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Cerebrospinal fluid drainage into dural sinuses

The exit of drugs from the CNS can involve (1) diffusion across the blood-brain barrier in the reverse direction at rates determined by the lipid solubility and degree of ionization of the drug, (2) drainage from the cerebrospinal fluid (CSP) into the dural blood sinuses by flowing through the wide channels of the arachnoid villi, and (2) active transport of certain organic anions and cations from the CSF to blood across the choroid plexuses... [Pg.51]

The posterior cerebral artery supplies the occipital lobe and portions of the medial and inferior temporal lobe. The arterial supply of the spinal cord is derived from the vertebral arteries and the radicular arteries. The brain is supplied by the internal carotid arteries (the anterior circulation) and the vertebral arteries, which join at the pon tomedullary junction to form the basilar artery (collectively termed the posterior circulation). The brainstem is supplied by the posterior system. The medulla receives blood from branches of the vertebral arteries as well as from the spinal arteries and the posterior inferior cerebellar artery (PICA). The pons is supplied by paramedian and short circumferential branches of the basilar artery. Two major long circumferential branches are the anterior inferior cerebellar artery (AICA) and the superior cerebellar artery. The midbrain receives its arterial supply primarily from the posterior cerebral artery as well as from the basilar artery. The venous drainage of the spinal cord drains directly to the systemic circulation. By contrast, veins draining the cerebral hemispheres and brain stem drain into the dural sinuses. Cerebrospinal fluid also drains into the dural sinuses through unidirectional valves termed arachnoid villi. [Pg.21]


See also in sourсe #XX -- [ Pg.17 ]

See also in sourсe #XX -- [ Pg.17 ]




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