Ventricles & CSF Flashcards
what is a ventricle of the brain
internal cavity of the brain filled with cerebrospinal fluid
what is CSF
a protein rich fluid essential for brain function
what part of the neural tube do the lateral ventricles develop from
prosencephalon
where are the lateral ventricles found
near the cerebral hemispheres
what part of the neural tube does the third ventricle develop from
diencephalon
where is the third ventricle found
near the thalamus and hypothalamus
what part of the neural tube does the fourth ventricle develop from
hindbrain
where is the fourth ventricle found
near the pons, medulla obongata and cerebellum
three parts of the brain developmentally
forebrain, midbrain and hindbrain
what foes the forebrain consist of
cerebrum, thalamus and hypothalamus
what developmental parts of the brain is the brainstem made up of
midbrain and hindbrain
what does the hindbrain consist of
pons, medulla oblongata and the cerebellum
four primary divisions of the neural tube
- prosencephalon
- mesencephalon
- rhombencephalon
- spinal cord
two subdivisions of the prosencephalon
telencephalon and deincephalon
what is the telencephalon a subdivision of
prosencephalon
what is the diencephalon a subdivision of
prosencephalon
what are the main constituent parts of the telencephalon
- olfactory lobes
- cerebral hemispheres
what cavities does the telencephalon contain
- lateral ventricles
- rostral portion of 3rd ventricle
main constituent parts of the diencephalon
- epithalamus
- hypothalamus
- thalamus
- infundibulum
what cavities are contained by the diencephalon
most of the 3rd ventricle
main constituent parts of the mesencephalon
colliculi/corpora quadrigemini
cerebral peduncle
cavities contained by the mesencephalon
cerebral aquaduct
main subdivisions of the rhombencephalon
- metencephalon
- mylencephalon
what is the metencephalon a subdivision of
rhimbencephalon
what is the mylencephalon a subdivision of
rhombencephalon
main constituent parts of the metencephalon
cerebellum
pons
cavities contained by metencephalon
4th ventricle
main constituent parts of the mylencephalon
medulla oblongata
why is the spinal cord different from other main divisions of the neural tube
it has no subdivisions or main constituent parts
what cavity is contained by the spinal cord
the central canal
how do the lateral ventricles communicate with the third ventricle
through the interventricular foramen (of monro)
where is the anterior horn of the lateral ventricles
frontal lobe
where is the posterior horn of the lateral ventricles
occipital lobe
where is the inferior horn of the lateral ventricles
temporal lobe
where is the roof of the lateral ventricles
under the surface of the corpus collosum
what is the floor of the lateral ventricles
body of caudate nucleus and lateral margin of thalamus
do the lateral ventricles communicate with eachother
no
why don’t the lateral ventricles communicate with eachother
their medial wall is the septum pellucidum
what is the interventricular foramen abounded by
- anteriorly: anterior column of fornix
- posteriorly: anterior end of thalamus
what is the choroid plexus
a network of blood vessels and cells found in ventricles
third ventricle shape
narrow and slit-like
third ventricle boundaries
thalamus and hypothalamus
fourth ventricle shape
tent-like
how do the third and fourth ventricles communicate
by the cerebral aqeduct (or aqueduct of sylvius)
what is the fourth ventricle continuous with
- the central canal of the spinal cord
- through its three foramina with the subarachnoud space
what are the three foramina of the third ventricle
- laterally, the foramen of Lushka (x2)
- posteriorly the Magendie (x1)
where is the fourth ventricle located
behind the pons and medulla oblongata and anterior to the cerebellum
what is the terminal ventricle
a small dilation at the inferior end of the central canal
colour of CSF
colourless
what does CSF contain
- inorganic salts (similar to those in plasma)
- glucose
- traces of protein
- lymphocytes
what is the pressure of CSF
8-15mmHg
total volume of CSF
usually 135-150 mls
four functions of CSF
- protection
- buoyancy
- excretion of waste products
- endocrine medium
protection
CSF function
protects brain by buffering it
buoyancy
CSF function
because the brain is immersed in fluid, the net weight of the brain is reduced from about 1400gm to about 50gm, pressure at the base of the brain is reduced
excretion of waste products
CSF function
one-way flow from CSF to the blood takes potentially harmful metabolites, drugs and other substances away from the brian
endocrine medium
CSF function
transports hormones to other areas of the brain. hormones released into CSF can be carried to remote sites of the brain where they may act
what is a choriod plexus
Cuboidal epithelial cells (ependyma) surrounding a core of capillaries and loose connective tissue - much folded
where is CSF formed
mostly in the choroid plexuses of lateral, 3rd and 4th ventricles
and some originates from the ependynal cells actually lining the ventricles
how much CSF is produced daily
500ml
how many times a day is CSF recycled
4 times
why is CSF recycled
to clean out metabolites and toxins
example of a toxin recycled by CSF
beta amyloid
what is beta amyloid
a plaque that cause Alziemer’s
where does CSF flow after its formed
into the subarachnoid space through aptertures
into the cisterna magna through the lateral apertures and the medial aperture
how is CSF flow facilitated
pulsations of the cerebral and spinal arteries and the movements of the vertebral column, respiration, coughing and the changing of body positions
how is CSF absorbed back into the bloodstream
- Small protrusions of the arachnoid through the dura mater into the venous sinuses of the brain allow CSF to exit the sub-arachnoid space and enter the blood stream
- When the CSF pressure is greater than the venous pressure, CSF will flow into the blood stream
- Arachnoid villi act as one way valves
- If CSF pressure is less than the venous pressure, the arachnoid villi will not let blood pass into the ventricular system
what is hydrocephalus
- too much CSF
- due to an obstruction somewhere within the ventricular system causing problems with CSF absorption
communicating hydrocephalus
- occurs when there is full communication between the ventricles and subarachnoid space
- most often associated with defective absorption of CSF
- occasionally caused by venous drainage insufficiency
- rarely caused by overproduction of CSF
non-communicating hydrocephalus
occurs when CSF flow is obstructed, resulting in a lack of communication between ventricles and subarachnoid space
what does a shunt procedure do for hydocephalus
relieves pressure by removing excess CSF
what is papilledema
- The subarachnoid space around the optic nerve is not usually filled with CSF
- A rise of CSF pressure may compress thin walls of the retinal vein as it crosses the extension of the subarachnoid space to enter the optic nerve
- This will result in bulging forward of the optic disc, and edema of the disc which results in the condition of papilledema
what does persistent papilledema lead to
optic atrophy and blindness
what can cause an increase of pressure around the brain
- meningitis
- oedema
- tumour
- cerebral abscess
- haematoma
what does it mean if CSF is cloudy
indicates presence of polymorphonuclearleukocytes or an excessive quantity of proteins
what does an increase of white bloos cells in CSF indicate
inflammation of meninges or encephalitis
what does an increase in protein content of CSF indicate
change in vascular permeability (more protein can then enter CSF)
what causes blood in the CSF
contamination brought about by a puncture of a vertebral vein by spinal tap needle
what causes yellow colouration or xanthochromia of CSF
presence of oxyhaemoglobin in fluid some hours after subarachnoid haemorrhage