Spatial distribution of human arachnoid trabeculae.

Traumatic brain injury (TBI) is a common injury modality affecting a diverse patient population. Axonal injury occurs when the brain experiences excessive deformation as a result of head impact. Previous studies have shown that the arachnoid trabeculae (AT) in the subarachnoid space significantly influence the magnitude and distribution of brain deformation during impact. However, the quantity and spatial distribution of cranial AT in humans is unknown. Quantification of these microstructural features will improve understanding of force transfer during TBI, and may be a valuable dataset for microneurosurgical procedures. In this study, we quantify the spatial distribution of cranial AT in seven post-mortem human subjects. Optical coherence tomography (OCT) was used to conduct in situ imaging of AT microstructure across the surface of the human brain. OCT images were segmented to quantify the relative amounts of trabecular structures through a volume fraction (VF) measurement. The average VF for each brain ranged from 22.0% to 29.2%. Across all brains, there was a positive spatial correlation, with VF significantly greater by 12% near the superior aspect of the brain (p < .005), and significantly greater by 5%-10% in the frontal lobes (p < .005). These findings suggest that the distribution of AT between the brain and skull is heterogeneous, region-dependent, and likely contributes to brain deformation patterns. This study is the first to image and quantify human AT across the cerebrum and identify region-dependencies. Incorporation of this spatial heterogeneity may improve the accuracy of computational models of human TBI and enhance understanding of brain dynamics.

Dependence of resting-state fMRI fluctuation amplitudes on cerebral cortical orientation relative to the direction of B0 and anatomical axes.

Functional magnetic resonance imaging (fMRI) is now capable of sub-millimetre scale measurements over the entire human brain, however with such high resolutions each voxel is influenced by the local fine-scale details of the cerebral cortical vascular anatomy. The cortical vasculature is structured with the pial vessels lying tangentially along the grey matter surface, intracortical diving arterioles and ascending venules running perpendicularly to the surface, and a randomly oriented capillary network within the parenchyma. It is well-known that the amplitude of the blood-oxygenation level dependent (BOLD) signal emanating from a vessel depends on its orientation relative to the B0-field. Thus the vascular geometric hierarchy will impart an orientation dependence to the BOLD signal amplitudes and amplitude differences due to orientation differences constitute a bias for interpreting neuronal activity. Here, we demonstrate a clear effect of cortical orientation to B0 in the resting-state BOLD-fMRI amplitude (quantified as the coefficient of temporal signal variation) for 1.1 mm isotropic data at 7T and 2 mm isotropic at 3T. The maximum bias, i.e. the fluctuation amplitude difference between regions where cortex is perpendicular to vs. parallel to B0, is about +70% at the pial surface at 7T and +11% at 3T. The B0 orientation bias declines with cortical depth, becomes progressively smaller closer to the white matter surface, but then increases again to a local maximum within the white matter just beneath the cortical grey matter, suggesting a distinct tangential network of white matter vessels that also generate a BOLD orientation effect. We further found significant (negative) biases with the cortex orientation to the anterior-posterior anatomical axis of the head: a maximum negative bias of about -30% at the pial surface at 7T and about -13% at 3T. The amount of signal variance explained by the low frequency drift, motion and the respiratory cycle also showed a cortical orientation dependence; only the cardiac cycle induced signal variance was independent of cortical orientation, suggesting that the cardiac induced component of the image time-series fluctuations is not related to a significant change in susceptibility. Although these orientation effects represent a signal bias, and are likely to be a nuisance in high-resolution analyses, they may help characterize the vascular influences on candidate fMRI acquisitions and, thereby, may be exploited to improve the neuronal specificity of fMRI.

The pia mater: a comprehensive review of literature.

INTRODUCTION: The pia mater has received less attention in the literature compared to the dura and arachnoid maters. However, its presence as a direct covering of the nervous system and direct relation to the blood vessels gives it a special importance in neurosurgery. METHOD: A comprehensive review of the literature was conducted to study all that we could find relating to the pia mater, including history, macro- and microanatomy, embryology, and a full description of the related structures. CONCLUSION: The pia mater has an important anatomic position, rich history, complicated histology and embryology, and a significant contribution to a number of other structures that may stabilize and protect the nervous system.

Multi-echo fMRI of the cortical laminae in humans at 7 T.

Recent developments in ultra high field MRI and receiver coil technology have opened up the possibility of laminar fMRI in humans. This could offer greater insight into human brain function by elucidating both the interaction between brain regions on the basis of laminar activation patterns associated with input and output, and the interactions between laminae in a specific region. We used very high isotropic spatial resolution (0.75 mm voxel size), multi-echo acquisition (gradient-echo) in a 7 T fMRI study of human primary visual cortex (V1) and novel data analysis techniques to quantitatively investigate the echo time dependence of laminar profiles, laminar activation, and physiological noise distributions over an extended region of cortex. We found T(2)* profiles to be explicable in terms of variations in myelin content. Laminar activation profiles vary with echo time (TE): at short TE the highest signal changes are measured at the pial surface; this maximum shifts into grey matter at longer TEs. The top layers peak latest as these have the longest transverse relaxation time. Theoretical simulations and experiment suggest that the intravascular contribution to functional signal changes is significant even at long TE. Based on a temporal noise analysis we argue that the (physiological) noise contributions will ameliorate differences in sensitivity between the layers in a statistical analysis, and correlates with laminar blood volume distribution. We also show that even at this high spatial resolution the physiological noise limit to sensitivity is reached within V1, implying that cortical sub-regions can be examined with this technique.

Ex-vivo quantification of ovine pia arachnoid complex biomechanical properties under uniaxial tension.

BACKGROUND: The pia arachnoid complex (PAC) is a cerebrospinal fluid-filled tissue conglomerate that surrounds the brain and spinal cord. Pia mater adheres directly to the surface of the brain while the arachnoid mater adheres to the deep surface of the dura mater. Collagen fibers, known as subarachnoid trabeculae (SAT) fibers, and microvascular structure lie intermediately to the pia and arachnoid meninges. Due to its structural role, alterations to the biomechanical properties of the PAC may change surface stress loading in traumatic brain injury (TBI) caused by sub-concussive hits. The aim of this study was to quantify the mechanical and morphological properties of ovine PAC. METHODS: Ovine brain samples (n = 10) were removed from the skull and tissue was harvested within 30 min post-mortem. To access the PAC, ovine skulls were split medially from the occipital region down the nasal bone on the superior and inferior aspects of the skull. A template was used to remove arachnoid samples from the left and right sides of the frontal and occipital regions of the brain. 10 ex-vivo samples were tested with uniaxial tension at 2 mm s-1, average strain rate of 0.59 s-1, until failure at < 5 h post extraction. The force and displacement data were acquired at 100 Hz. PAC tissue collagen fiber microstructure was characterized using second-harmonic generation (SHG) imaging on a subset of n = 4 stained tissue samples. To differentiate transverse blood vessels from SAT by visualization of cell nuclei and endothelial cells, samples were stained with DAPI and anti-von Willebrand Factor, respectively. The Mooney-Rivlin model for average stress-strain curve fit was used to model PAC material properties. RESULTS: The elastic modulus, ultimate stress, and ultimate strain were found to be 7.7 ± 3.0, 2.7 ± 0.76 MPa, and 0.60 ± 0.13, respectively. No statistical significance was found across brain dissection locations in terms of biomechanical properties. SHG images were post-processed to obtain average SAT fiber intersection density, concentration, porosity, tortuosity, segment length, orientation, radial counts, and diameter as 0.23, 26.14, 73.86%, 1.07 ± 0.28, 17.33 ± 15.25 µm, 84.66 ± 49.18°, 8.15%, 3.46 ± 1.62 µm, respectively. CONCLUSION: For the sizes, strain, and strain rates tested, our results suggest that ovine PAC mechanical behavior is isotropic, and that the Mooney-Rivlin model is an appropriate curve-fitting constitutive equation for obtaining material parameters of PAC tissues.

Histomorphometric measurements in human and dog optic nerve and an estimation of optic nerve pressure gradients in human.

Intraocular pressure and cerebrospinal fluid (CSF) pressure are important determinants of the trans-laminar pressure gradient which is believed to be important in the pathogenesis of glaucomatous optic nerve degeneration. Computational models and finite element calculations of optic nerve head biomechanics have been previously used to predict pressures and stresses in the human optic nerve. The purpose of this report is to morphometrically compare the optic nerve laminar and pia mater structure between humans and dogs, and to use previously reported tissue pressure measurements in the dog optic nerve to estimate individual-specific human optic nerve pressures and pressure gradients. High resolution light microscopy was used to acquire quantitative histological measurements from sagittal sections taken from the middle of the optic nerve in 34 human cadaveric eyes and 10 dog eyes. Parameters measured included the pre-laminar and lamina cribrosa thickness, distance from posterior boundary of lamina cribrosa to inner limiting membrane (ILM), shortest distance between anterior lamina cribrosa surface and subarachnoid space, shortest distance between ILM and inner surface of pia mater in contact with the subarachnoid space and optic nerve diameter. Pia mater thickness in the proximal 4 mm of post-laminar nerve was also determined. There was no significant difference in lamina cribrosa thickness between dog and human eyes (P = 0.356). The distance between the intraocular and subarachnoid space was greater in dogs (P < 0.001). Pia mater thickness was greatest at the termination of subarachnoid space in both species. In humans, pia mater thickness decreased over the proximal 500 mum to reach a constant value of approximately 60 mum. In dogs this decrease occurred over 1000 mum to reach a constant diameter of approximately 30 mum. Using previous measurements of optic nerve pressures and pressure gradients in dogs we estimate that at an IOP of 15 mmHg and a CSF pressure of 0 mmHg the mean pressure difference across the human pia mater will be 4.8 +/- 2.2 mmHg. If we assume that the pressure difference between the intraocular space and post-laminar tissue falls across the entire thickness of the human lamina cribrosa then an estimate of the trans-laminar pressure gradient is 2.0 +/- 0.8 mmHg/100 mum. If we assume that this pressure difference only occurs across the dense collagenous plates of the posterior lamina cribrosa then a trans-laminar pressure gradient high estimate of 3.3 +/- 1.4 mmHg/100 mum is calculated. Changes in tissue pressure gradients in the optic nerve may be an important factor in the pathogenesis of glaucomatous optic neuropathy.

Micromechanical heterogeneity of the rat pia-arachnoid complex.

To better understand the onset of damage occurring in the brain upon traumatic events, it is essential to analyze how external mechanical loads propagate through the skull and meninges and down to the brain cortex. However, despite their crucial role as structural dampers protecting the brain, the mechanical properties and dynamic behavior of the meningeal layers are still poorly understood. Here, we characterized the local mechanical heterogeneity of rat pia-arachnoid complex (PAC) at the microscale via atomic force microscopy (AFM) indentation experiments to understand how microstructural variations at the tissue level can differentially affect load propagation. By coupling AFM mechanical testing with fresh tissue immunofluorescent staining, we could directly observe the effect of specific anatomical features on the local mechanical properties of tissue. We observed a two-fold stiffening of vascularized tissue when compared to non-vascularized PAC (with instantaneous Young's modulus distribution means of 1.32  ±â€¯ 0.03 kPa and 2.79  ±â€¯ 0.08 kPa, respectively), and statistically significant differences between regions of low- and high-vimentin density, reflecting trabecular density (with means of 0.67  ±â€¯ 0.05 kPa and 1.29  ±â€¯ 0.06 kPa, respectively). No significant differences were observed between cortical and cerebellar PAC. Additionally, by performing force relaxation experiments at the AFM, we identified the characteristic time constant τ1 of PAC tissue to be in the range of 2.7  ±â€¯ 1.2 s to 3.1  ±â€¯ 0.9 s for the different PAC regions analyzed. Taken together, the results presented point at the complex biomechanical nature of the meningeal tissue, and underscore the need to account for its heterogeneity when modeling its behavior into finite element simulations or other computational methods enabling the prediction of load propagation during injury events. STATEMENT OF SIGNIFICANCE: The meningeal layers are pivotal in shielding the brain during injury events, yet the mechanical properties of this complex biological interface are still under investigation. Here, we present the first anatomically-informed micromechanical characterization of mammalian pia-arachnoid complex (PAC). We developed a protocol for the isolation and fresh immunostaining of rat PAC and subjected the tissue to AFM indentation and relaxation experiments, while visualizing the local anatomy via fluorescence microscopy. We found statistically significant variations in regional PAC stiffness according to the degree of vascularization and trabecular cell density, besides identifying the tissue's characteristic relaxation constant. In essence, this study captures the relationship between anatomy and mechanical heterogeneity in a key component of the brain-skull interface for the first time.

Anatomic characteristics of the ophthalmic and posterior ciliary arteries.

BACKGROUND: There is little documentation of the course and relations of the ophthalmic artery (OA) and posterior ciliary arteries (PCAs). METHODS: The anatomic characteristics of the OA and PCAs were determined from a dissection of 19 neoprene-injected cadaver heads. RESULTS: The intraorbital OA had three segments, considering its relation to the optic nerve in the sagittal plane. The first segment extended from the point where the OA entered the orbit to its curving point. The second segment coursed superomedially from the inferolateral part of the optic nerve, crossing the optic nerve either superiorly or inferiorly. The third segment extended from the curving point of the superomedial distal portion of the second segment to the vessel's termination. The OA was deviated at the junction of its first and second segments, defined as its "angle"; and at the junction of the second and third segments, defined as its "bend." The PCAs arose from the first OA segment, the angle of the OA, the second OA segment and the OA bend. The patterns of branching of the PCAs were medial and lateral and medial, lateral, and superior. The superior PCA and the lateral PCA arose mainly from the angle of the OA, whereas the medial PCA arose from the curving point of the OA. The most frequently observed PCA pattern was a medial PCA and a lateral PCA. The average diameters of the medial PCA, the superior PCA, and the lateral PCA were 0.65, 0.48, and 0.68 mm, respectively. In all cases, pial arteries branching from the PCA and supplying the optic sheath were observed to form a vascular plexus on the optic sheath. The OA and PCAs were surrounded by a network of sympathetic nerves. CONCLUSIONS: Because the most common pattern of PCAs is a medial and lateral branch, a surgical approach to the orbit from those directions carries a higher risk of damage to those vessels than a superior or inferior approach.

Ganglionic axons in motor roots and pia mater.

In addition to motor axons and preganglionic axons, ventral roots contain unmyelinated or thin myelinated sensory axons and postganglionic sympathetic axons. It has been said that ventral roots channel sensory axons to the CNS. However, it now seems that these axons end blindly, shift to the pia or loop and return towards the periphery and that these units reach the CNS via dorsal roots. Sensory ventral root axons project from a variety of somatic or visceral receptors; some of them are third branches of dorsal root afferents and some seem to lack a CNS projection. Many ventral root afferents contain substance P (SP) and/or calcitonin gene-related peptide (CGRP). These fibres are not affected by neonatal capsaicin treatment and they cannot induce radicular or pial extravasation. Some thin ventral root axons are sympathetic and relate to blood vessels. Afferents containing SP and/or CGRP and sympathetic axons also occur in the spinal pia mater. The sensory axons mediate pain. They might also have vasomotor, tissue-regulatory and/or mechanoreceptive functions. The motor roots of cranial nerves IV, VI and XI contain unmyelinated axons arranged like in ventral roots outside the autonomic outflow. However, the motor root of cranial nerve V channels some unmyelinated axons into the CNS. The occurrence of thin axons in ventral roots and pia mater changes during development and ageing. After peripheral nerve injury, ipsilateral ventral roots and pia are invaded by new sensory and postganglionic sympathetic axons.

Electron microscopic and immunohistochemical evidence that unmyelinated ventral root axons make u-turns or enter the spinal pia mater.

The occurrence of unmyelinated and small myelinated axons and of nerve fibres with a substance P-like immunoreactivity was studied in juxtamedullary L7 ventral root fascicles and surrounding pia mater of kittens and cats. Electron microscopic analysis of thin transverse serial sections from this region in adult cats showed that the number of unmyelinated axon profiles decreases rapidly as the CNS is approached, reaching zero near or at the CNS/PNS border. No unmyelinated axons were found to enter the CNS through this root. At least to some extent, the disappearance of unmyelinated ventral root axons from the juxtamedullary root fascicles was due to presence of intrafascicular axonal hairpin loops and to a shift of axons from ventral root fascicles to the pia mater. It was also found that, in the L7 ventral root, the content of unmyelinated axons in the pia mater is lower in kittens than in cats. Fluorescence microscopic examination of specimens incubated with substance P antiserum showed that some looping axons and ventral root-pia mater axons were substance P immunoreactive. These observations suggest the hypothesis that sensory unmyelinated axons might grow through the L7 ventral root and enter the pia mater during postnatal development. Moreover they show that the occurrence of sensory unmyelinated axons in ventral roots does not necessarily contradict the law of Magendie .

The terminal nerve projects centrally in the hamster.

The projections of the peripheral and intracerebral portions of the hamster terminal nerve were examined with lesion and immunocytochemical techniques. After transection, proximal processes of the terminal nerve accumulate luteinizing hormone-releasing hormone-immunoreactive material, while the distal processes disintegrate and are no longer stained. It thus becomes possible to determine the direction of conduction of terminal nerve axons. The results of transection at the level of the cribriform plate, along the olfactory bulb, and in the ventral forebrain were all consistent in indicating a centripetal direction of conduction. Immunoreactive material collected distal to the lesion at each of these levels. All peripheral lesions eliminated processes coursing into and through the terminal ganglion at the base of the ventral forebrain. These lesions left intact, however, the terminal ganglion projections to the accessory olfactory bulb and ventral forebrain. These results indicate a centripetal projection from terminal neurons in the nasal cavity, along the olfactory bulbs and within the terminal ganglion to successively more caudal levels. This suggests that neural messages are conveyed from nasal cavity to the brain through this route. Because immunoreactive fibers were found within the sensory epithelium of the vomeronasal organ a sensory and/or sensory modulatory action is suggested.

Pia arachnoid contains substance P originating from trigeminal neurons.

Immunoreactive substance P is present in measurable amounts in pia arachnoid from rat, cat, dog and calf. Levels of substance P in this tissue are comparable to those found in peripheral structures receiving innervation from dorsal root or trigeminal ganglia. Separation and measurement of bovine pia-arachnoid extract by reverse phase high performance liquid chromatography and radioimmunoassay reveals a single peak of activity with a retention time identical to that of substance P. Unilateral lesions of the trigeminal ganglia decrease substance P levels within cat pia arachnoid and accompanying blood vessels ipsilaterally by greater than 50%. These data indicate that most of the substance P surrounding pial blood vessels resides within afferent nerve fibres from trigeminal ganglion cells.

Immunological and neuropathological significance of the Virchow-Robin space.

The anatomy of the Virchow-Robin space is reviewed and attention is drawn to its importance as a compartment which is in communication with lymphatic channels of the head and neck and in which local immunological reactions take place. Macrophages in the Virchow-Robin spaces express MHC class II antigens and are well placed to interact with lymphocytes derived from the blood in initiating and promoting immune response to foreign antigens in the brain. The immunological reactions taking place in the Virchow-Robin spaces in encephalitis, multiple sclerosis and human immunodeficiency virus encephalitis are examined for the light they may throw on the pathogenesis of these conditions.

Elasticity of the spinal cord, pia, and denticulate ligament in the dog.

The longitudinal elasticities of the dog spinal cord, pia, and denticulate ligaments were obtained by measuring the load-elongation curves. Both pia and denticulate ligaments were moderately elastic, but the spinal cord substance showed an upward curve, which indicated a predominantly viscous character. In situ, the spinal cord and pia were moderately strained. A 40-mm segment of the cord with dorsal and ventral roots severed and denticulate ligaments removed became 1 mm shorter when the cord and pia were transected at both ends. It was estimated that the cord and pia in situ were stressed by a force of 2 to 3 gm, the denticulate ligaments with 3 to 5 gm, and the dura with 50 to 70 gm. The elastic moduli of the spinal cord substance were 1.68 X 10(5) dynes/sq cm for loading between 5 and 10 gm and 1.19 X 10(5) dynes/sq cm between 30 and 35 gm.

Telovelar approach to the fourth ventricle: microsurgical anatomy.

OBJECT: In the past, access to the fourth ventricle was obtained by splitting the vermis or removing part of the cerebellum. The purpose of this study was to examine the access to the fourth ventricle achieved by opening the tela choroidea and inferior medullary velum, the two thin sheets of tissue that form the lower half of the roof of the fourth ventricle, without incising or removing part of the cerebellum. METHODS: Fifty formalin-fixed specimens, in which the arteries were perfused with red silicone and the veins with blue silicone, provided the material for this study. The dissections were performed in a stepwise manner to simulate the exposure that can be obtained by retracting the cerebellar tonsils and opening the tela choroidea and inferior medullary velum. CONCLUSIONS: Gently displacing the tonsils laterally exposes both the tela choroidea and the inferior medullary velum. Opening the tela provides access to the floor and body of the ventricle from the aqueduct to the obex. The additional opening of the velum provides access to the superior half of the roof of the ventricle, the fastigium, and the superolateral recess. Elevating the tonsillar surface away from the posterolateral medulla exposes the tela, which covers the lateral recess, and opening this tela exposes the structure forming the walls of the lateral recess.

A pattern formed by preferential orientation of tangential fibres in layer I of the rabbit's cerebral cortex.

1. The tangential organization of layer I has been studied in frozen sections impregnated according to a modified Liesegang method and in Bodian impregnated paraffin sections cut tangentially to the dorsal surface of the rabbit's cerebral cortex. 2. It is shown that sublamina tangentialis of layer I contains a system of parallel nerve fibres forming a distinct pattern in the tangential plane. 3. This pattern has been reconstructed for a large region of the dorsal surface of the cerebral cortex including the striate areas as well as the peristriate, parietal and precentral agranular regions and parts of the retrosplenial area. 4. In most parts of the region investigated, the tangential fibres of layer I are oriented in an antero-medial to postero-lateral direction, forming an angle of about 50 degrees with the sagittal plane. 5. Deviations from this pattern are found in the furrows formed by the lateral sulcus and the frontal impression and also in the caudal part of the retrosplenial area. In these regions, which are characterized by comparatively steep changes of the cortical relief, the fibres course in a more sagittal direction.

The pial ligaments of the anterior spinal artery and their stretch receptors. A spinal cord distraction-sensing system?

The pial sheath of the anterior spinal artery displays a system of ligaments that course along the ventral surfaces of the anterior spinal artery and its medullary feeder arteries on the lower half of the spinal cord. Frequently, discrete ligamentous straps extend from these anterior spinal artery ligaments to the sheath of an anterior spinal nerve root to reinforce the general cauda equina pial connections to this system. Microscopy of ligament sections revealed that numerous Golgi-type neurofascicular receptors were oriented longitudinally among the ligament fascicles and associated with well-myelinated nerves. As this type of mechanoreceptor has been known only in association with stretch reflex mediation in the musculoskeletal system, it appeared likely that these anterior spinal artery ligaments and their homologous type of receptors may be implicated in sensing distraction of the thoracolumbar spinal cord and protectively modifying the actions of the involved spinal musculature.

The cranial meninges: anatomic considerations.

The anatomy of the cranial dura and leptomeninges is both intricate and complex. A thorough discussion of the protective covering of the brain including the dura, arachnoid, and pia is provided on both gross and microscopic levels. An attempt to include issues of clinical relevance is made, highlighting the Virchow-Robin spaces and the optic sheath. In addition, the normal appearance of the dura and leptomeninges on MRI is presented to establish a framework for the discussion of leptomeningeal pathology.

The perispinal spaces. Constitution, organization and relations with the cerebrospinal fluid (CSF).

In this study the structures of the three meningeal membranes which surround the spinal cord and delineate the perispinal spaces are described. The pia mater is composed of a deep layer and a superficial layer. This structural arrangement accounts for the relations of the pia mater with the spinal vessels and the cerebrospinal fluid (CSF). The morphology, structure and landmark value of the denticulate ligament are then defined. Following a brief description of the dura mater and the arachnoidea, the arrangement of the meningeal sleeves of the spinal nerves is detailed. Meningeal structures similar to the cranial arachnoidal granulations are described, and the question of CSF physiology is considered. The secretion and circulation of the CSF are briefly described, and the problem of spinal resorption is discussed. CSF resorption can be effected by ascending, lymphatic or venous routes.

[The space surrounding the spinal cord. Constitution, organization and relationship with the cerebrospinal fluid]. / Les espaces périmédullaires. Constitution, organisation et relations avec le liquide cérébro-spinal (LCS).

This study describes the structures of the three meningeal envelopes surrounding the spinal cord and delineating the perispinal spaces. The pia mater is a membrane constituted of a deep and a superficial layer. This structural organization explains the relationship of the piamater with the spinal vessels and the cerebrospinal fluid. The morphology, the structure and the topographic value of the ligamentum denticulatum are then defined. After remaining the structure of the duramater and of the arachnoidea, the organization of the meningeal envelopes of the spinal nerves is described. Meningeal structures similar to cranial arachnoid granulations are described. The problem of the cerebrospinal fluid physiology is then discussed. After remaining the secretion and circulation of the cerebro spinal fluid, the problem of its spinal resorption is discussed. This resorption can be done by ascending pathways either lymphatics or veins.