The influence of pulse and respiration on spinal cerebrospinal fluid pulsation
The influence of pulse and respiration on spinal cerebrospinal fluid pulsation
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DOI:
10.1097/01.rli.0000112089.66448.bd
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发表时间:
2004-02-01
影响因子:
6.7
通讯作者:
Klose, U
中科院分区:
文献类型:
--
作者:
Friese, S;Hamhaber, U;Klose, U
Rationale and Objectives: The aim of the study is to elucidate the location and amount of spinal cerebrospinal fluid pulsations and to differentiate and quantify the cardiac and the respiratory influence.Materials and Methods: An echo planar imaging sequence was applied to 5 different levels of the spinal canal of 7 healthy volunteers. The amount of maximal flow and respiratory signal variation were determined by a time and frequency domain analysis, respectively.Results: CSF pulsation was high in the anterior cervical and in the thoracolumbar spine. Respiratory influence rose by 19% at Cl and by 28% at T12. The systolic flow was elevated during late expiration and the diastolic upward movement was pronounced by early expiration.Conclusion: The pulsation in the lower spine seems to be related to a second motor of CSF movement because there is a rising respiratory influence and a reappearance of pulsation waves. Physiological spinal CSF pulsation contains a relevant respiratory component.