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The cerebrospinal fluid
circulates between the ventricles and into the spinal canal. It also enters
the subarachnoid and subdural spaces through apertures near the fourth
ventricle (see Figure 12.24). It therefore also bathes the brain and spinal
cord providing buoyancy. Eventually it must be reabsorbed into the
bloodstream and this occurs at pockets of arachnoid tissue which invaginate
into a large vein called the superior sagittal sinus. These pockets
are called the arachnoid granulations or arachnoid villi and
allow the fluid to move into the veins by osmosis and a pressure gradient
produced by lower pressure in the vein. The absorption must occur at the same
rate as production of CSF in order to prevent an imbalance. If absorption is
insufficient it causes a condition known as hydrocephaly, "water on the
brain". This condition usually shows up in early childhood and can
damage the brain and lead to abnormal development. It is usually corrected
surgically with a shunt, a small tube which drains fluid from the meninges
and short circuits it into a nearby vein.
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