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Disturbances of cerebrospinal fluid (CSF) circulation--neuropsychiatric symptoms and neuroradiological contribution

  [ 124 votes ]   [ Discuss This Article ] • January 20, 1995

The present study aimed at relating dementia, pseudo-neurasthenic
and affective organic brain syndromes to underlying type of
CSF flow disorder and to subsequent alteration of anatomy.
T2*-weighted magnetic resonance imaging (MRI) in the
midsagittal plane permitted an analysis of aqueductal CSF flow
phenomena and hydrocephalus-induced elevation, thinning and
dorsal impingement of the corpus callosum. Furthermore, the
width of the third ventricle was measured on the transverse
scout images. 72 patients with communicating hydrocephalus
(increased aqueductal CSF pulsations) and 26 patients with
aqueductal stenosis (absence of aqueductal flow phenomena)
were compared with 22 controls. Dementia and affective
disorders were distributed equally among both CSF flow
subgroups whereas pseudo-neurasthenic syndromes were observed
more frequently in non-communicating hydrocephalus (p < 0.03).
Alzheimer-type and multiinfarct dementia syndromes were found
more frequently in communicating hydrocephalus whereas
non-classifiable dementia showed some predilection for
non-communicating hydrocephalus. Callosal height, area and
third ventricular width did not predict affective or
pseudoneurasthenic disorder whereas third ventricular width (p
< 0.01) and callosal area (p < 0.05) discriminated between
demented and non-demented patients. Dorsal impingement of the
corpus callosum by the falx was a non-specific finding.
EM- 9605

Hofmann E, Becker T, Meixensberger J, Jackel M, Schneider M,
Reichmann H

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