2001
DOI: 10.1055/s-2001-12463
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MR-tomographische Liquorflussmessungen am Spinalkanal mit einem optimierten MRT-Protokoll: Experimentelle und klinische Untersuchungen*

Abstract: Quantitative measurement of the oscillating CSF flow in the entire spinal canal (SC) is possible using an optimized MRI protocol as well as to detect stenosis induced velocity changes. Due to the high interindividual variability in the data of spinal CSF dynamics, further studies are necessary to collect normal data. The detection of movement of CSF in a post-traumatic spinal cord lesion may alter the therapeutic management.

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Cited by 22 publications
(3 citation statements)
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References 14 publications
(26 reference statements)
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“…Freund [15] reported that in the case of patients with post-traumatic syringomyelia, the mean velocity of their spine was 3.31 cm/s due to a narrowed spinal canal, which is significantly higher than that of a normal person (1.23 cm/s). Generally, the cerebrospinal fluid normally flows through the process, where the cerebrum pressurizes the cerebral ventricle inwardly and expands into the subarachnoid space outwardly during the systole.…”
Section: Discussionmentioning
confidence: 95%
“…Freund [15] reported that in the case of patients with post-traumatic syringomyelia, the mean velocity of their spine was 3.31 cm/s due to a narrowed spinal canal, which is significantly higher than that of a normal person (1.23 cm/s). Generally, the cerebrospinal fluid normally flows through the process, where the cerebrum pressurizes the cerebral ventricle inwardly and expands into the subarachnoid space outwardly during the systole.…”
Section: Discussionmentioning
confidence: 95%
“…The obstruction of the CSF pathways within the spinal cord can cause edema of the cervical cord (Sartoretti-Schefer et al 2000), thereby causing a secondary spinal cord injury. Using MRI phase-contrast studies, Freund found significantly impaired spinal CSF flow dynamics in four post-traumatic syringomyelia patients (Freund et al 2001). Another study revealed significantly decreased spinal cord motion and CSF circulation in the case of severe compression of the spinal cord and a good recovery postoperatively (Levy 1999).…”
Section: Discussionmentioning
confidence: 97%
“…Turbulent, hyperdynamic CSF flow may be an additive factor for worsening myelopathy and the culprit for developing syringohydromyelia (SYM). Altered and exaggerated CSF flow patterns in the presence of spinal canal stenosis are known to lead to SYM . CSF pressure dissociation may affect the spinal cord differently rostral and caudal to the stenosis while maintaining more uniform pressure buildup across the SYM .…”
Section: Discussionmentioning
confidence: 99%