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Unformatted text preview: Hydrocephalus- Accumulation of CSF within the ventricular system of the brain. Holds 150 ml of CSF. CSF is produced by choroids plexus in all 4 ventricles. The amount of CSF produced in 24 hours is 500ml - CSF leaves the ventricular system as it is produced. CSF moves from lateral ventricle through the interventricular foramen of Monroe into the 3rd ventricle then through Sylvius Aquaduct into the 4th ventricle. There are two openings foramen of von Luscka (lateral) and the foramen of margendie <ONE> (median apperature) so CSF flows outside of the ventricles into the cisterna magna which is the space around the cerebellum and then it goes down into subarachnoid space (this space is between dura and pia matter) of brain and cord. Brain flows in CSF and is absorbed in special area in parietal bone at arachnoid granulations. CSF flows through the granulations into the superior saggital sinus which goes along the sagittal suture and it is the main collector of venous blood in the brain. KNOW THE CIRCULATION FOR THIS!! KNOW WELL!!!!- There are two forms of hydrocephalus: 1 st - associated with increased production (this can be a result of a benign tumor of the choroid plexus tissue which produces more CSF thus) or decreased absorption communicating hydrocephalus (this is usually the result of inflammation of the meninges = leptomeningitis (dura mater swelling)). 2 nd - obstruction - tumor or hemorrhagic stroke- prevents normal circulation of CSF. It is called non- communicating hydrocephalus- this is within the ventricular system. Fart- both result in increased ICP- patient will experience 3 signs: ( 1. headaches, 2. nausea/vomiting, or 3. papilledema (swelling of optic disk). These are primary manifestations of brain tumor. NETTER picture Headaches- Only 18% of all headaches may be treated by chiropractic. There are ~ 400 causes for a headache. 3rd type of hydrocephalus is hydrocephalus ex vacuo (from the bag) - disappearance of neurons - brain mass is diminished. There is an increase in the space around the brain and it becomes filled with CSF. 350 ml of CSF - it is compensatory, known as normal pressure hydrocephalus. It does not result in the increase in ICP. People lose their memory due to loss of brain cells the fluid that replaces the tissue, does NOT hold memory. So this is not caused by excessive production or decreased absorption. Treatment depends on: Age of patient. Babies have six fontenelles. First two months of life, 5 fontanelles close except the FRONTAL, which may take up to 18 months. Measure both sides of the head to see if hydrocephalus FRONTAL, which may take up to 18 months....
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This note was uploaded on 11/23/2011 for the course PATH 2542 taught by Professor Markamos during the Winter '11 term at Life Chiropractic College West.
- Winter '11