Diagrammatic representation of CSF flow under normal circumstances.

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Presentation transcript:

Diagrammatic representation of CSF flow under normal circumstances. Diagrammatic representation of CSF flow under normal circumstances. A, Sagittal view of the craniocervical junction and upper cervical spinal cord in an anatomically normal patient shows no obstruction to CSF flow at the foramen magnum. A segment of spinal cord parenchyma (box) is shown in more detail in B. B, Magnified view of the box in A shows CSF flow dynamics in a normal patient with a variably stenotic central canal (CC) (29), as indicated by the horizontal lines. CSF pressure (vertical arrow) is normal. CSF flows from the subarachnoid space (SAS) between the arachnoid (A) and pia (P) to the subpial space, and then enters the perivascular space (PVS). CSF circulates through the cord parenchyma toward the central canal, but may also flow in reverse, as these forces are relatively balanced under normal circumstances (double-headed arrows) (45, 46). Nancy J. Fischbein et al. AJNR Am J Neuroradiol 1999;20:7-20 ©1999 by American Society of Neuroradiology