Skip to main content

Cerebrospinal Fluid Congestion in the Perioptic Space

  • Conference paper
  • First Online:

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 118))

Abstract

Recent attention has been paid to the ­cerebrospinal fluid (CSF) dynamics between the intracranial subarachnoid space (SAS) and the SAS around the optic nerve (ON-SAS). We experienced three patients who had an expanded ON-SAS associated with mass lesions extending into the optic canal, and studied their MRI findings after decompressive surgery. In all three patients, decompressive surgery of the optic canal resulted not only in the disappearance of the expanded ON-SAS, but also in improvement of the visual function. The present study may indicate that normalization of the ON-SAS can be considered to be the achievement of “effective” decompression. Therefore, we suggest that, in patients with an expanded ON-SAS associated with mass lesions, the state of the ON-SAS should be evaluated by pre- and postoperative MRI, in addition to the degree of tumor resection.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Garrity JA, Trautmann JC, Bartley GB, Forbes G, Bullock JD, Jones TW Jr, Waller RR (1990) Optic nerve sheath meningoceles. Clinical and radiographic features in 13 cases with a review of the literature. Ophthalmology 97:1519–1531

    PubMed  CAS  Google Scholar 

  2. Geeraerts T, Newcombe VF, Coles JP, Abate MG, Perkes IE, Hutchinson PJ, Outtrim JG, Chatfield DA, Menon DK (2008) Use of T2-weighted magnetic resonance imaging of the optic nerve sheath to detect raised intracranial pressure. Crit Care 12:R114

    Article  PubMed  Google Scholar 

  3. Jaggi GP, Harlev M, Ziegler U, Dotan S, Miller NR, Killer HE (2010) Cerebrospinal fluid segregation optic neuropathy: an experimental model and a hypothesis. Br J Ophthalmol 94:1088–1093

    Article  PubMed  Google Scholar 

  4. Jinkins JR (1987) Optic hydrops: isolated nerve sheath dilation demonstrated by CT. AJNR Am J Neuroradiol 8:867–870

    PubMed  CAS  Google Scholar 

  5. Killer HE, Mironov A, Flammer J (2003) Optic neuritis with marked distension of the optic nerve sheath due to local fluid ­congestion. Br J Ophthalmol 87:249

    Article  PubMed  CAS  Google Scholar 

  6. Killer HE, Laeng HR, Flammer J, Groscurth P (2003) Architecture of arachnoid trabeculae, pillars, and septa in the subarachnoid space of the human optic nerve: anatomy and clinical considerations. Br J Ophthalmol 87:777–781

    Article  PubMed  CAS  Google Scholar 

  7. Killer HE, Jaggi GP, Flammer J, Miller NR, Huber AR (2006) The optic nerve: a new window into cerebrospinal fluid composition? Brain 129:1027–1030

    Article  PubMed  CAS  Google Scholar 

  8. Killer HE, Jaggi GP, Flammer J, Miller NR, Huber AR, Mironov A (2007) Cerebrospinal fluid dynamics between the intracranial and the subarachnoid space of the optic nerve. Is it always bidirectional? Brain 130:514–520

    Article  PubMed  CAS  Google Scholar 

  9. Killer HE, Jaggi GP, Miller NR, Flammer J, Meyer P (2008) Does immunohistochemistry allow easy detection of lymphatics in the optic nerve sheath? J Histochem Cytochem 56:1087–1092

    Article  PubMed  CAS  Google Scholar 

  10. Killer HE, Jaggi GP, Miller NR, Huber AR, Landolt H, Mironov A, Meyer P, Remonda L (2011) Cerebrospinal fluid dynamics between the basal cisterns and the subarachnoid space of the optic nerve in patients with papilloedema. Br J Ophthalmol 95:822–827

    Article  PubMed  Google Scholar 

  11. Lunardi P, Farah JO, Ruggeri A, Nardacci B, Ferrante L, Puzzilli F (1997) Surgically verified case of optic sheath nerve meningocele: case report with review of the literature. Neurosurg Rev 20:201–205

    Article  PubMed  CAS  Google Scholar 

  12. Mashima Y, Oshitari K, Imamura Y, Momoshima S, Shiga H, Oguchi Y (1996) High-resolution magnetic resonance imaging of the intraorbital optic nerve and subarachnoid space in patients with papilledema and optic atrophy. Arch Ophthalmol 114:1197–1203

    Article  PubMed  CAS  Google Scholar 

  13. Mesa-Gutiérrez JC, Quiñones SM, Ginebreda JA (2008) Optic nerve sheath meningocele. Clin Ophthalmol 2:661–668

    Article  PubMed  Google Scholar 

  14. Pollay M (2010) The function and structure of the cerebrospinal fluid outflow system. Cerebrospinal Fluid Res 7:9

    Article  PubMed  Google Scholar 

  15. Urade Y, Kitahama K, Ohishi H, Kaneko T, Mizuno N, Hayaishi O (1993) Dominant expression of mRNA for prostaglandin D synthase in leptomeninges, choroid plexus, and oligodendrocytes of the adult rat brain. Proc Natl Acad Sci U S A 90:9070–9074

    Article  PubMed  CAS  Google Scholar 

  16. Xin X, Fan B, Flammer J, Miller NR, Jaggi GP, Killer HE, Meyer P, Neutzner A (2011) Meningothelial cells react to elevated pressure and oxidative stress. PLoS One 6:e20142

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of Interest

We declare that we have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Satoru Takeuchi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Wien

About this paper

Cite this paper

Takeuchi, S. et al. (2013). Cerebrospinal Fluid Congestion in the Perioptic Space. In: Katayama, Y., Maeda, T., Kuroiwa, T. (eds) Brain Edema XV. Acta Neurochirurgica Supplement, vol 118. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1434-6_40

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-1434-6_40

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1433-9

  • Online ISBN: 978-3-7091-1434-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics