateral recess), the 3395: 3356: 3088: 3071: 2339:"Defining novel functions for cerebrospinal fluid in ALS pathophysiology" 1652: 1544: 1514: 1498: 1445: 1344: 1332: 1270: 1024: 1019: 988: 960: 646: 631: 577: 545: 509: 498: 458: 426: 313: 224: 193: 62: 2257:(8 ed.). New York: McGraw-Hill Medical Pub. Division. p. 530. 1078:
vessels, particularly those surrounding the nose via drainage along the
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Liquorpheresis: Cerebrospinal Fluid Filtration to Treat CNS Conditions
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to determine the manner in which a particular drug will spread in the
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Hydrocephalus without obstruction associated with normal CSF pressure
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Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J (2015).
2587:(12th ed.). Philadelphia, Pa.: Saunders/Elsevier. p. 749. 2116:
Clinical Methods: The History, Physical, and Laboratory Examinations
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Ng Kee Kwong KC, Mehta AR, Nedergaard M, Chandran S (August 2020).
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discussed "water" surrounding the brain when describing congenital
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of the passage of CSF, such as from an infection, injury, mass, or
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of the distribution of substances between cells of the brain, and
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influences choroid plexus CSF secretion, with activation of the
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Clear, colorless bodily fluid found in the brain and spinal cord
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European Annals of Otorhinolaryngology, Head and Neck Diseases
1784:(11th ed.). Philadelphia: W.B. Saunders. pp. 764–7. 1591:
proposed that CSF drainage could occur via lymphatic vessels.
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A sample of CSF can be taken from around the spinal cord via
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can still be active throughout the central nervous system.
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within the fluid; measuring protein and glucose levels; and
1273:. It can occur in association with the use of vitamin A and 493:. A tube-like formation develops in the midline, called the 345: 3558: 3240:"A note from history: discovery of the cerebrospinal fluid" 1170: 573: 397:. There is a connection from the subarachnoid space to the 81:
Image showing the location of CSF highlighting the brain's
2913:(19 ed.). McGraw-Hill Professional. pp. 2606–7. 2643:
Staempfli, Henry R.; Constable, Peter D. (1 August 2023).
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Kwong KC, Gregory JM, Pal S, Chandran S, Mehta AR (2020).
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Noback C, Strominger NL, Demarest RJ, Ruggiero DA (2005).
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published conclusive evidence that CSF is secreted by the
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women. Management may include ceasing any known causes, a
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around and inside the brain and spinal cord. It fills the
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Identification of the Cerebrospinal Fluid System Dynamics
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which line the ventricles; by the lining surrounding the
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Most (about two-thirds to 80%) of CSF is produced by the
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demonstrated that CSF is secreted by the choroid plexus.
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Clinical and Experimental Pharmacology & Physiology
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levels. Due to the way it is produced, CSF has a lower
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Functional Anatomy and Physiology of Domestic Animals
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Lumbar puncture can also be performed to measure the
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frontal and occipital horns of the lateral ventricles
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CSF can be tested for the diagnosis of a variety of
3025:Seehusen DA, Reeves MM, Fomin DA (September 2003). 3024: 1259:, which diverts fluid to another part of the body. 1061:CSF returns to the vascular system by entering the 405:making the cerebrospinal fluid continuous with the 2803:"Chapter 14 – Cerebrospinal Fluid :THE NORMAL CSF" 2642: 2476:Thiele, Eryn L.; Nemergut, Edward C. (June 2020). 2203: 1177:) with the patient lying on the side and 20–30 cmH 1135:) have the potential to impact membrane channels. 3140: 2947:Colledge NR, Walker BR, Ralston SH, eds. (2010). 2842:Colledge NR, Walker BR, Ralston SH, eds. (2010). 2837: 2835: 2833: 2831: 2829: 2827: 2825: 2823: 2610:Differentiation; Research in Biological Diversity 2607: 1719: 3682: 3069: 2942: 2940: 2938: 2936: 2934: 2932: 2930: 2904: 2902: 2900: 2898: 2153: 1905: 1448:may be tested for to assist in the diagnosis of 1381:or ongoing post lumbar-puncture leakage of CSF. 1864:"Anatomy and physiology of cerebrospinal fluid" 1861: 1478: 1467:, which might be increased in certain types of 1396:the fluid. The presence of red blood cells and 3065: 3063: 2972: 2970: 2968: 2949:Davidson's principles and practice of medicine 2844:Davidson's principles and practice of medicine 2820: 2688: 2585:Guyton and Hall textbook of medical physiology 2475: 3337: 3233: 3231: 3229: 3227: 3225: 3223: 3221: 3219: 2927: 2895: 2149: 2147: 2145: 2143: 1970:(6th ed.). McGraw Hill. pp. 519–20. 1961: 1959: 1957: 1955: 1953: 1715: 1713: 1711: 1709: 1707: 1705: 1703: 1559:The modern rediscovery of CSF is credited to 461:and can indicate inflammation or infection). 3269: 3267: 3265: 2759: 2508: 2109: 1908:"A new look at cerebrospinal fluid movement" 1901: 1899: 1857: 1855: 1853: 1851: 1849: 1847: 1845: 1843: 1841: 1839: 1837: 1835: 1833: 1831: 1829: 1827: 1825: 1823: 1821: 1701: 1699: 1697: 1695: 1693: 1691: 1689: 1687: 1685: 1683: 701:Comparison of serum and cerebrospinal fluid 3060: 2965: 2427:"Cerebrospinal Fluid-Basic Concepts Review" 2420: 2418: 2060: 1980: 1862:Sakka L, Coll G, Chazal J (December 2011). 1819: 1817: 1815: 1813: 1811: 1809: 1807: 1805: 1803: 1801: 1107:the choroid plexus and CSF generation. The 874:of the brain. It is present throughout the 381:through four openings – the 3344: 3330: 3216: 3020: 3018: 3016: 3014: 2911:Harrison's Principles of Internal Medicine 2871: 2869: 2867: 2865: 2863: 2800: 2255:Adams and Victor's principles of neurology 2140: 1974: 1950: 1779: 1359:Vials containing human cerebrospinal fluid 227:. CSF also serves a vital function in the 75: 53:The cerebrospinal fluid circulates in the 47: 3262: 3244:Annals of Clinical and Laboratory Science 3199: 3087: 2994: 2601: 2452: 2442: 2364: 2354: 2313: 2303: 2229: 1933: 1923: 1896: 1879: 1680: 588:, which allows the brain to maintain its 301:, as well as indicate diseases including 3305:Circulation of Cerebrospinal Fluid (CSF) 3070:Hocking G, Wildsmith JA (October 2004). 2765: 2551: 2415: 2391:Cerebrospinal Fluid in Clinical Practice 1798: 1775: 1773: 1771: 1769: 1767: 1765: 1763: 1761: 1759: 1354: 1138: 344: 336: 3011: 2860: 1965: 901:; and a small amount directly from the 14: 3683: 3280:. John Wiley & Sons. p. 118. 3168:"ATP-Responsive Drug Delivery Systems" 933:that draws water into CSF by creating 580:is about 1400–1500 grams, but its net 3325: 3273: 3237: 3165: 2976: 2557: 2387: 2197: 1756: 1215:may also occur. Symptoms can include 903:tiny spaces surrounding blood vessels 606:from some forms of mechanical injury. 2582: 2576: 2343:Acta Neuropathologica Communications 1529: 1454:idiopathic intracranial hypertension 1313:spontaneous cerebrospinal fluid leak 1263:Idiopathic intracranial hypertension 1098:sheathes, and through the ependyma. 1047:posterior inferior cerebellar artery 361:. From here, CSF passes through the 3307: – interactive tool 3166:Sun, Wujin; Gu, Zhen (2016-03-03). 2809:. Northeast Ohio Medical University 1049:(roof and median opening), and the 1043:anterior inferior cerebellar artery 457:is higher than this it constitutes 24: 3141:Menendez-Gonzalez, Manuel (2023). 1416:that has caused the infection, or 1350: 596:in the lower sections without CSF. 449:and at most contains fewer than 5 215:of the brain, and absorbed in the 25: 3717: 3298: 1627:before it circulates. The CSF of 1520: 1485:Blood–cerebrospinal fluid barrier 2081:10.1046/j.1440-1681.1999.02986.x 1614: 1583:(noted as the discoverer of the 1315:. It is usually associated with 1069:. These are outpouchings of the 886:. CSF is mostly produced by the 433:level than plasma, and a higher 3172:Expert Opinion on Drug Delivery 3159: 3134: 3104: 2794: 2732: 2701: 2682: 2661:10.1152/japplphysiol.00100.2003 2636: 2469: 2381: 2330: 2279: 2246: 2172: 1906:Orešković D, Klarica M (2014). 1056: 297:. This can be used to test the 203:CSF is produced by specialised 3076:British Journal of Anaesthesia 3027:"Cerebrospinal fluid analysis" 2768:Lymphatic Research and Biology 2517:European Journal of Pediatrics 2210:Science Translational Medicine 2118:(3rd ed.). Butterworths. 2103: 2017: 1912:Fluids and Barriers of the CNS 1782:Textbook of medical physiology 1119:increasing it. Changes in the 1117:parasympathetic nervous system 890:. CSF is also produced by the 464: 332: 13: 1: 3184:10.1517/17425247.2016.1140147 2649:Journal of Applied Physiology 2478:"Miller's Anesthesia, 9th ed" 1673: 1458:normal pressure hydrocephalus 1269:, difficulties seeing, and a 1235:, and progressively impaired 1115:decreasing secretion and the 1101: 959:converts the substances into 892:single layer of column-shaped 695: 685:amyotrophic lateral sclerosis 610:Prevention of brain ischemia: 565:CSF serves several purposes: 555: 2494:10.1213/ane.0000000000004780 2444:10.3390/biomedicines11051461 2394:. Elsevier Health Sciences. 2222:10.1126/scitranslmed.3003748 2183:. Humana Press. p. 93. 2110:Jurado R, Walker HK (1990). 1623:, CSF is present within the 1479:Anaesthesia and chemotherapy 1430:systemic lupus erythematosus 1283:carbonic anhydrase inhibitor 1034:over the course of the day. 469:At around the fifth week of 341:MRI showing pulsation of CSF 327: 7: 2560:Basic clinical neuroscience 1881:10.1016/j.anorl.2011.03.002 1780:Guyton AC, Hall JE (2005). 1646: 1292: 1257:ventriculo-peritoneal shunt 1143: 1123:can affect the activity of 679:. Metabolic waste products 560: 416: 10: 3722: 2877:"Hydrocephalus Fact Sheet" 2774:(1): 41–4, discussion 45. 2622:10.1016/j.diff.2011.10.007 2482:Anesthesia & Analgesia 2388:Irani DN (14 April 2018). 2356:10.1186/s40478-020-01018-0 2305:10.1093/braincomms/fcaa121 1538: 1482: 1362: 1296: 1147: 1127:, and some drugs (such as 1113:sympathetic nervous system 1051:superior cerebellar artery 842: 687:, the most common form of 31: 3662: 3649:Interventricular foramina 3629: 3604: 3579: 3518: 3478: 3469: 3411: 3363: 3072:"Intrathecal drug spread" 3031:American Family Physician 2989:(4): 1 p following ECP4. 2977:Rosen CL (October 2003). 2801:Agamanolis D (May 2011). 2780:10.1089/15396850360495682 2529:10.1007/s00431-002-1122-6 2411:– via Google Books. 2156:Larsen's human embryology 1734:10.1007/s00415-012-6413-x 1331:, given either orally or 1039:anterior choroidal artery 841: 363:interventricular foramina 155: 143: 131: 119: 111: 99: 94: 89: 74: 46: 41: 3500:Inferior medullary velum 3488:Superior medullary velum 2181:The Human Nervous System 1426:paraneoplastic syndromes 1317:intracranial hypotension 1299:Cerebrospinal fluid leak 1109:autonomic nervous system 1032:autonomic nervous system 845:List of reference ranges 385:of the spinal cord, the 223:to the brain inside the 221:immunological protection 180:) is a clear, colorless 2996:10.3171/foc.2003.15.6.8 2046:10.1126/science.6162199 1983:Klinische Wochenschrift 1925:10.1186/2045-8118-11-16 1402:subarachnoid hemorrhage 914:fenestrated capillaries 847:for cerebrospinal fluid 303:infections of the brain 229:cerebral autoregulation 1968:Anatomy and Physiology 1406:central nervous system 1360: 1303:CSF can leak from the 1209:congenital abnormality 1067:arachnoid granulations 653:control, and high CSF 632:homeostatic regulation 620:and facilitates blood 514:central nervous system 350: 342: 217:arachnoid granulations 157:Anatomical terminology 106:liquor cerebrospinalis 34:anatomical terminology 2112:"Cerebrospinal Fluid" 1465:intracranial pressure 1371:neurological diseases 1358: 1195:intracranial pressure 1148:Further information: 1139:Clinical significance 1133:Na-K-Cl cotransporter 1016:Na-K-Cl cotransporter 843:Further information: 618:intracranial pressure 453:per mm (if the white 348: 340: 299:intracranial pressure 18:Cerebral spinal fluid 3461:Posterior commissure 2292:Brain Communications 1722:Journal of Neurology 1337:epidural blood patch 1311:when it is termed a 1225:urinary incontinence 1063:dural venous sinuses 1008:arginine vasopressin 1004:beta-2 microglobulin 717:Water content (% wt) 689:motor neuron disease 542:subcommissural organ 421:CSF is derived from 3706:Reference intervals 3639:Blood–brain barrier 3631:Cerebrospinal fluid 3549:Hypoglossal trigone 3446:Hypothalamic sulcus 3429:Infundibular recess 3386:Collateral eminence 3311:Cerebrospinal fluid 2983:Neurosurgical Focus 2038:1981Sci...211.1437M 1567:Albrecht von Haller 1511:regional anesthesia 1503:blood–brain barrier 1408:infections such as 857:transcellular fluid 750:Osmolarity (mOsm/L) 702: 630:CSF allows for the 349:Distribution of CSF 305:or the surrounding 233:cerebral blood flow 188:that surrounds the 174:Cerebrospinal fluid 42:Cerebrospinal fluid 3696:Ventricular system 3654:Perilymphatic duct 3434:Suprapineal recess 3365:Lateral ventricles 3353:Ventricular system 3089:10.1093/bja/aeh204 2741:Folia Morphologica 2714:Folia Morphologica 1995:10.1007/BF01466734 1966:Saladin K (2012). 1561:Emanuel Swedenborg 1422:multiple sclerosis 1361: 1321:beta-2 transferrin 1271:swollen optic disc 1217:problems with gait 1125:carbonic anhydrase 957:carbonic anhydrase 905:around the brain. 899:subarachnoid space 888:lateral ventricles 876:ventricular system 700: 612:The prevention of 479:three-layered disc 409:in 93% of people. 379:subarachnoid space 359:lateral ventricles 355:ventricular system 351: 343: 318:Emanuel Swedenborg 312:Although noted by 280:perilymphatic duct 252:ventricular system 240:subarachnoid space 83:ventricular system 55:subarachnoid space 32:This article uses 3678: 3677: 3644:Cerebral aqueduct 3625: 3624: 3529:Facial colliculus 3456:Subfornical organ 3403:Septum pellucidum 3287:978-1-118-68589-1 3274:Reece WO (2013). 3238:Hajdu SI (2003). 3152:978-3-031-43481-5 3122:on 1 January 2018 2958:978-0-7020-3084-0 2920:978-0-07-180215-4 2881:www.ninds.nih.gov 2853:978-0-7020-3084-0 2594:978-1-4160-4574-8 2569:978-0-7817-5319-7 2558:Young PA (2007). 2264:978-0-07-141620-7 2216:(147): 147ra111. 2190:978-1-58829-040-3 2165:978-0-443-06811-9 1791:978-0-7216-0240-0 1668:Syrinx (medicine) 1605:Harvey W. Cushing 1571:François Magendie 1530:CSF drug delivery 1438:cerebral angiitis 1157:, as measured by 973:electroneutrality 880:cerebral aqueduct 853: 852: 677:glymphatic system 451:white blood cells 391:lateral apertures 371:cerebral aqueduct 266:, as well as the 238:CSF occupies the 184:found within the 171: 170: 166: 16:(Redirected from 3713: 3670:Ventriculomegaly 3476: 3475: 3471:Fourth ventricle 3381:Stria terminalis 3346: 3339: 3332: 3323: 3322: 3292: 3291: 3271: 3260: 3259: 3235: 3214: 3213: 3203: 3163: 3157: 3156: 3138: 3132: 3131: 3129: 3127: 3118:. Archived from 3116:CancerCenter.com 3108: 3102: 3101: 3091: 3067: 3058: 3057: 3055: 3054: 3045:. Archived from 3022: 3009: 3008: 2998: 2974: 2963: 2962: 2944: 2925: 2924: 2906: 2893: 2892: 2890: 2888: 2873: 2858: 2857: 2839: 2818: 2817: 2815: 2814: 2798: 2792: 2791: 2763: 2757: 2756: 2736: 2730: 2729: 2705: 2699: 2698: 2686: 2680: 2679: 2677: 2675: 2640: 2634: 2633: 2605: 2599: 2598: 2580: 2574: 2573: 2555: 2549: 2548: 2512: 2506: 2505: 2488:(6): e175–e176. 2473: 2467: 2466: 2456: 2446: 2422: 2413: 2412: 2410: 2408: 2385: 2379: 2378: 2368: 2358: 2334: 2328: 2327: 2317: 2307: 2283: 2277: 2276: 2250: 2244: 2243: 2233: 2201: 2195: 2194: 2176: 2170: 2169: 2151: 2138: 2137: 2107: 2101: 2100: 2064: 2058: 2057: 2032:(4489): 1437–8. 2021: 2015: 2014: 1978: 1972: 1971: 1963: 1948: 1947: 1937: 1927: 1903: 1894: 1893: 1883: 1859: 1796: 1795: 1777: 1754: 1753: 1717: 1663:Reissner's fiber 1600:Heinrich Quincke 1585:circle of Willis 1473:brain herniation 1434:neurosarcoidosis 1375:lumbar vertebrae 1161:, is 10–18  1131:, acting on the 1084:cribriform plate 935:osmotic pressure 703: 699: 673:lymphatic system 586:neutral buoyancy 550:Reissner's fiber 524:(midbrain), and 375:fourth ventricle 163:edit on Wikidata 160: 79: 51: 39: 38: 21: 3721: 3720: 3716: 3715: 3714: 3712: 3711: 3710: 3681: 3680: 3679: 3674: 3658: 3621: 3600: 3596:Lateral/Luschka 3587:Median/Magendie 3575: 3571:Sulcus limitans 3566:Medial eminence 3534:Locus coeruleus 3514: 3465: 3413:Third ventricle 3407: 3392:Occipital horn 3359: 3350: 3301: 3296: 3295: 3288: 3272: 3263: 3236: 3217: 3164: 3160: 3153: 3139: 3135: 3125: 3123: 3110: 3109: 3105: 3068: 3061: 3052: 3050: 3023: 3012: 2975: 2966: 2959: 2945: 2928: 2921: 2907: 2896: 2886: 2884: 2875: 2874: 2861: 2854: 2840: 2821: 2812: 2810: 2799: 2795: 2764: 2760: 2737: 2733: 2706: 2702: 2697:(1–3): 185–205. 2691:Human Evolution 2687: 2683: 2673: 2671: 2641: 2637: 2606: 2602: 2595: 2583:Hall J (2011). 2581: 2577: 2570: 2556: 2552: 2513: 2509: 2474: 2470: 2423: 2416: 2406: 2404: 2402: 2386: 2382: 2335: 2331: 2284: 2280: 2265: 2251: 2247: 2202: 2198: 2191: 2177: 2173: 2166: 2152: 2141: 2126: 2108: 2104: 2065: 2061: 2022: 2018: 1989:(24): 1158–64. 1979: 1975: 1964: 1951: 1904: 1897: 1860: 1799: 1792: 1778: 1757: 1718: 1681: 1676: 1649: 1617: 1596:W. Essex Wynter 1589:Gustav Schwalbe 1541: 1532: 1523: 1487: 1481: 1440:; and specific 1390:red blood cells 1367: 1365:Lumbar puncture 1353: 1351:Lumbar puncture 1325:Medical imaging 1301: 1295: 1249:lumbar puncture 1186: 1180: 1166: 1159:lumbar puncture 1152: 1146: 1141: 1121:pH of the blood 1104: 1080:olfactory nerve 1071:arachnoid mater 1059: 992: 985: 939:tight junctions 895:ependymal cells 878:except for the 872:four ventricles 849: 846: 739:Glucose (mg/dL) 728:Protein (mg/dL) 698: 669:Clearing waste: 563: 558: 526:rhombencephalon 481:, covered with 467: 447:red blood cells 419: 387:median aperture 367:third ventricle 335: 330: 295:lumbar puncture 244:arachnoid mater 205:ependymal cells 167: 85: 70: 37: 28: 23: 22: 15: 12: 11: 5: 3719: 3709: 3708: 3703: 3698: 3693: 3676: 3675: 3673: 3672: 3666: 3664: 3660: 3659: 3657: 3656: 3651: 3646: 3641: 3635: 3633: 3627: 3626: 3623: 3622: 3620: 3619: 3617:Tela choroidea 3614: 3612:Rhomboid fossa 3608: 3606: 3602: 3601: 3599: 3598: 3592:Lateral recess 3589: 3583: 3581: 3577: 3576: 3574: 3573: 3568: 3563: 3562: 3561: 3556: 3551: 3546: 3538: 3537: 3536: 3531: 3522: 3520: 3516: 3515: 3513: 3512: 3507: 3502: 3497: 3496: 3495: 3484: 3482: 3473: 3467: 3466: 3464: 3463: 3458: 3453: 3451:Tela choroidea 3448: 3443: 3442: 3441: 3436: 3431: 3426: 3417: 3415: 3409: 3408: 3406: 3405: 3400: 3399: 3398: 3390: 3389: 3388: 3383: 3378: 3369: 3367: 3361: 3360: 3349: 3348: 3341: 3334: 3326: 3320: 3319: 3314: 3308: 3300: 3299:External links 3297: 3294: 3293: 3286: 3261: 3215: 3178:(3): 311–314. 3158: 3151: 3133: 3103: 3059: 3010: 2964: 2957: 2926: 2919: 2894: 2859: 2852: 2819: 2807:Neuropathology 2793: 2758: 2731: 2700: 2681: 2655:(2): 620–630. 2635: 2600: 2593: 2575: 2568: 2550: 2523:(3): 117–121. 2507: 2468: 2414: 2400: 2380: 2329: 2298:(2): fcaa121. 2278: 2263: 2245: 2196: 2189: 2171: 2164: 2139: 2125:978-0409900774 2124: 2102: 2059: 2016: 1973: 1949: 1895: 1797: 1790: 1755: 1728:(8): 1530–45. 1678: 1677: 1675: 1672: 1671: 1670: 1665: 1660: 1655: 1648: 1645: 1616: 1613: 1609:choroid plexus 1540: 1537: 1531: 1528: 1522: 1521:Liquorpheresis 1519: 1480: 1477: 1363:Main article: 1352: 1349: 1341:spinal surgery 1309:no known cause 1297:Main article: 1294: 1291: 1184: 1178: 1173:or 1.1–2  1164: 1150:Cerebral shunt 1145: 1142: 1140: 1137: 1103: 1100: 1058: 1055: 990: 983: 953:carbon dioxide 868:choroid plexus 851: 850: 839: 838: 835: 832: 828: 827: 824: 821: 814: 813: 810: 807: 800: 799: 796: 793: 786: 785: 782: 779: 772: 771: 768: 765: 758: 757: 754: 751: 747: 746: 743: 740: 736: 735: 732: 729: 725: 724: 721: 718: 714: 713: 710: 707: 697: 694: 693: 692: 666: 651:blood pressure 636:neuroendocrine 625: 614:brain ischemia 607: 604:shock absorber 597: 562: 559: 557: 554: 548:, which forms 534:choroid plexus 518:prosencephalon 510:brain develops 466: 463: 418: 415: 399:bony labyrinth 389:, and the two 334: 331: 329: 326: 322:Harvey Cushing 272:bony labyrinth 258:of the brain, 209:choroid plexus 169: 168: 159: 153: 152: 147: 141: 140: 135: 129: 128: 123: 117: 116: 113: 109: 108: 103: 97: 96: 92: 91: 87: 86: 80: 72: 71: 52: 44: 43: 26: 9: 6: 4: 3: 2: 3718: 3707: 3704: 3702: 3699: 3697: 3694: 3692: 3689: 3688: 3686: 3671: 3668: 3667: 3665: 3661: 3655: 3652: 3650: 3647: 3645: 3642: 3640: 3637: 3636: 3634: 3632: 3628: 3618: 3615: 3613: 3610: 3609: 3607: 3603: 3597: 3593: 3590: 3588: 3585: 3584: 3582: 3578: 3572: 3569: 3567: 3564: 3560: 3557: 3555: 3554:Area postrema 3552: 3550: 3547: 3545: 3544:Vagal trigone 3542: 3541: 3539: 3535: 3532: 3530: 3527: 3526: 3524: 3523: 3521: 3517: 3511: 3508: 3506: 3503: 3501: 3498: 3494: 3491: 3490: 3489: 3486: 3485: 3483: 3481: 3477: 3474: 3472: 3468: 3462: 3459: 3457: 3454: 3452: 3449: 3447: 3444: 3440: 3439:Pineal recess 3437: 3435: 3432: 3430: 3427: 3425: 3422: 3421: 3419: 3418: 3416: 3414: 3410: 3404: 3401: 3397: 3394: 3393: 3391: 3387: 3384: 3382: 3379: 3377: 3376:Lamina affixa 3374: 3373: 3371: 3370: 3368: 3366: 3362: 3358: 3354: 3347: 3342: 3340: 3335: 3333: 3328: 3327: 3324: 3318: 3315: 3312: 3309: 3306: 3303: 3302: 3289: 3283: 3279: 3278: 3270: 3268: 3266: 3257: 3253: 3249: 3245: 3241: 3234: 3232: 3230: 3228: 3226: 3224: 3222: 3220: 3211: 3207: 3202: 3197: 3193: 3189: 3185: 3181: 3177: 3173: 3169: 3162: 3154: 3148: 3144: 3137: 3121: 3117: 3113: 3107: 3099: 3095: 3090: 3085: 3082:(4): 568–78. 3081: 3077: 3073: 3066: 3064: 3049:on 2008-05-15 3048: 3044: 3040: 3037:(6): 1103–8. 3036: 3032: 3028: 3021: 3019: 3017: 3015: 3006: 3002: 2997: 2992: 2988: 2984: 2980: 2973: 2971: 2969: 2960: 2954: 2950: 2943: 2941: 2939: 2937: 2935: 2933: 2931: 2922: 2916: 2912: 2905: 2903: 2901: 2899: 2882: 2878: 2872: 2870: 2868: 2866: 2864: 2855: 2849: 2845: 2838: 2836: 2834: 2832: 2830: 2828: 2826: 2824: 2808: 2804: 2797: 2789: 2785: 2781: 2777: 2773: 2769: 2762: 2754: 2750: 2746: 2742: 2735: 2727: 2723: 2720:(3): 209–13. 2719: 2715: 2711: 2704: 2696: 2692: 2685: 2670: 2666: 2662: 2658: 2654: 2650: 2646: 2639: 2631: 2627: 2623: 2619: 2616:(2): S86-90. 2615: 2611: 2604: 2596: 2590: 2586: 2579: 2571: 2565: 2561: 2554: 2546: 2542: 2538: 2534: 2530: 2526: 2522: 2518: 2511: 2503: 2499: 2495: 2491: 2487: 2483: 2479: 2472: 2464: 2460: 2455: 2450: 2445: 2440: 2436: 2432: 2428: 2421: 2419: 2403: 2401:9781416029083 2397: 2393: 2392: 2384: 2376: 2372: 2367: 2362: 2357: 2352: 2348: 2344: 2340: 2333: 2325: 2321: 2316: 2311: 2306: 2301: 2297: 2293: 2289: 2282: 2274: 2270: 2266: 2260: 2256: 2249: 2241: 2237: 2232: 2227: 2223: 2219: 2215: 2211: 2207: 2200: 2192: 2186: 2182: 2175: 2167: 2161: 2157: 2150: 2148: 2146: 2144: 2135: 2131: 2127: 2121: 2117: 2113: 2106: 2098: 2094: 2090: 2086: 2082: 2078: 2074: 2070: 2063: 2055: 2051: 2047: 2043: 2039: 2035: 2031: 2027: 2020: 2012: 2008: 2004: 2000: 1996: 1992: 1988: 1984: 1977: 1969: 1962: 1960: 1958: 1956: 1954: 1945: 1941: 1936: 1931: 1926: 1921: 1917: 1913: 1909: 1902: 1900: 1891: 1887: 1882: 1877: 1874:(6): 309–16. 1873: 1869: 1865: 1858: 1856: 1854: 1852: 1850: 1848: 1846: 1844: 1842: 1840: 1838: 1836: 1834: 1832: 1830: 1828: 1826: 1824: 1822: 1820: 1818: 1816: 1814: 1812: 1810: 1808: 1806: 1804: 1802: 1793: 1787: 1783: 1776: 1774: 1772: 1770: 1768: 1766: 1764: 1762: 1760: 1751: 1747: 1743: 1739: 1735: 1731: 1727: 1723: 1716: 1714: 1712: 1710: 1708: 1706: 1704: 1702: 1700: 1698: 1696: 1694: 1692: 1690: 1688: 1686: 1684: 1679: 1669: 1666: 1664: 1661: 1659: 1656: 1654: 1651: 1650: 1644: 1642: 1637: 1634: 1630: 1626: 1622: 1615:Other animals 1612: 1610: 1606: 1601: 1597: 1592: 1590: 1586: 1582: 1581:Thomas Willis 1578: 1576: 1572: 1568: 1564: 1562: 1557: 1554: 1550: 1549:hydrocephalus 1546: 1536: 1527: 1518: 1516: 1512: 1508: 1504: 1500: 1499:intrathecally 1497:are injected 1496: 1492: 1486: 1476: 1474: 1470: 1469:hydrocephalus 1466: 1461: 1459: 1455: 1451: 1447: 1443: 1439: 1435: 1431: 1427: 1423: 1419: 1415: 1414:microorganism 1411: 1407: 1403: 1400:may indicate 1399: 1398:xanthochromia 1395: 1391: 1387: 1382: 1380: 1376: 1372: 1366: 1357: 1348: 1346: 1342: 1338: 1334: 1333:intravenously 1330: 1326: 1322: 1318: 1314: 1310: 1306: 1300: 1290: 1288: 1287:acetazolamide 1284: 1280: 1276: 1272: 1268: 1267:double vision 1264: 1260: 1258: 1254: 1250: 1246: 1242: 1238: 1234: 1230: 1226: 1222: 1218: 1214: 1210: 1206: 1202: 1201:Hydrocephalus 1198: 1196: 1192: 1191:jugular veins 1188: 1176: 1172: 1168: 1160: 1156: 1151: 1136: 1134: 1130: 1126: 1122: 1118: 1114: 1110: 1099: 1097: 1093: 1089: 1085: 1081: 1077: 1072: 1068: 1064: 1054: 1052: 1048: 1044: 1040: 1035: 1033: 1028: 1026: 1021: 1017: 1013: 1009: 1005: 1001: 997: 993: 986: 979: 974: 970: 966: 965:hydrogen ions 962: 958: 954: 950: 946: 944: 940: 936: 932: 928: 924: 920: 915: 911: 906: 904: 900: 896: 893: 889: 885: 881: 877: 873: 869: 864: 860: 858: 848: 840: 836: 833: 830: 829: 825: 822: 819: 816: 815: 811: 808: 805: 802: 801: 797: 794: 791: 788: 787: 783: 780: 777: 774: 773: 769: 766: 763: 760: 759: 755: 752: 749: 748: 744: 741: 738: 737: 733: 730: 727: 726: 722: 719: 716: 715: 711: 708: 705: 704: 690: 686: 682: 678: 675:, called the 674: 670: 667: 664: 660: 656: 652: 648: 644: 643:concentration 641: 637: 633: 629: 626: 623: 619: 615: 611: 608: 605: 601: 598: 595: 591: 587: 583: 579: 575: 571: 568: 567: 566: 553: 551: 547: 543: 538: 535: 529: 527: 523: 522:mesencephalon 520:(forebrain), 519: 515: 511: 506: 504: 500: 496: 492: 488: 484: 480: 476: 472: 462: 460: 456: 452: 448: 444: 443:venous system 438: 436: 432: 428: 424: 414: 410: 408: 404: 400: 396: 392: 388: 384: 383:central canal 380: 376: 372: 368: 364: 360: 356: 347: 339: 325: 323: 319: 315: 310: 308: 304: 300: 296: 291: 289: 285: 281: 277: 273: 269: 268:central canal 265: 261: 257: 253: 249: 245: 242:(between the 241: 236: 234: 230: 226: 222: 218: 214: 210: 206: 201: 199: 195: 191: 187: 183: 179: 175: 164: 158: 154: 151: 148: 146: 142: 139: 136: 134: 130: 127: 124: 122: 118: 114: 110: 107: 104: 102: 98: 93: 88: 84: 78: 73: 69:of the brain. 68: 65:, and in the 64: 60: 56: 50: 45: 40: 35: 30: 19: 3630: 3424:Optic recess 3276: 3250:(3): 334–6. 3247: 3243: 3175: 3171: 3161: 3142: 3136: 3124:. 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Index

Cerebral spinal fluid
anatomical terminology

subarachnoid space
brain
spinal cord
ventricles

ventricular system
Latin
MeSH
D002555
TA98
A14.1.01.203
TA2
5388
Anatomical terminology
edit on Wikidata
body fluid
tissue
brain
spinal cord
vertebrates
ependymal cells
choroid plexus
ventricles
arachnoid granulations
immunological protection
skull
cerebral autoregulation

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

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