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The CSF Pressure-Volume Relationship Before and After Cardiac Arrest in the Cat
Humbert G. Sullivan, MD;
J. Douglas Miller, MD, PhD, FRCS;
Sarah Rucker;
Walter Carter, Jr, PhD;
Donald Stablein, MS;
Richard L. Griffith III, DEngr, MD
Arch Neurol. 1979;36(6):365-369.
Abstract
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• The CSF pressure-volume (P-V) function was evaluated before and after cardiac arrest in 15 cats. The CSF volume change was produced by bolus loading (loading rate, > 0.1 mL/s) of the CSF space. Comparison of the CSF P-V function before and after cardiac arrest was made over a CSF pressure range of 5 to 46 mm Hg and for a CSF volume change of up to 9% of total CSF volume. After cardiac arrest, all CSF P-V curves were well described by the mathematical model known to be valid under normal physiological conditions. In eight animals, there was no significant difference between the prearrest and postarrest P-V functions. For the seven animals demonstrating a significant difference between prearrest and postarrest P-V data, all but one of the postarrest P-V curves were within the normal range. These results suggest that the shape of the CSF P-V curve is not substantially altered by cardiac arrest. We conclude that under normal circumstances material properties of brain tissue are the most important factors in determining the configuration of the CSF P-V curve and that under normal circumstances cerebral hemodynamic factors do not affect the shape of this curve.
Author Affiliations
From the Division of Neurological Surgery (Drs Sullivan, Miller, and Griffith, and Mrs Rucker), and the Department of Biostatistics (Drs Carter and Mr Stablein), Medical College of Virginia, Virginia Commonwealth University, Richmond.
Footnotes
Accepted for publication Aug 28, 1978.
Reprint requests to Division of Neurological Surgery, Medical College of Virginia, MCV Station, Box 758, Richmond, VA 23298 (Dr Sullivan).
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