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Research ArticleSpine Imaging and Spine Image-Guided Interventions
Open Access

Assessment of Craniospinal Pressure-Volume Indices

A. Wåhlin, K. Ambarki, R. Birgander, N. Alperin, J. Malm and A. Eklund
American Journal of Neuroradiology October 2010, 31 (9) 1645-1650; DOI: https://doi.org/10.3174/ajnr.A2166
A. Wåhlin
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K. Ambarki
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R. Birgander
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N. Alperin
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J. Malm
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A. Eklund
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    Fig 1.

    A subject recording of ΔICP and ICP from a constant pressure lumbar CSF infusion test. The RPPC is the slope of the linear regression line between ΔICP and ICP. P0 is calculated as the pressure at which this line intersects with ΔICP = 0.

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    Fig 2.

    An overview of how the infusion and MR imaging modalities are combined to estimate compliance indices.

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    Fig 3.

    A, Total cerebral arterial blood flow (summated flow of the internal carotid and vertebral arteries). B, Cumulative integration of the curve in A with the average flow subtracted yields the arterial volume change during a cardiac cycle. ΔVART was defined as the largest volume difference during a cardiac cycle.

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    Fig 4.

    An ICP recording from a lumbar CSF infusion test. A, Baseline ICP recording. B, Infusion to predetermined ICP levels. C, Relaxation phase allowing ICP to normalize. D, A bolus test (rapid infusion of a 5.6-mL artificial CSF).

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    Fig 5.

    The craniospinal PVI calculated from combined MR imaging and infusion (y-xis) and from the bolus test (x-axis). The difference was not statistically different from zero, P = .83 from a paired t test. There was no significant correlation after excluding 2 extreme values (dashed contours) (P = .8778).

Tables

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  • Reports of PVICC in various states

    SubjectsPVICC (mL)Method
    Normal pressure hydrocephalus (n = 69)1616.4Repeated bolus injections
    Idiopathic normal pressure hydrocephalus (n = 47)1616.7Repeated bolus injections
    Head injury: ICP, <20 mm Hg (n = 9)1820.8Bolus injection/CSF withdrawal
    Hydrocephalus, ventriculomegaly (n = 27)199.6Constant-rate infusion
    Hydrocephalus, ventriculomegaly (n = 27)1916.5Relaxation preceding infusion
    Mechanically ventilated, pathologic autoregulation (n = 35)3420.0Bolus injection
    Mechanically ventilated, functioning autoregulation (n = 24)3431.6Bolus injection
    Hydrocephalus, ventriculomegaly (n = 46)208.9Constant-rate infusion
    Adult patients without intracranial masses (n = 7)125.9Bolus injection/CSF withdrawal
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American Journal of Neuroradiology: 31 (9)
American Journal of Neuroradiology
Vol. 31, Issue 9
1 Oct 2010
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Cite this article
A. Wåhlin, K. Ambarki, R. Birgander, N. Alperin, J. Malm, A. Eklund
Assessment of Craniospinal Pressure-Volume Indices
American Journal of Neuroradiology Oct 2010, 31 (9) 1645-1650; DOI: 10.3174/ajnr.A2166

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Assessment of Craniospinal Pressure-Volume Indices
A. Wåhlin, K. Ambarki, R. Birgander, N. Alperin, J. Malm, A. Eklund
American Journal of Neuroradiology Oct 2010, 31 (9) 1645-1650; DOI: 10.3174/ajnr.A2166
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