1. Head movement, an important contributor to human cerebrospinal fluid circulation
- Author
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Hong-Jin Sui, Qiang Xu, Xiao-Ying Yuan, Yan-Yan Chi, Xue-Mei Wang, Xiang-Tao Lin, Cong Liu, Sheng-Bo Yu, and Nan Zheng
- Subjects
Adult ,Male ,0301 basic medicine ,Movement ,Diastole ,Article ,03 medical and health sciences ,0302 clinical medicine ,Cerebrospinal fluid ,medicine ,Humans ,Volunteer ,Stroke ,Cerebrospinal Fluid ,Multidisciplinary ,Cardiac cycle ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,Anatomy ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Cerebrospinal fluid circulation ,Head movements ,Female ,030101 anatomy & morphology ,business ,Head ,030217 neurology & neurosurgery - Abstract
The suboccipital muscles are connected to the upper cervical spinal dura mater via the myodural bridges (MDBs). Recently, it was suggested that they might work as a pump to provide power for cerebrospinal fluid (CSF) circulation. The purpose of this study was to investigate effects of the suboccipital muscles contractions on the CSF flow. Forty healthy adult volunteers were subjected to cine phase-contrast MR imaging. Each volunteer was scanned twice, once before and once after one-minute-head-rotation period. CSF flow waveform parameters at craniocervical junction were analyzed. The results showed that, after the head rotations, the maximum and average CSF flow rates during ventricular diastole were significantly increased and the CSF stroke volumes during diastole and during entire cardiac cycle were significantly increased. This suggested that the CSF flow was significantly promoted by head movements. Among the muscles related with head movements, only three suboccipital muscles are connected to the upper cervical spinal dura mater via MDBs. It was believed that MDBs might transform powers of the muscles to CSF. The present results suggested that the head movements served as an important contributor to CSF dynamics and the MDBs might be involved in this mechanism.
- Published
- 2016
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