Summary
Cerebrospinal fluid pulsation is likely to be responsible for the progression of some diseases, and it is differences in pressure which are significant in causing the imposition of energy upon tissues. The normal range of such differences has not been extensively documented. A technique for measuring intracranial and intraspinal pressures simultaneously in erect conscious patients is described. Normally the pressures are in a continual state of pulsation in response to changes in pressure in the arteries and veins. The measurements of CSF pressure fluctuations in response to normal cardiac pulsation, respiratory changes, coughing, Queckenstedt's test, and a variation of Valsalva's manoeuvre have been recorded, and the physiology has been discussed.
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References
Bedford, T. H. B., The effects of increased intracranial venous pressure on the cerebrospinal fluid. Brain58 (1935), 427–447.
Bering, E. A., Bering J. R., Choroid plexus as a CSF pump. Arch. Neurol. Psychiat. (Chic.)75 (1955), 165–172.
Brock, M., Dietz, H., Intracranial pressure. Berlin-Heidelberg-New York: Springer. 1972.
Dardenne, G., Dereymaeker, A., Lacheron, J. M., Cerebrospinal fluid pressure and pulsatility. Europ. Neurol.2 (1969), 193–216.
Davis, P. R., Troup, J. D. G., Pressures in the trunk cavities when pulling, pushing and lifting. Ergonomics7 (1964), 465–474.
Dereymaeker, A., Stevens, A., Rombouts, J. J., Lacheron, J. M., Pierquin, A., Study of the influence of the arterial pressure upon the morphology of cisternal CSF pulsation. Europ. Neurol.5 (1971), 107–114.
Du Boulay, G., Pulsatile movements in the CSF pathways. Brit. J. Radiol.39 (1966), 255–262.
—, Specialisation broadens the view. The significance of a CSF pulse. Second Glyn Evans Memorial Lecture. Clin. Radiol.23 (1972), 401–409.
Dunbar, H. S., Guthrie, T. C., Karpell, B., A study of the cerebrospinal fluid pulse wave. Arch. Neurol. (Chic.)14 (1966), 624–630.
Gardner, W. J., The Tobey-Queckenstedt test in the localisation of tumour of the cerebello-pontine angle. Arch. Neurol. Psychiat. (Chic.)20 (1928), 585–588.
—, Cerebrospinal fluid dynamics. In: Medical physics (Glaser, O., ed.), pp. 148–152. Chicago: Year Book Co. 1945.
—, The dysraphic states from syringomyelia to anencephaly. Amsterdam: Excerpta Medica. 1973.
Gilland, O., CSF dynamic diagnosis of spinal block. Stockholm: Almqvist & Wiksell. 1966.
Hamer, J., Alberti, E., Hoyer, S., Wiedemann, K., Influence of systemic and cerebral vascular factors on the cerebrospinal fluid pulse waves. J. Neurosurg.46 (1977), 36–45.
Hamit, H. F., Beal, A. C., DeBakey, M. E., Haemodynamic influences upon brain and CSF pulsations and pressures. J. Trauma5 (1965), 174–184.
Henriques, C. Q., The veins of the vertebral column and their role in the spread of cancer. Ann. roy. Coll. Surg. Engl.31 (1962), 1–22.
Jackson, J. R., Williams, B., Errors in velocity measurement by the Pitot principle in fluids with slowly propagated pressure waves. J. Biomed. Eng.1 (1978), 50–54.
Kaufmann, G. E., Clark, K., Emergency frontal twist drill ventriculostomy. J. Neurosurg.33 (1970), 226–227.
Laitinen, L., Origin of the arterial pulsation of cerebrospinal fluid. Acta neurol. (scand.)44 (1968), 168–176.
Lakke, J. P. W. F., Queckenstedt's test. Amsterdam: Excerpta Medica. 1969.
Lockey, P., Poots, G., Williams, B., Theoretical aspects of the attenuation of pressure pulses within the CSF pathways. Med. biol. Eng.14 (1975), 861–869.
Magnaes, B., Body position and cerebrospinal pressure. 2. Clinical studies on orthostatic pressure and the hydrostatic indifferent point. J. Neurosurg.44 (1976), 698–705.
O'Connell, J. E. A., Cerebrospinal fluid mechanics. Proc. roy. Soc. Med.63 (1970), 507–518.
Ponssen, H., Van den Bos, G., Influence of the circulation on the CSF pressure waves. J. Neurol. Neurosurg. Psychiat.34 (1971), 108.
Prytherch, D. R., Smith, M. J. A., Williams, B., The measurement of cerebrospinal fluid flow. Phys. Med. Biol.24 (1979), 1196–1208.
— — Thursfield, C. D., Williams, B., A flow probe for cerebrospinal fluid. In preparation (1981).
Queckenstedt, H. H. G., Zur Diagnose der Rückenmarkscompression. Dtsch. Z. Nervenheilk.25 (1916), 325–333.
Quincke, H., Die Lumbalpunction des Hydrocephalus. Berl. klin. Wschr.28 (1891), 929–965.
Reitan, H., On movements of fluid inside the cerebrospinal space. Acta radiol. (Stockh.)22 (1941), 762–779.
Sibayan, R. Q., Begeman, P. C., King, A. I., Gurdjian, E. S., Thomas, E. M., Experimental hydrocephalus. Ventricular cerebrospinal fluid pressure and waveform studies. Arch. Neurol. (Chic.)23 (1970), 165–172.
Williams, B., Cerebrospinal fluid pressure changes in response to coughing. Brain99 (1976), 331–346.
Wilson, C. B., Bertan, V., Interruption of the anterior choroidal artery in experimental hydrocephalus. Arch. Neurol. (Chic.)17 (1967), 614–619.
Wynter, W. E., Four cases of tubercular meningitis in which paracentesis of the theca vertebralis was performed for the relief of fluid pressure. Lancet1 (1891), 981–982.
Zierski, J., Personal communication (1975).
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Williams, B. Simultaneous cerebral and spinal fluid pressure recordings. Acta neurochir 58, 167–185 (1981). https://doi.org/10.1007/BF01407124
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DOI: https://doi.org/10.1007/BF01407124