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DO - Deutsche Zeitschrift für Osteopathie 2021; 19(03): 20-26
DOI: 10.1055/a-1346-4248
Praxis
Fallbeispiel

Ungleichgewicht von Produktion und Resorption des LCS

Jo Buekens
,
Jürgen Grasmück
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Nachdem William Garner Sutherland 1900 an der American School of Osteopathy graduiert hatte [1], forschte er über Jahrzehnte an der Entwicklung seines kranialen Konzepts. Dabei entdeckte und lehrte er auch die Wichtigkeit und zentrale Rolle des Liquor cerebrospinalis (LCS). Mittlerweile ist dieser für viele Osteopathen ein wichtiger Parameter bei der osteopathischen Diagnostik und Therapie. Solange wir uns im Bereich der normalen, ausgeglichenen LCS-Physiologie befinden, ist eine kraniale Dynamik gut wahrnehmbar. Aber wenn ein gewisses Ungleichgewicht zwischen LCS-Produktion und -Resorption entsteht, steigt der intrakraniale Druck (ICP), sodass die kraniale Dynamik abnimmt. Mit diesem Beitrag und dem Fallbeispiel versuchen wir, anhand aktueller Studien ein besseres Verständnis von diesem Gleichgewichtsphänomen für die osteopathische Anwendung zu vermitteln.

Publication History

Article published online:
05 July 2021

© 2021. Thieme. All rights reserved.

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  • Literatur

  • 1 Stark JE. Journeyman: William Garner Sutherland, The Formative Years (1873 – 1900). Moffat: Roe House; 2020
    Google Scholar
  • 2 Monro A. Observations on the structure and function of the nervous system. Edinburgh: Creech & Johnson; 1823
    Google Scholar
  • 3 Kellie G. An account of the appearances observed in the dissection of two of the three individuals presumed to have perished in the storm of the 3rd, and whose body were discovered in the vicinity of Leith on the morning of the 4th November 1821 with some reflections on the pathology of the brain. The Transactions of the Medico-Chirurgical Society of Edinburgh 1824; 1: 84-169
    PubMedGoogle Scholar
  • 4 Nelson KE. et al. Cranial Rhythmic impulse Related to Traube-Hering-Mayer Oscillation: Comparing Laser-Doppler Flowmetry and Palpation. JAOA 2001; 101 (03) 163-173
    PubMedGoogle Scholar
  • 5 Pinto VL, Adeyinka A. Increased Intracranial Pressure. Treasure Island: StatPearls; 2018. available from: www.ncbi.nlm.nih.gov/books/NBK482119
    Google Scholar
  • 6 Sakka L. et al. Anatomy and physiology of cerebrospinal fluid. Review of literature. Annals of Otorhinolaryngology, Head and Neck diseases 2011; 128: 309-316
    CrossrefPubMedGoogle Scholar
  • 7 Rangel-Castilla L. et al. Management of intracranial hypertension. Neurol Clin 2008; 26 (02) 521-541
    CrossrefPubMedGoogle Scholar
  • 8 Gaurav G. Intracranial Pressure Monitoring: Background (Stand: 2.4.2018). https://emedicine.medscape.com/article/1829950
    Google Scholar
  • 9 Silverberg GD. et al. The cerebrospinal fluid production rate is reduced in dementia of the Alzheimerʼs type. Neurology 2001; 57 (10) 1763-1766
    CrossrefPubMedGoogle Scholar
  • 10 Brinker T. et al. A new look at cerebrospinal fluid circulation. Fluids Barriers CNS 2014; 11: 10
    CrossrefPubMedGoogle Scholar
  • 11 Redzic Z. Molecular biology of the blood–brain barrier and the blood-cerebrospinal fluid barriers: similarities and differences. Fluids Barriers CNS 2011; 8 (01) 3
    CrossrefPubMedGoogle Scholar
  • 12 Johanson CE. et al. Multiplicity of cerebrospinal fluid functions : new challenges in health and disease. Cerebrospinal Fluid Res 2008; 5: 10
    CrossrefPubMedGoogle Scholar
  • 13 Yamada S. et al. Influence of respiration on cerebrospinal fluid movement using magnetic resonance spin labelling. Fluids Barriers CNS 2013; 10 (10) 36
    CrossrefPubMedGoogle Scholar
  • 14 Yamada S. et al. Cerebrospinal fluid physiology: visualization of cerebrospinal fluid dynamics using the magnetic resonance imaging Time-Spatial Inversion Pulse method. Croat Med J 2014; 55 (04) 337-346
    CrossrefPubMedGoogle Scholar
  • 15 Kiviniemi V. et al. Ultra-fast magnetic resonance encephalography of physiological brain activity – Glymphatic pulsation mechanisms?. J Cereb Blood Flow Metab 2016; 36 (06) 1033-1045
    CrossrefPubMedGoogle Scholar
  • 16 Smith AJ. Test of the “glymphatic” hypothesis demonstrates diffusive and aquaporin-4 independent solute transport in rodent brain parenchyma. eLife 2017; 6: e27679
    CrossrefPubMedGoogle Scholar
  • 17 Plog BA, Nedergaard M. The Glymphatic System in Central Nervous System Health and Disease: Past, Present, and Future. Annu Rev Pathol 2018; 13: 379-394
    CrossrefPubMedGoogle Scholar
  • 18 Bothwell SW. et al. Cerebrospinal fluid dynamics and intracranial pressure elevation in neurological diseases. Fluids Barriers CNS 2019; 16: 9
    CrossrefPubMedGoogle Scholar
  • 19 Aspelund A. A dural lymphatic vascular system that drains brain interstitial fluid and macromolecules. J Exp Med 2015; 212 (07) 991-999
    CrossrefPubMedGoogle Scholar
  • 20 Louveau A. et al. Structural and functional features of central nervous system lymphatic vessels. Nature 2015; 523(7560): 337-341
    CrossrefPubMedGoogle Scholar
  • 21 Miyajima M, Arai H. Evaluation of the Production and Absorption of Cerebrospinal Fluid. Neurol Med Chir 2015; 55 (08) 647-656
    CrossrefPubMedGoogle Scholar
  • 22 Osaka K. Development of the cerebrospinal fluid pathway in the normal and abnormal human embryos. Childs Brain 1980; 6 (01) 26-38
    PubMedGoogle Scholar
  • 23 Mollanji R. et al. Blocking cerebrospinal fluid absorption through the cribriform plate increases resting intracranial pressure. Am J Physiol Regul Integr Comp Physiol 2002; R1593-R1599
    CrossrefPubMedGoogle Scholar
  • 24 Silver I. et al. Relationship between intracranial pressure and cervical lymphatic pressure and flow rates in sheep. Am J Physiol 1999; 277: R1712-R1717
    Google Scholar
  • 25 Biceroglu H. et al. Direct venous spinal reabsorption of cerebrospinal fluid: a new concept with serial magnetic resonance cisternography in rabbits. J Neurosurg Spine 2012; 16: 394-401
    CrossrefPubMedGoogle Scholar
  • 26 Zamboni P. et al. Venous Collateral Circulation of the Extracranial Cerebrospinal Outflow Routes. Current Neurovascular Research 2009; 6 (03) 204-212
    CrossrefPubMedGoogle Scholar
  • 27 Sosa et al.. Abdominal compartment syndrome. Disease-a-Month 2019; 65: 5-19
    CrossrefPubMedGoogle Scholar
  • 28 Josten S. Erhöhter Bauchdruck/Gefährlicher Vorbote. Pflegeintensiv 2010; 7: 34-37
    Google Scholar
  • 29 Searcy M. Demystifying Management of Intracranial Pressure. Nursing Spectrum. 2006
    Google Scholar
  • 30 Ece I. et al. The increase of intra-abdominal pressure can affect intraocular pressure. BioMed Research Internat 2015; ID986895: 1-4
    CrossrefPubMedGoogle Scholar
  • 31 Hickman SJ. et al. Vision and Multiple Sclerosis. Review. Multiple Sclerosis and Related Disorders 2014; 3 (01) 3-16
    CrossrefPubMedGoogle Scholar
  • 32 Costello F. Vision Disturbances in Multiple Sclerosis. Semin Neurol 2016; 36 (02) 185-195
    Article in Thieme ConnectPubMedGoogle Scholar
  • 33 Kraml M. Der venolymphatische Pumpmechanismus. Denkmodell oder Wirklichkeit?. DO 2013; 2: 1-5
    Google Scholar
  • 34 Buekens J. Bone – The Best-Kept Secret. Garnich: School of Bones – Publisher and Promotion; 2020
    Google Scholar
  • 35 Liem T. Kraniosakrale Osteopathie. 7. Aufl.. Stuttgart: Thieme; 2018
    Google Scholar