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Oscillatory flow and steady streaming of cerebrospinal fluid in cranial subarachnoid space

Published online by Cambridge University Press:  28 September 2026

Mariia Dvoriashyna*
Affiliation:
Mathematical Institute, University of Oxford, Oxford, UK School of Mathematics and Maxwell Institute for Mathematical Sciences, University of Edinburgh, Edinburgh, UK
Jaco J.M. Zwanenburg
Affiliation:
Translational Neuroimaging Group, Center for Image Sciences, University Medical Center Utrecht, Utrecht, The Netherlands
Alain Goriely
Affiliation:
Mathematical Institute, University of Oxford, Oxford, UK
*
Corresponding author: Mariia Dvoriashyna, m.dvoriashyna@ed.ac.uk

Abstract

Content of image described in text.

Cerebrospinal fluid (CSF) is a Newtonian fluid that bathes the brain and spinal cord, and oscillates in response to the physiological periodic changes in brain volume, of which the cardiac cycle is a major driver. Understanding this motion is essential for clarifying its contribution to solute transport, waste clearance and drug delivery. In this work, we study oscillatory and steady streaming flow in the cranial subarachnoid space using a lubrication-based theoretical framework. The model represents the cranial CSF compartment as a thin fluid layer bounded internally by the brain surface and externally by the dura, driven by time-dependent brain surface displacements. We first derive simplified governing equations for flow over an arbitrary smooth sphere-like brain surface and obtain analytical solutions for an idealised spherical geometry with uniform displacements. We then incorporate realistic displacement fields reconstructed from magnetic resonance imaging (MRI) measurements in healthy subjects and solve the reduced equations numerically. The results show that oscillatory forcing produces a steady streaming component that may enhance solute transport compared with diffusion alone. This work provides a mechanistic description of the flow generated by physiological brain motion and highlights the potential presence of steady streaming in cranial subarachnoid fluid dynamics.

Information

Type
JFM Papers
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NC
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial licence (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.
Copyright
© The Author(s), 2026. Published by Cambridge University Press
Figure 0

Figure 1. Figure 1 long description.(a) Sketch of the cross-section of the brain. The arrows indicate oscillatory CSF motion. The drawing is based on the image in commons.wikimedia.org. (b) Left axis shows flow from the brain into the spine (positive if fluid flows into the spine), measured using PC-MRI (Adams et al.2020). The line represents the mean value over 8 subjects and the shading is the standard deviation. The x$x$-axis is the scaled time by the duration of a heartbeat. Right axis shows change of CSF volume during the cardiac cycle, from Adams et al. (2020). Vertical dashed lines separate systolic and diastolic phases.

Figure 1

Figure 2. Sketch of the domain and the coordinate system. The spherical-like brain is shown on the right, surrounded by the dura membrane. The right shows the zenithal and azimuthal coordinates θ$\theta$ and ϕ$\phi$, and spatially variable radius of the brain R¯(θ,ϕ)$\bar {R}(\theta ,\phi )$. The thickness of cSAS is h¯(t¯)$\bar {h}(\bar {t})$. The left shows a zoom-in onto the curved surface of the brain. The position vector r¯$\bar {\boldsymbol {r}}$ for the red point is shown as a sum of vector s¯$\bar {\boldsymbol {s}}$ and ξ¯n$\bar {\xi } \boldsymbol {n}$ (2.2). (e1,e2,e3)$(\boldsymbol {e}_1,\boldsymbol {e}_2,\boldsymbol {e}_3)$ are base vectors on the brain surface.

Figure 2

Table 1. Model parameters and their values.Table 1 long description.

Figure 3

Figure 3. (a) Approximation of the geometry and surface displacement for Br19. Top left shows the cloud of points obtained after applying the GM mask to the data. Top right shows the constructed analytical brain geometry with Ng=10$N_g=10$ spherical harmonics. In the bottom panel, we show brain displacements. The points on the left are coloured with the corresponding displacement in the z$z$-direction at time point 17. The figure on the bottom right is the approximation described in § 3.2. The colour scale is the same in both panels. (b) Resulting CSF volume change of brain Br19 measured by Adams et al. (2020) (dashed curve) and the model approximation during one cardiac cycle.

Figure 4

Figure 4. Flow profiles, pressures and outlet velocities in three different time points. The first row is velocity fields (arrows) and velocity magnitude (colours) in the cross-section of the cSAS. The domain is axisymmetric with respect to θ=0$\theta =0$. The η$\eta$ component of the cSAS is magnified 10 times for better visualisation. Different columns represent different time instances: (a), (d) t1=0.88T$t_1=0.88T$ (systolic phase); (b), (e) t2=0.11T$t_2=0.11T$ (flow reversal); and (c), (f) t3=0.5T$t_3=0.5T$ (diastolic phase), where T$T$ is the dimensionless period (T=2π$T=2\pi$). The second row left axis shows pressure (red solid lines) along the zenithal coordinate θ$\theta$ (bottom axis). Right axis shows θ$\theta$ velocity u¯θ0$\bar {u}^0_\theta$ (black dashed lines) at the exit of the domain θ=θ0$\theta =\theta _0$ as a function of η$\eta$ (top axis).

Figure 5

Figure 5. Figure 5 long description.(a) Pressure at the top of the head θ=0$\theta =0$ (left axis) and depth-averaged velocity at the outlet (right axis) in SAS during the cardiac cycle. The vertical black lines represent time instances from figure 4. (b) Maximum pressure in cSAS as a function of the frequency of the oscillations for different thicknesses of cSAS. The vertical line corresponds to the reference heartbeat of 1 Hz.

Figure 6

Figure 6. Flow profiles in three time instances (columns): t1=0.775T$t_1 = 0.775T$, t2=0.14T$t_2 = 0.14T$, t3=0.5T$t_3=0.5T$. (a,b,c) is the velocity v¯ξ$\bar {v}_\xi$ prescribed at the brain surface. (d,e,f) is the depth-averaged fluid velocity (arrows represent velocity vectors; colours, velocity magnitude), while the (g,h,i) and (j,k,l) rows are fluid velocities in sagittal (y=0$y=0$) and coronal (x=0$x=0$) sections, respectively. In the coronal and sagittal sections, the domain appears to have non-uniform thickness, an artefact arising from the normal vector being misaligned with the plane. Furthermore, in the sagittal section, the non-uniqueness of spatial position in the region of higher curvature is an artefact of scaling used for visualisation (factor of 10 for η$\eta$-component).

Figure 7

Figure 7. Figure 7 long description.(a–c) Pressure distribution in the domain at the same time points as figure 6. (d) Pressure at θ=0$\theta =0$ (blue) and mean pressure at θ=π/2$\theta =\pi /2$ (magenta), calculated as ∫02πp¯0dϕ/2π$\int _0^{2\pi }\bar {p}^0 \,\text{d}\phi /2\pi$, as functions of time. (e) Maximum pressure as a function of ω$\omega$. Different curves represent different cSAS thickness.

Figure 8

Figure 8. CSF flow into the spine computed (red) as ∫δSu0⋅e2/e22dS=∫−10∫02πe33(uθ0+uϕ0e23/e22e33)dϕdη$\int _{\delta S} \boldsymbol {u}^0\boldsymbol{\cdot }\boldsymbol {e}_2/\sqrt {e_{22}}\, \text{d}S= \int _{-1}^0\int _0^{2\pi } \sqrt {e}_{33}(u^0_\theta + u^0_\phi e_{23}/\sqrt {e_{22}e_{33}})\,\text{d}\phi \,\text{d}\eta$. The black dashed line shows PC-MRI measurement of flow into the spine for the same subject (Adams et al.2020). (a) From Br19 and (b) averaged among 8 subjects. In panel (b), the shading around the mean curve represents standard deviation. In panel (a), vertical lines show times t1$t_1$, t2$t_2$ and t3$t_3$ considered in figures 6 and 7.

Figure 9

Table 2. Comparison for maximum pressure drop in the domain and steady streaming velocity between different brains. The first row is the subject number. The second row is the maximum pressure drop (in space and time) in the domain. The third row is the maximum depth-averaged leading order velocity at the equatorial plane (θ=π/2$\theta =\pi /2$). The fourth and fifth rows denote maximum depth-averaged steady streaming velocity at equatorial plane θ=π/2$\theta =\pi /2$ and at the top of the head θ=0$\theta =0$, respectively. In bold, we denote the Br19 considered in the result section. The last column shows the mean and the standard deviation between the brains.Table 2 long description.

Figure 10

Figure 9. (a) Steady streaming velocity field (arrows) and velocity magnitude (colours) in the cross-section of the cSAS. The η$\eta$ component of the cSAS and uξ1$u_\xi ^1$ velocity are magnified 10 times for better visualisation. The arrows have also been rescaled for better visualisation. (b) Left axis shows the steady streaming pressure (p¯1$\bar {p}^1$) along the zenithal coordinate. Right axis shows the θ$\theta$-velocity component, u¯θ1$\bar {u}^1_{\theta }$, at the exit of the domain θ=θ0$\theta =\theta _0$.

Figure 11

Table 3. Different case studies considered in figures 11 and 12. Dimensionless radius of 1 represents spherical geometry and d(t)$d(t)$ represents spatially uniform displacements.Table 3 long description.

Figure 12

Figure 10. (a) Depth-averaged steady streaming normalised velocity vectors (arrows) and magnitude (colours) in the cross-section of the cSAS. (b) Steady streaming pressure (p¯1$\bar {p}^1$) in the domain. Both figures are from Br19.

Figure 13

Figure 11. Pressure at θ=0$\theta =0$ during cardiac cycle for different cases from table 3.

Figure 14

Figure 12. Figure 12 long description.Steady streaming for the cases (a) 2 and (b) 3 from table 3.

Supplementary material: File

Dvoriashyna et al. supplementary movie 1

Movie showing surface velocity (top left), CSF depth-averaged velocity (right) and outflow into the spine (bottom left) during one cardiac cycle for Br19.
Download Dvoriashyna et al. supplementary movie 1(File)
File 4.1 MB
Supplementary material: File

Dvoriashyna et al. supplementary movie 2

Movie showing surface velocity (top left), CSF depth-averaged velocity (right) and outflow into the spine (bottom left) during one cardiac cycle for Br18.
Download Dvoriashyna et al. supplementary movie 2(File)
File 4.1 MB
Supplementary material: File

Dvoriashyna et al. supplementary movie 3

Movie showing surface velocity (top left), CSF depth-averaged velocity (right) and outflow into the spine (bottom left) during one cardiac cycle for Br20.
Download Dvoriashyna et al. supplementary movie 3(File)
File 3.4 MB
Supplementary material: File

Dvoriashyna et al. supplementary movie 4

Movie showing surface velocity (top left), CSF depth-averaged velocity (right) and outflow into the spine (bottom left) during one cardiac cycle for Br21.
Download Dvoriashyna et al. supplementary movie 4(File)
File 3.6 MB
Supplementary material: File

Dvoriashyna et al. supplementary movie 5

Movie showing surface velocity (top left), CSF depth-averaged velocity (right) and outflow into the spine (bottom left) during one cardiac cycle for Br22.
Download Dvoriashyna et al. supplementary movie 5(File)
File 3.6 MB
Supplementary material: File

Dvoriashyna et al. supplementary movie 6

Movie showing surface velocity (top left), CSF depth-averaged velocity (right) and outflow into the spine (bottom left) during one cardiac cycle for Br34.
Download Dvoriashyna et al. supplementary movie 6(File)
File 3.4 MB
Supplementary material: File

Dvoriashyna et al. supplementary movie 7

Movie showing surface velocity (top left), CSF depth-averaged velocity (right) and outflow into the spine (bottom left) during one cardiac cycle for Br35.
Download Dvoriashyna et al. supplementary movie 7(File)
File 3.9 MB
Supplementary material: File

Dvoriashyna et al. supplementary movie 8

Movie showing surface velocity (top left), CSF depth-averaged velocity (right) and outflow into the spine (bottom left) during one cardiac cycle for Br46.
Download Dvoriashyna et al. supplementary movie 8(File)
File 3.9 MB
Supplementary material: File

Dvoriashyna et al. supplementary material 9

Dvoriashyna et al. supplementary material
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File 2.1 MB