1 Copyright © 2004 by ASME
Proceedings of IMECE04
2004 ASME International Mechanical Engineering congress
November 13-20, 2004, Anaheim, California USA
IMECE2004-62033
CONSTRUCTION AND VALIDATION OF A COMPLAINT MODEL OF THE CEREBROSPINAL
FLUID SYSTEM WITH FLUID FILLED SYRINX
Bryn A. Martin
University of Illinois at Chicago
Department of Mechanical and Industrial Engineering
Chicago, Illinois
Wojciech Kalata
University of Illinois at Chicago
Department of Mechanical and Industrial Engineering
Chicago, Illinois
John N. Oshinski
Emory University
Department of Radiology
Atlanta, Georgia
Francis Loth, Thomas J. Royston
University of Illinois at Chicago
Department of Mechanical and Industrial Engineering
Chicago, Illinois
ABSTRACT
A simplified model of the cerebrospinal fluid (CSF) system
with compliant fluid filled syrinx has been constructed, tested,
and verified to closely mimic the in-vivo flow conditions
observed through MRI imaging of the pathological CSF system
with syringomyelia. The model is subjected to a MRI derived
CSF flow waveform from a patient with Syringomyelia through
use of a computer controlled pulsatile pump. Model geometry,
flow waveform, and spinal cord compliance are obtained at
three axial locations along the system through MRI image
processing techniques. MRI testing was conducted with the
syrinx open and closed to the external environment. Results
indicate that the internal and external flow waveforms were in
opposite directions when the syrinx was closed and in unison
when the syrinx was open. The observed flow waveform and
compliance measurements closely mimicked the in-vivo case
when the syrinx is open to the external environment.
INTRODUCTION
The brain and spinal cord are surrounded by a fluid medium
known as cerebrospinal fluid. This fluid moves in a pulsatile
manner through the complicated subarachnoid, spinal canal and
ventricular spaces of the brain. The pulsatile nature of CSF
flow has been associated with changes in blood volume within
the cranial cavity due to the cardiac cycle. This blood volume
change is a result of the phase difference between blood influx
and outflow in the brain. CSF has not been determined to have
any bulk motion. Each pulse has equal amounts of fluid motion
in both systole and diastole. It is a clear fluid having viscosity
nearly that of water and, in a healthy person, is composed of
dilute amounts of proteins and monoamines. The fluid is
utilized to supply nutrients and remove waste from the brain.
The average healthy adult has approximately 125ml of CSF,
with the majority residing in the cranial cavity.
Various pathological conditions can cause the obstruction of
CSF flow. These include Chiari malformation, syringomyelia,
and hydrocephalus. Interest has been focused on the
examination of hydrodynamic conditions of the CSF in the
subarachnoid spaces that result in the pathogenesis of
syringomyelia
1
. The goal of the present study is to produce and
validate a phantom model of the CSF system that will be used
for further pressure and wall surface vibration measurement
with an overall goal to better quantify the pressure wave
transmission through the CSF system.
Figure 1 - Phantom CSF system model cross-sectional view
METHODS
The syrinx portion of the phantom model was constructed using
a mixture of Sylgard 184 poured at a 30:1 ratio (base/hardener)
in order to decrease the Young’s modulus of the material which
is thought to better mimic the in-vivo case. The 30:1 ratio of
Sylgard 184 was tested and determined to have a Young’s
modulus of approximately 175kPa. Syrinx geometry was made
by casting Sylgard around a copper pipe core with heat shrink
tubing as the exterior confinement. Model cross-sectional
geometry was nearly constant over the entire length. The
tubular model was carefully removed after one week of curing
time at room temperature. The spinal cord outer diameter was
1.90cm with an inner syrinx diameter of 1.52cm and total