Anatomic, velocimetric, and brain motion MRI scans were combined with a computational fluid dynamics model to investigate cerebrospinal fluid (CSF) mixing in the third cerebral ventricle of a healthy male adult. It was found that advection dominates over diffusion in most of the third ventricle. Three zones where diffusion plays an important role in the mixing process were identified. One of these zones, consisting of recessus infundibulus, recessus opticus and the adjacent regions up to commissura anterior, is likely to exist in the general population. We hypothesize that this zone may act as a buffer to flatten concentration peaks of pituitary gland hormones released into the CSF of the third ventricle. We further hypothesize that this zone may facilitate the communication between hypothalamus and the pituitary gland through the third ventricle cerebrospinal fluid by prolonging residence times of the communicated hormones.

1.
Kurtcuoglu
,
V.
,
Soellinger
,
M.
,
Summers
,
P.
,
Boomsma
,
K.
,
Poulikakos
,
D.
,
Boesiger
,
P.
, and
Ventikos
,
Y.
, 2007, “
Computational Investigation of Subject-Specific Cerebrospinal Fluid Flow in the Third Ventricle and Aqueduct of Sylvius
,”
J. Biomech.
0021-9290,
40
, pp.
1235
1245
.
2.
Forsling
,
M. L.
, 2001, “
Pituitary Gland
,”
The Oxford Companion to the Body
,
C.
Blakemore
and
S.
Jennet
, eds.,
Oxford University Press
,
Oxford, UK
, pp.
545
546
.
3.
Erlich
,
S. S.
, and
Apuzzo
,
M. L.
, 1985, “
The Pineal Gland: Anatomy, Physiology, and Clinical Significance
,”
J. Neurosurg.
0022-3085,
63
, pp.
321
341
.
4.
Jones
,
P. M.
,
Robinson
,
I. C.
, and
Harris
,
M. C.
, 1983, “
Release of Oxytocin Into Blood and Cerebrospinal Fluid by Electrical Stimulation of the Hypothalamus or Neural Lobe in the Rat
,”
Neuroendocrinology
0028-3835,
37
, pp.
454
458
.
5.
Braunstein
,
G. D.
,
Hassen
,
G.
,
Kamdar
,
V.
, and
Nelson
,
J. C.
, 1981, “
Anterior Pituitary Hormone Levels in the Cerebrospinal Fluid of Patients with Pituitary and Parasellar Tumors
,”
Fertil. Steril.
0015-0282,
36
, pp.
164
172
.
6.
Skinner
,
D. C.
, and
Malpaux
,
B.
, 1999, “
High Melatonin Concentrations in Third Ventricular Cerebrospinal Fluid Are Not due to Galen Vein Blood Recirculation through the Choroid Plexus
,”
Endocrinology
0013-7227,
140
, pp.
4399
4405
.
7.
Tricoire
,
H.
,
Locatelli
,
A.
,
Chemineau
,
P.
, and
Malpaux
,
B.
, 2002, “
Melatonin Enters the Cerebrospinal Fluid Through the Pineal Recess
,”
Endocrinology
0013-7227,
143
, pp.
84
90
.
8.
Gazal
,
O. S.
,
Leshin
,
L. S.
,
Stanko
,
R. L.
,
Thomas
,
M. G.
,
Keisler
,
D. H.
,
Anderson
,
L. L.
, and
Williams
,
G. L.
, 1998, “
Gonadotropin-Releasing Hormone Secretion Into Third-Ventricle Cerebrospinal Fluid of Cattle: Correspondence With the Tonic and Surge Release of Luteinizing Hormone and Its Tonic Inhibition by Suckling and Neuropeptide Y
,”
Biol. Reprod.
0006-3363,
59
, pp.
676
683
.
9.
Schaub
,
C.
,
Bluet-Pajot
,
M. T.
,
Szikla
,
G.
,
Lornet
,
C.
, and
Talairach
,
J.
, 1977. “
Distribution of Growth Hormone and Thyroid-Stimulating Hormone in Cerebrospinal Fluid and Pathological Compartments of the Central Nervous System
,”
J. Neurol. Sci.
0022-510X,
31
, pp.
123
131
.
10.
Levina
,
S. E.
, 1978, “
Hypothalamic Control of the Development of Endocrine Functions in the Human Fetus
,”
Proc. 7th Int. Symp. Neurosecretion and Neuroendocrine Activity
,
W.
Bargmann
,
A.
Oksche
, and
A. L.
Polenov
, eds.,
Springer
,
Berlin/Heidelberg
, pp.
98
100
.
11.
Fischer
,
S. E.
,
McKinnon
,
G. C.
,
Maier
,
S. E.
, and
Boesiger
,
P.
, 1993, “
Improved Myocardial Tagging Contrast
,”
Magn. Reson. Med.
0740-3194,
30
, pp.
191
200
.
12.
Soellinger
,
M.
,
Ryf
,
S.
,
Boesiger
,
P.
, and
Kozerke
,
S.
, 2007, “
Assessment of Human Brain Motion Using CSPAMM
,”
J. Magn. Reson Imaging
1053-1807,
25
, pp.
709
714
.
13.
Osman
,
N. F.
,
Kerwin
,
W. S.
,
McVeigh
,
E. R.
, and
Prince
,
J. L.
, 1999, “
Cardiac Motion Tracking Using CINE Harmonic Phase (HARP) Magnetic Resonance Imaging
,”
Magn. Reson. Med.
0740-3194,
42
, pp.
1048
1060
.
14.
Haacke
,
E. M.
,
Thompson
,
M. R.
, and
Venkatesan
,
R.
, 1999,
Magnetic Resonance Imaging: Physical Principles and Sequence Design
,
John Wiley & Sons
,
New York
.
15.
Sexl
,
T.
, 1930, “
Über den von E. G. Richardson entdeckten ‘Annulareffekt’
,”
Z. Phys.
0044-3328,
61
, pp.
349
362
.
16.
Bloomfield
,
I. G.
,
Johnston
,
I. H.
, and
Bilston
,
L. E.
, 1998, “
Effects of Proteins, Blood Cells and Glucose on the Viscosity of Cerebrospinal Fluid
,”
Pediatr. Neurosurg.
1016-2291,
28
, pp.
246
51
.
17.
Issa
,
R. I.
, 1985, “
Solution of the Implictly Discretised Fluid Flow Equations by Operator Splitting
,”
J. Comput. Phys.
0021-9991,
62
, pp.
40
65
.
18.
Robinson
,
D.
,
Anderson
,
J. E.
, and
Lin
,
J.
, 1990, “
Measurement of Diffusion Coefficients of Some Indoles and Ascorbic Acid by Flow Injection Analysis
,”
J. Phys. Chem.
0022-3654,
94
, pp.
1003
1005
.
19.
Desai
,
M. A.
, and
Vadgama
,
P.
, 1991, “
Estimation of Effective Diffusion Coefficients of Model Solutes Through Gastric Mucus: Assessment of a Diffusion Chamber Technique Based on Spectrophotometric Analysis
,”
Analyst (Cambridge, U.K.)
0003-2654,
116
, pp.
1113
116
.
20.
Schmittmann
,
G.
, and
Rohr
,
U. D.
, 2000, “
Comparison of the Permeability Surface Product (PS) of the Blood Capillary Wall in Skeletal Muscle Tissue of Various Species and In Vitro Porous Membranes Using Hydrophilic Drugs
,”
J. Pharm. Sci.
0022-3549,
89
, pp.
115
127
.
21.
Fikret
,
S.
,
Ulubay
,
H.
,
Ozeski
,
P.
,
Sargon
,
M. F.
, and
Tascioglu
,
A. B.
, 2005, “Morphometric Measurements of the Thalamus and Interthalamic Adhesion by MR Imaging,” Neuroanatomy, 4, pp. 10–12.
22.
Davson
,
H.
, and
Segal
,
M. B.
, 1996,
Physiology of the CSF and Blood-Brain Barriers
,
CRC Press
,
Boca Raton, FL
.
23.
Nicholson
,
C.
, 1999, “
Signals That Go With the Flow
,”
Trends Neurosci.
0166-2236,
22
, pp.
143
145
.
24.
Veldhuis
,
J. D.
,
Carlson
,
M. L.
, and
Johnson
,
M. L.
, 1987, “
The Pituitary Gland Secretes in Bursts: Appraising the Nature of Glandular Secretory Impulses by Simultaneous Multiple-Parameter Deconvolution of Plasma Hormone Concentrations
,”
Proc. Natl. Acad. Sci. U.S.A.
0027-8424,
84
, pp.
7686
7690
.
25.
Van Vugt
,
D. A.
,
Diefenbach
,
W. D.
,
Alston
,
E.
, and
Ferin
,
M.
, 1985, “
Gonadotropin-Releasing Hormone Pulses in Third Ventricular Cerebrospinal Fluid of Ovariectomized Rhesus Monkeys: Correlation With Luteinizing Hormone Pulses
,”
Endocrinology
0013-7227,
117
, pp.
1550
1558
.
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