pp 1-11 | Cite as

Oscillations of Subarachnoid Space Width as a Potential Marker of Cerebrospinal Fluid Pulsatility

  • Marcin Gruszecki
  • Magdalena K. Nuckowska
  • Arkadiusz Szarmach
  • Marek Radkowski
  • Dominika Szalewska
  • Monika Waskow
  • Edyta Szurowska
  • Andrzej F. Frydrychowski
  • Urszula Demkow
  • Pawel J. Winklewski
Part of the Advances in Experimental Medicine and Biology book series


In the cerebrospinal fluid (CSF) circulation, two components can be distinguished: bulk flow (circulation) and pulsatile flow (back and forth motion). CSF pulsatile flow is generated by both cardiac and respiratory cycles. Recent years have seen increased interest in cardiac and respiratory-driven CSF pulsatility as an important component of cerebral homeostasis. CSF pulsatility is affected by cerebral arterial inflow and jugular outflow and potentially linked to white matter abnormalities in various diseases, such as multiple sclerosis or hypertension. In this review, we discuss the physiological mechanisms associated with CSF pulsation and its clinical significance. Finally, we explain the concept of using the oscillations of subarachnoid space width as a surrogate for CSF pulsatility.


Cerebrospinal fluid CSF pulsation Oscillations Pulsatile flow Subarachnoid space 


Competing Interests

Drs. Andrzej Frydrychowski and Pawel J. Winklewski are stakeholders in NIRTI SA, Wierzbice, Poland, which has developed and produces the NIR-T/BSS device. NIRTI SA had no role in manuscript design, preparation, or the decision to publish.


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Copyright information

© Springer International Publishing AG  2018

Authors and Affiliations

  • Marcin Gruszecki
    • 1
  • Magdalena K. Nuckowska
    • 2
  • Arkadiusz Szarmach
    • 3
  • Marek Radkowski
    • 4
  • Dominika Szalewska
    • 5
  • Monika Waskow
    • 6
  • Edyta Szurowska
    • 3
  • Andrzej F. Frydrychowski
    • 2
  • Urszula Demkow
    • 7
  • Pawel J. Winklewski
    • 2
    • 3
    • 6
  1. 1.Department of Radiology Informatics and StatisticsMedical University of GdanskGdanskPoland
  2. 2.Department of Human PhysiologyMedical University of GdanskGdanskPoland
  3. 3.Second Department of RadiologyMedical University of GdanskGdanskPoland
  4. 4.Department of Immunopathology of Infectious and Parasitic DiseasesWarsaw Medical UniversityWarsawPoland
  5. 5.Chair of Rehabilitation MedicineMedical University of GdanskGdanskPoland
  6. 6.Faculty of Health SciencesSlupsk Pomeranian UniversitySlupskPoland
  7. 7.Department of Laboratory Diagnostics and Clinical Immunology of Developmental AgeWarsaw Medical UniversityWarsawPoland

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