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The blood-brain barrier
Infections from the rest of the
body do not ordinarily reach the
brain due to a system called the
blood-brain barrier. As a general
rule, blood capillaries in the rest of
the body leak fluid easily (and any
viruses and germs it contains) into
surrounding tissues through gaps
between the cells that form the
blood vessel’s wall. In the brain,
these same cells have a much
tighter fit, and the flow of materials
between the brain is instead
controlled by astrocytes that
surround the blood vessels.Selectively permeable
Normal blood vessels allow fluid to pass
through easily. However, while oxygen,
fat-based hormones, and non-water-soluble
materials pass through the blood-brain
barrier unhindered, water-soluble items are
blocked so they don’t reach the CSF.Site of fluid production
CSF is made from plasma, the liquid
part of blood. Most of it is produced by the
choroid plexus, a network of blood vessels
that runs throughout the ventricular system.Circulation
around
spinal cord
As well as the brain, CSF
surrounds the spinal
cord, flowing down
along the back of the
spinal cord, into the
central canal, then up
along the front.1
3
SKULL
CEREBELLUM
THIRD VENTRICLE
CHOROID PLEXUS
FOURTH
VENTRICLE
SPINAL CORD
CENTRAL CANAL
NORMAL
BLOOD VESSEL
BRAIN
BLOOD VESSEL
Pia materDura materArachnoid materCSF travels
downward
at back of
spinal cordCSF flows into
ventriclesWater-soluble
substances
enter via pore
between cellsFat-soluble
substances pass
though cell
membranesFat-soluble
substances
move freelySubstances pass
out of vessel
through poreTight junction
between cellsAstrocyte
cells surround
blood vesselsSome water-soluble
substances enter brainAL
TE
R
AL
VE
NTRICLE
KEY
Blood flowFlow of
cerebrospinal fluidReabsorption
The CSF is reabsorbed
into the circulatory system,
where it remixes with the
blood. CSF is renewed at a rate
of three to four times a day.4
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