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Choroid Plexus: Source of Cerebrospinal Fluid and Regulator of Brain Development and Function

  • Robert Snodgrass
  • Conrad E. Johanson
Living reference work entry

Abstract

Thomas Willis in 1664 suggested that the cerebral ventricles contain fluid produced by the choroid plexus, but this was not established until the 19th century. Dandy and Blackfan produced experimental hydrocephalus and reported that choroid plexus (CP) ablation decreased its severity; this strongly implicated CP in generating CSF and ventricular pressure. Choroid plexuses produce most cerebrospinal fluid (CSF), proteins, and small molecules, regulate the entry of ions and vitamins into the central nervous system, and have immunological and endocrine regulatory functions. CP is the single most important brain-immune interface; the CSF is its channel of communication with the brain. Substantial loss of CP may harm CSF-brain biochemical interactions. Early attempts to control human hydrocephalus by CP ablation produced poor outcomes. Currently, however, combined choroid plexus coagulation (CPC) and endoscopic third ventriculostomy (ETV) are used for resolving infant hydrocephalus and protecting brain against elevated ICP. Still, does addition of CPC to ETV significantly improve long-term outcomes? How does the brain compensate, if it does, for loss of CP homeostatic mechanisms involving endocrine and immunologic phenomena? Clinical studies of CPC should examine possible effects on synaptic plasticity, neurogenesis, and cognition.

Keywords

Choroid plexus Ion transport Cerebrospinal fluid secretion Blood-CSF Barrier Hydrocephalus Ependyma Homeostasis Neurogenesis Intracranial pulsation Brain development 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurology and PediatricsSchool of Medicine, UCLATorranceUSA
  2. 2.Department of NeurosurgeryAlpert Medical School, Brown UniversityProvidenceUSA

Section editors and affiliations

  • Pat McAllister
    • 1
  • Giuseppe Cinalli
    • 2
  1. 1.Department of Neurosurgery, Division of Pediatric NeurosurgeryWashington University in St. LouisSt. LouisUSA
  2. 2.Department of Pediatric NeurosurgerySantobono-Pausilipon Children’s HospitalNaplesItaly

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