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L23 SAQ - Cerebrospinal Fluid Quiz
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L23 SAQ - Cerebrospinal Fluid Quiz

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Questions and Answers

What is the main function of cerebrospinal fluid (CSF)?

CSF acts as a buoyancy aid and cushion for the brain, as well as facilitating the delivery of oxygen and nutrients to a local area.

How does CSF provide buoyancy to the brain?

CSF fills the subarachnoid space and allows the brain to float, reducing its effective weight.

What is the normal range of intracranial pressure (ICP)?

The normal range of ICP is 120-180 mmCSF or 9-14 mmHg.

What can significantly raise ICP?

<p>ICP can be significantly raised through obstruction of the venous system, intracranial mass, or brain edema.</p> Signup and view all the answers

What is the procedure used to measure ICP?

<p>Direct ICP recording can be done through icv, subarachnoid, or subdural CSF pressure measurement.</p> Signup and view all the answers

What are the normal values for CSF analysis in the L3-4 interspace?

<p>The normal values for CSF analysis in the L3-4 interspace are: clear color, no RBCs, 0-6mm3 WBCs, 15-45 mg/100 ml protein, and 50-75 mg/100 ml glucose.</p> Signup and view all the answers

What can high protein levels in CSF indicate?

<p>High protein levels in CSF can indicate conditions such as tumour, abscess, cyst, or hydrocephalus.</p> Signup and view all the answers

What can a cloudy appearance of CSF indicate?

<p>A cloudy appearance of CSF can indicate an increased cell count or infection.</p> Signup and view all the answers

What can yellow color of CSF indicate?

<p>Yellow color of CSF can indicate the presence of red blood cells (RBCs), which may be due to a traumatic tap or subarachnoid hemorrhage.</p> Signup and view all the answers

What are the circumventricular organs and their significance?

<p>Circumventricular organs are sites outside the blood-brain barrier that play a role in physiological and endocrine feedback systems within the brain.</p> Signup and view all the answers

Explain the concept of blood brain barrier and its importance.

<p>The blood brain barrier is a highly regulated barrier formed by the endothelial cells of capillaries and the endfeet of astrocytes. It restricts the movement of substances from the blood into the brain, allowing only certain molecules to pass through. This barrier is important as it protects the brain from potentially harmful substances and maintains a stable environment for optimal brain function.</p> Signup and view all the answers

What are the different mechanisms by which substances can move across the capillary membrane into the brain?

<p>Substances can move across the capillary membrane into the brain through passive diffusion, facilitated diffusion, active transport, vesicular transfer, transcytosis, and paracellular aqueous transfer.</p> Signup and view all the answers

Explain the process of passive diffusion and its factors of influence.

<p>Passive diffusion is the movement of substances from an area of higher concentration to an area of lower concentration, without the need for energy. It is directly proportional to lipid solubility, meaning substances that are more lipid-soluble diffuse more easily. It is inversely proportional to size, with smaller molecules diffusing more easily than larger ones.</p> Signup and view all the answers

What is the role of astrocytes in the blood brain barrier?

<p>Astrocytes play a crucial role in the blood brain barrier by inducing the formation of tight junctions between the endothelial cells of capillaries. These tight junctions enhance the barrier function, preventing the passage of most substances from the blood into the brain.</p> Signup and view all the answers

What is the function of cerebrospinal fluid?

<p>Cerebrospinal fluid serves as a 'sink' of extracellular fluid that is filtered from the blood and supplies and drains the interstitium of the brain. It helps in maintaining a stable environment for optimal brain function.</p> Signup and view all the answers

Name the different compartments where cerebrospinal fluid is found.

<p>Cerebrospinal fluid is found in the ventricles (approximately 25ml), spinal cord central canal (approximately 30ml), and sub-arachnoid space (majority of volume).</p> Signup and view all the answers

What causes the movement of cerebrospinal fluid within the brain?

<p>The systolic pulsations of the arterial system cause compression of the ventricles and subarachnoid space, creating movement of cerebrospinal fluid.</p> Signup and view all the answers

What is the rate of production of cerebrospinal fluid?

<p>The rate of production of cerebrospinal fluid is approximately 550 ml per day or 0.35 ml per minute.</p> Signup and view all the answers

How is cerebrospinal fluid reabsorbed from the subarachnoid space?

<p>Cerebrospinal fluid is reabsorbed through arachnoid villi into veins via venous sinuses.</p> Signup and view all the answers

How often does cerebrospinal fluid turnover occur?

<p>Cerebrospinal fluid turnover occurs approximately 3.7 times per day.</p> Signup and view all the answers

Study Notes

Cerebrospinal Fluid (CSF) and Blood Brain Barrier

Functions and Characteristics of CSF

  • The main function of CSF is to provide buoyancy to the brain, supporting its weight and cushioning it from mechanical injuries.
  • CSF provides buoyancy by reducing the brain's weight, making it approximately 2% of its original weight.
  • The normal range of intracranial pressure (ICP) is 5-15 mmHg.

Measuring ICP and CSF Analysis

  • The procedure used to measure ICP is through a lumbar puncture or ventriculostomy.
  • Normal values for CSF analysis in the L3-4 interspace include:
    • Clear appearance
    • Protein levels: 20-50 mg/dL
    • Glucose levels: 50-80 mg/dL
    • Cell count: 0-5 WBC/mL

CSF Abnormalities and Indications

  • High protein levels in CSF can indicate:
    • Inflammation
    • Infection
    • Tumor
    • Hemorrhage
  • A cloudy appearance of CSF can indicate:
    • Infection
    • Inflammation
  • A yellow color of CSF can indicate:
    • Hemorrhage
    • High bilirubin levels

Blood Brain Barrier (BBB) and Astrocytes

  • The blood brain barrier (BBB) is a selective barrier that separates the brain from the bloodstream, regulating the exchange of substances between the two.
  • The BBB is composed of endothelial cells, basal lamina, and astrocyte endfeet.
  • Astrocytes play a crucial role in the BBB, forming a tight junction with endothelial cells and regulating the transport of substances.
  • Mechanisms of substance transport across the capillary membrane include:
    • Passive diffusion
    • Facilitated diffusion
    • Active transport
  • Factors influencing passive diffusion include:
    • Concentration gradient
    • Lipid solubility
    • Molecular size and shape

CSF Production, Reabsorption, and Turnover

  • CSF is produced at a rate of approximately 500 mL/day.
  • CSF is reabsorbed from the subarachnoid space through arachnoid villi.
  • The entire CSF turnover occurs every 5-7 hours.

Circumventricular Organs and Compartments

  • Circumventricular organs are specialized brain regions that lack a BBB, allowing for the exchange of substances between the brain and bloodstream.
  • CSF is found in the following compartments:
    • Ventricles
    • Cerebral aqueduct
    • Subarachnoid space
    • Central canal of the spinal cord
  • The movement of CSF within the brain is caused by:
    • Cerebral pulsations
    • Respiratory movements
    • Cardiac pulsations

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Related Documents

CSF2324.pdf

Description

Test your knowledge on cerebrospinal fluid and its role in the body. This quiz covers topics such as transcellular fluid, the blood-brain barrier, and movement of substances into the brain. Recommended reading: Neuroscience 6/e by Purves et al.

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