Cerebrospinal fluid

production 20ml/h
average adult volume = 150ml
neonates = 2ml/kg

recirculation

  • secreted by the choroid plexuses
  • exits at foramen of Luschka and foramen of Magendie (who?)
  • reabsorbed by arachnoid villi

If production > absorption, then thanks to the Monro-Kellie doctrine, ICP ↑

VP shunts may be placed for congenital/acquired causes of ↓ absorption or Raised ICP