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1 Trauma Research Program, Department of Laboratory Medicine and Pathobiology and 2 Division of Neurosurgery, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ontario M4N 3M5, Canada
We quantified cerebrospinal fluid (CSF) transport
(conductance) and CSF outflow resistance in late-gestation fetal and
adult sheep using two methods, a constant pressure infusion method and a bolus injection technique into the lateral ventricles. No significant differences in CSF conductance (fetus 0.013 ± 0.002, adult
0.014 ± 0.003 ml · min
1 · cmH2O
1)
or CSF outflow resistance (fetus 83.7 ± 9.8, adult 84.7 ± 19.7 cmH2O · ml
1 · min) were
observed. To confirm CSF transport to plasma in fetal animals,
125I- or 131I-labeled human serum albumin (HSA)
was injected into the lateral ventricles. The tracer entered fetal
plasma with an average mass transport rate of 1.91 ± 0.47%
injected/h (n = 9). In two fetuses, we monitored the
tracer appearance in plasma and cervical and thoracic duct lymph after
injection of radioactive HSA into the ventricular CSF. As was the case
in adult animals, fetal tracer concentrations increased in all three
compartments over time, with the highest concentrations measured in
lymph collected from the cervical lymphatics. These results
1) indicate that global CSF transport parameters in the
late-gestation fetus and adult sheep are similar and 2)
suggest an important role for extracranial lymphatic vessels in CSF
transport before birth.
arachnoid villi; lymphatic vessels; intracranial pressure; cerebrospinal fluid pressure; fetal cerebrospinal fluid outflow resistance; fetal cerebrospinal fluid conductance; cribriform plate; hydrocephalus
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