Neurological Surgery 脳神経外科44巻11号

2016年11月発行

総説

脳脊髄液運動の新知見

著者： 松前光紀¹ 厚見秀樹¹ 平山晃大¹ 林直一¹ 滝沢賢¹ 佐野史弥¹ 横田和馬¹ 反町隆俊¹

所属機関： ¹東海大学医学部外科学系脳神経外科学領域

ページ範囲：P.909 - P.924

Ⅰ．はじめに
　脳室およびくも膜下腔を満たす脳脊髄液（cerebrospinal fluid：CSF）は，脳ならびに脊髄の細胞外腔と自由に行き来し，盛んに物質の交換や代謝熱の放出などを行っている．さらに，脳・脊髄・神経・血管系に対する浮力効果，外力に対する緩衝作用および浸透圧調整などの重要な役割を担っている．近年CSFの役割やその動きについて新しい知見が発表されるようになり，本誌総説でもたびたびこれらの業績が紹介されてきた．本稿では，CSFに関する古い文献上の記載，CSFと細胞外液との関わり，最近注目される硬膜のリンパ管様構造物の発見，脳室とくも膜下腔におけるCSFの運動などについて文献を引用しながら考察する．

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