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On the bulk motion of the cerebrospinal fluid in the spinal canal

Published online by Cambridge University Press:  20 February 2018

A. L. Sánchez
Affiliation:
Department of Mechanical and Aerospace Engineering, University of California, San Diego, CA 92093-0411, USA
C. Martínez-Bazán
Affiliation:
Department of Mechanical and Mining Engineering, University of Jaén, 23071 Jaén, Spain
C. Gutiérrez-Montes
Affiliation:
Department of Mechanical and Mining Engineering, University of Jaén, 23071 Jaén, Spain
E. Criado-Hidalgo
Affiliation:
Department of Mechanical and Aerospace Engineering, University of California, San Diego, CA 92093-0411, USA
G. Pawlak
Affiliation:
Department of Mechanical and Aerospace Engineering, University of California, San Diego, CA 92093-0411, USA
W. Bradley
Affiliation:
Department of Radiology, University of California, San Diego, CA 92103-8749, USA
V. Haughton
Affiliation:
Department of Radiology, University of Wisconsin, WI 53792-3252, USA
J. C. Lasheras*
Affiliation:
Department of Mechanical and Aerospace Engineering, University of California, San Diego, CA 92093-0411, USA Department of Bioengineering, University of California, San Diego, CA 92093-0412, USA
*
Email address for correspondence: lasheras@ucsd.edu

Abstract

Radionuclide scanning images published in Nature by Di Chiro in 1964 showed a downward migration along the spinal canal of particle tracers injected in the brain ventricles while also showing an upward flow of tracers injected in the lumbar region of the canal. These observations, since then corroborated by many radiological measurements, have been the basis for the hypothesis that there must be an active circulation mechanism associated with the transport of cerebrospinal fluid (CSF) deep down into the spinal canal and subsequently returning a portion back to the cranial vault. However, to date, there has been no physical explanation for the mechanism responsible for the establishment of such a bulk recirculating motion. To investigate the origin and characteristics of this recirculating flow, we have analyzed the motion of the CSF in the subarachnoid space of the spinal canal. Our analysis accounts for the slender geometry of the spinal canal, the small compliance of the dura membrane enclosing the CSF in the canal, and the fact that the CSF is confined to a thin annular subarachnoid space surrounding the spinal cord. We apply this general formulation to study the characteristics of the flow generated in a simplified model of the spinal canal consisting of a slender compliant cylindrical pipe with a coaxial cylindrical inclusion, closed at its distal end, and subjected to small periodic pressure pulsations at its open entrance. We show that the balance between the local acceleration and viscous forces produces a leading-order flow consisting of pure oscillatory motion with axial velocities on the order of a few centimetres per second and amplitudes monotonically decreasing along the length of the canal. We then demonstrate that the nonlinear term associated with the convective acceleration contributes to a second-order correction consisting of a steady streaming that generates a bulk recirculating motion of the CSF along the length of the canal with characteristic velocities two orders of magnitude smaller than the leading-order oscillatory flow. The results of the analysis of this idealized geometry of the spinal canal are shown to be in good agreement not only with experimental measurements in an in-vitro model but also with radiological measurements conducted in human adults.

Information

Type
JFM Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© 2018 Cambridge University Press
Figure 0

Figure 1. Schematic view of the anatomical features of the cranial cavity and the spinal canal, with indication of the curvilinear coordinates used in the analysis and of the bulk motion of the CSF in the spinal canal.

Figure 1

Figure 2. The value of $|Q\,\text{d}P^{\prime }/\text{d}x|$ evaluated with use made of (3.21) and (5.1) for $h_{o}=1-\unicode[STIX]{x1D6FD}\cos (2\unicode[STIX]{x03C0}s)$, $\ell =1$ and $\unicode[STIX]{x1D6FD}=0.5$. Panel (a) shows the variation with $x$, whereas (b) shows the parametric dependence of the entrance value $|Q\,\text{d}P^{\prime }/\text{d}x|_{x=0}$.

Figure 2

Figure 3. The distribution of $|u_{0}|=|U|$ for $k=0.5$ and $\unicode[STIX]{x1D6FC}=3$ as obtained at different sections $x$ for varying eccentricities.

Figure 3

Figure 4. Schematic view of the model geometry considered here (a), distribution of $\langle u_{1}\rangle$ corresponding to $k=0.5$, $\unicode[STIX]{x1D6FC}=3$ and $\unicode[STIX]{x1D6FD}=0.5$ (b), and streamwise variation of the maximum (downward) and minimum (upward) velocities for different values of $\unicode[STIX]{x1D6FD}$ (c).

Figure 4

Figure 5. The distribution of $\langle u_{1}\rangle$ for $k=0.5$ and $\unicode[STIX]{x1D6FC}=3$ as obtained at different sections $x$ for varying eccentricities.

Figure 5

Figure 6. The distribution of $\langle w_{1}\rangle$ for $k=0.5$ and $\unicode[STIX]{x1D6FC}=3$ as obtained at different sections $x$ for varying eccentricities.

Figure 6

Figure 7. Time variation of the oscillatory axial velocity averaged along the cross-section at various downstream locations along the tube for the case of an axisymmetric annular canal ($\unicode[STIX]{x1D6FD}=0$) with flexible outer wall and rigid inner surface.

Figure 7

Figure 8. (a) Time evolution of the fluorescent marker initially injected in the annular gap at the midpoint between the entrance and closed end of the tube. The open entrance to the channel is located on the left-hand side. (b) Schematic representation of the evolution of the fluorescent marker injected at the midpoint along the tube. (c) Propagation velocity of the dye front towards the open entrance of the tube. Note the monotonic increase of the streaming velocity $\langle u_{1}\rangle$ approaching the open entrance. The measurements correspond to an eccentric case with $\unicode[STIX]{x1D6FD}=0.1$