Cerebrospinal Fluid

Also written as CSF.

Cerebrospinal Fluid (CSF) Analysis (for Meningitis): Lumbar puncture and CSF analysis are critical.

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Study material on Cerebrospinal Fluid

Images

Illustration of the spinal cord in the vertebral canal with denticulate ligament (A) and dorsal nerve root (B) labelled
Illustration of the spinal cord in the vertebral canal with denticulate ligament (A) and dorsal nerve root (B) labelled
Sagittal skull illustration with dural venous sinuses A, B, C, D labelled
Sagittal skull illustration with dural venous sinuses A, B, C, D labelled

Practice questions on Cerebrospinal Fluid

Which of the following items correctly describes the relationship of cerebrospinal fluid pressure to the venous pressure in the superior sagittal sinus?

Answer: C. CSF pressure is normally maintained at a few millimeters of mercury higher than venous pressure in the superior sagittal sinus. This pressure gradient is essential for CSF drainage through the arachnoid granulations into the venous system. If CSF pressure were lower or equal to venous pressure, proper drainage would not occur. ---

Which of the following items represents the structural basis of the blood-cerebrospinal fluid barrier?

Answer: C. The blood-CSF barrier is formed by tight junctions between choroid plexus epithelial cells. This barrier controls the movement of substances from blood into CSF. Option E describes the blood-brain barrier, while the other options are not correct structural bases for the blood-CSF barrier. ---

Which of the following parasites can be diagnosed by cerebrospinal fluid biopsy?

Answer: A. *Trypanosoma brucei gambiense* invades the central nervous system in the late stage of infection, and its presence in CSF can be detected.

Which of the following items correctly describes the relationship of cerebrospinal fluid pressure to the venous pressure in the superior sagittal sinus?

Answer: A. Cerebrospinal fluid (CSF) is absorbed into the venous system, primarily through arachnoid villi that project into the superior sagittal sinus. For absorption to occur, the CSF pressure must be higher than the venous pressure in the sinus.

Which of the following items represents the structural basis of the blood-cerebrospinal fluid barrier?

Answer: B. The blood-cerebrospinal fluid (CSF) barrier is formed by the specialized structure of the capillaries within the choroid plexus. These capillaries are fenestrated but are covered by a layer of epithelial cells (choroid plexus epithelium) that form tight junctions, controlling the passage of substances from the blood into the CSF.

Which of the following items correctly describes the relationship of cerebrospinal fluid pressure to the venous pressure in the superior sagittal sinus?

Answer: A. Cerebrospinal fluid (CSF) is absorbed into the venous system, primarily through arachnoid villi that project into the superior sagittal sinus. For absorption to occur, the CSF pressure must be higher than the venous pressure in the sinus.

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