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ENVIRONMENTAL, EXERCISE AND RESPIRATORY PHYSIOLOGY
1Hydrocephalus Research Unit, Institute of Clinical Neuroscience and 2Department of Radiophysics, Sahlgrenska University Hospital, Göteborg University, S-413 45 Göteborg, Sweden
Submitted 31 March 2004 ; accepted in final form 10 August 2004
The present study examines the extent of spinal cerebrospinal fluid (CSF) absorption in healthy individuals in relation to physical activity, CSF production, intracranial pressure (ICP), and spinal CSF movement. Thirty-four healthy individuals aged 2135 yr were examined by lumbar puncture and radionuclide cisternography with repeated imaging. ICP was registered before and after CSF drainage, and CSF production was calculated. Spinal CSF absorption was calculated as reduction in spinal radionuclide activity. The radionuclide activity in the spinal subarachnoidal space was gradually decreased by 20 ± 13% (mean ± SD) during 1 h. The reduction was higher in active than in resting individuals (27 ± 12% vs. 13 ± 9%). The mean ICP in 19 of the individuals was 13.6 ± 3.1 cmH2O. B-waves were found in 79% of the individuals, with a mean frequency of 0.6 ± 0.3 min1. The mean CSF production rate was 0.34 ± 0.13 ml/min. There were no correlations between radionuclide reduction, spinal movement of the radionuclide, and CSF production rate. The spinal radionuclide reduction found in this study indicates a spinal CSF absorption of 0.110.23 ml/min, more pronounced in active than in resting individuals.
arachnoid villi; cerebrospinal fluid spinal flow; cerebrospinal fluid production; cerebrospinal fluid pressure; radionuclide imaging
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