Ventricular system Flashcards

1
Q

Cerebrospinal fluid has a number of functions in the CNS

A

protects brain from mechanical damage
regulates fluid composition around neurons
provides endocrine/ paracrine pathways for non-neuronal signaling

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2
Q

Regulates fluid composition around neurons

A

Contributes to ion homeostasis for optimal neural signaling

Maintains low protein environment in CNS, limits proliferation (helps keep tumors down), preserves neural connectivity

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3
Q

the essence of the blood-CSF barrier

A

tight junctions of the choroid plexus epithelial cells

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4
Q

Glymphatic System

A

Helps move cellular waste into venous drainage system of deep brain parenchyma

The brain doesn’t stop consuming energy when asleep. The glymphatic system is 10X more active asleep than when we’re awake

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5
Q

What maintains fluild homeostasis in the brain?

A

Blood, CSF and ISF have to all work concurrently to maintain fluid homeostasis in the brain

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6
Q

CSF is created in the choroid plexus

A

Choroid plexus is a single layer of ependymal cells overlaid with a layer of pia.

Fenestrated choroidal capillaries allow macromolecules and ions to flow from the blood into extracellular space

Choroid epithelial cells contain tight junctions, prevent the diffusion of molecules into the brain

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7
Q

what provides blood for the choroidal plexus?

A

the choroid artery

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8
Q

Histology of the choroid epithelium

A
Single layered cuboidal epithelium
Tight Junctions
Luminal (apical) side has 
Cilia
Aquaporin 1 channels
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9
Q

Describing how CSF is derived from blood

A

fenestrated capillary

active transporters through the epithelium

becomes high sodium, low potassium to allow action potentials to work well. (sodium rushes in…; potassium needs to leave the neurons. directly related to action potential synthesis)

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10
Q

areas where the CSF enters the subarachnoid space

A

median aperture (foramen of magendie)

lateral apertures (foramina of Luschka)

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11
Q

Naming the ventricles: Lateral Horns

A
Frontal Horn: In frontal lobe
Central part/body: In frontal and parietal lobes, extends to splenium
Occipital horn: into occipital lobe
Temporal horn: into temporal lobe
Atrium: around splenium
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12
Q

Naming the ventricles: Third Ventricle

A

Looks like an oddly shaped doughnut (hole is the interthalamic adhesion)

Divides the thalamus and the hypothalamus

Contains 4 recesses:
Optic top beak
Infundibular- bottom beak
Pineal
Suprapineal
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13
Q

Naming the ventricles: Fourth Ventricle

A

makes a nice diamond shape.

At the level of pons and medulla
Roof is:
Superior Medullary Velum
Inferior Medullary Vellum

3 apertures that allow for CSF to flow into the subarachnoid space of rest of brain

  • 2 Lateral (Foramina of Luschka)
  • 1 Medial (Foramen of Magendie)

** main output system to get out of the ventricular system and into the rest of the brain

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14
Q

AQP1 and AQp4

A

both important for CSF flow, regulating fluid homeostasis.

AQP4 is in the astrocytic end feet

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15
Q

Ventricular system overview:

A
Lateral ventricles -->
interventricular foramina-->
3rd ventricle-->
cerebral aqueduct-->
IV ventricle --> central canal OR Lushka, Magendie, Luschka
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16
Q

CSF is contained in the subarachnoid layer around the brain

A

Arachnoid connected to the pia via trabeculae
Keeps the brain suspended
Between pia and arachnoid in the subarachnoid layer = CSF flow
In some areas, subarachnoid space is enlarged and there are no trabeculae
Cisterns
Cisterna Magna
Pontine cistern
Lumbar cistern

17
Q

Disruption of CSF flow: hydrocephalus

A

When CSF flow is obstructed, pressure increases, ventricles get bigger (at expense of surrounding brain), usually at proximal, upstream site
Occurs from
Excessive CSF production
Blockage of CSF circulation
Deficiency in CSF reabsorption
Communicating (ventricle to subarachnoid space) vs. non-communicating (within ventricle block)– before the CSF can communicate with the subarachnoid space