ABSTRACT
OBJECTIVE: To evaluate the production rate of CSF in patients with differing disease states. METHODS: The authors measured the production rate of CSF in three groups of patients: five patients with PD below age 60 (aged 51 +/- 4 years, mean +/- SD), nine with PD over age 60 (aged 69 +/- 6 years, mean +/- SD), and seven with dementia of the Alzheimer's type (AD) (aged 72 +/- 9 years, mean +/- SD). This method, based on the Masserman technique, employs ventricular rather than a lumbar access to the CSF space. Furthermore, the volume of CSF removed during the procedure is only 3 mL rather than 10 mL. RESULTS: These measurements indicate that the mean rate of CSF production in patients with PD under age 60 was 0.47 +/- 0.13 mL/minute, in patients with PD aged 60 or older the mean rate was 0.40 +/- 0.12 mL/minute, and in patients with AD the mean rate was 0.20 +/- 0.06 mL/minute. CONCLUSION: These results indicate that the rate of CSF production in patients with PD is normal, and that the rate of CSF production in patients with AD is markedly reduced.
Subject(s)
Alzheimer Disease/cerebrospinal fluid , Cerebrospinal Fluid/physiology , Aged , Aged, 80 and over , Alzheimer Disease/diagnosis , Dementia/cerebrospinal fluid , Dementia/diagnosis , Female , Humans , Male , Middle Aged , Neuropsychological Tests , Parkinson Disease/cerebrospinal fluid , Parkinson Disease/diagnosis , Reference Values , Secretory Rate/physiologyABSTRACT
In the last decade a number of chemically fixed, soft tissue based bioprostheses have become commercially available. Chemical fixation of these materials changes a number of their physical and chemical properties. Quantitation of these effects has been difficult because of: anisotropy of the biopolymers, variable composition of the materials, and sample size and configuration limitations. Collagen tape, made from reconstituted collagen, has been chosen as a model material because it alleviates many of the aforementioned problems. Its constituent fibers are homogeneous and unidirectional. The cross-sectional area is constant. Thus, the resultant uniaxial tensile stress-strain relationship is reproducible to allow for systematic parametric studies. Results are presented for the change in tensile properties of the collagen tape as a function of exposure time to glutaraldehyde fixative. These properties are described by the equation: sigma = A (eB epsilon-1) The tensile properties of fresh and fixed pericardial tissue were also tested and corroborative results were found.
