CSF circulation and dispersion yield rapid clearance from intracranial compartments

Autor: Martin Hornkjøl, Lars Magnus Valnes, Geir Ringstad, Marie E. Rognes, Per-Kristian Eide, Kent-André Mardal, Vegard Vinje
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Bioengineering and Biotechnology, Vol 10 (2022)
Druh dokumentu: article
ISSN: 2296-4185
DOI: 10.3389/fbioe.2022.932469
Popis: In this paper, we used a computational model to estimate the clearance of a tracer driven by the circulation of cerebrospinal fluid (CSF) produced in the choroid plexus (CP) located within the lateral ventricles. CSF was assumed to exit the subarachnoid space (SAS) via different outflow routes such as the parasagittal dura, cribriform plate, and/or meningeal lymphatics. We also modelled a reverse case where fluid was produced within the spinal canal and absorbed in the choroid plexus in line with observations on certain iNPH patients. No directional interstitial fluid flow was assumed within the brain parenchyma. Tracers were injected into the foramen magnum. The models demonstrate that convection in the subarachnoid space yields rapid clearance from both the SAS and the brain interstitial fluid and can speed up intracranial clearance from years, as would be the case for purely diffusive transport, to days.
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