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Brain elasticity changes with ventriculomegaly.

F H Sklar, J T Diehl, C W Beyer

    Journal of Neurosurgery
    |August 1, 1980
    PubMed
    Summary
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    Brain elasticity, measured by pressure-volume relationships during cerebrospinal fluid infusions, shows a linear link with ventricular size. Hydrocephalic patients exhibit greater intracranial pulse amplitude, suggesting etiological importance in CSF disorders.

    Area of Science:

    • Neurosurgery
    • Neurology
    • Biomedical Engineering

    Background:

    • Cerebrospinal fluid (CSF) dynamics are crucial for brain health.
    • Understanding brain elasticity is key to diagnosing and managing CSF disorders.
    • Previous research has explored pressure-volume relationships but lacked precise measurement of CSF absorptive capacity.

    Purpose of the Study:

    • To determine the pressure-volume relationship of brain elasticity.
    • To measure net cerebrospinal fluid (CSF) absorptive capacity.
    • To investigate the link between ventricular size and brain elasticity in patients.

    Main Methods:

    • Servo-controlled variable-rate lumbar infusions were performed on 32 patients.
    • Brain elasticity and pressure-volume relationships were analyzed.

    Related Experiment Videos

  • Ventricular size was estimated using computerized tomography (CT) scans.
  • Main Results:

    • A linear relationship was observed between ventricular size and the elasticity slope (natural logarithm of pressure to volume).
    • Hydrocephalic patients demonstrated a greater intracranial pulse amplitude at equivalent pressures compared to normal individuals.
    • The findings suggest elasticity changes may be linked to ventriculomegaly.

    Conclusions:

    • The pressure-volume elasticity relationship appears to be linearly correlated with ventricular size.
    • Increased intracranial pulse amplitude in hydrocephalic patients is a significant finding.
    • The pressure-volume elasticity relationship may play an etiological role in cerebrospinal fluid system disorders.