Visualizing cerebrospinal fluid microdynamic changes following mild traumatic brain injury

Tsukuba, Japan—The brain contains cerebrospinal fluid (CSF), which protects neural tissue and helps clear metabolic waste. Rather than being static, CSF exhibits continuous subtle motion, and this motion is thought to be closely linked to brain health. However, little has been known about how CSF motion is altered after a mild head injury.

The researchers employed a specialized magnetic resonance imaging (MRI) technique known as intravoxel incoherent motion (IVIM) MRI to evaluate CSF microdynamic motion through the incoherent movement of water molecules. The results showed that, after mild traumatic brain injury (TBI), CSF motion increased in some brain regions and decreased in others. An increase was observed in the infratentorial regions near the cerebellum, whereas reduced motion tended to be observed in selected supratentorial regions of the cerebrum. In a subset of patients who underwent follow-up imaging, several of these alterations partially reverted over time, suggesting an association with the brain's recovery process.

Visualizing CSF microdynamic motion within the brain, which has been difficult to capture, offers new insights into region-specific neurofluid alterations after head trauma. The technique may help clarify the link between post-traumatic brain conditions and changes in cognitive function, and it could contribute to new diagnostic approaches and therapeutic strategies.

###
This study was supported by the National Mutual Insurance Federation of Agricultural Cooperatives. Additional support was provided by JSPS KAKENHI (grant numbers: JP21K16627 and JP24K12215).
 

_{Original Paper}

Title of original paper:
Exploratory Assessment of Cerebrospinal Fluid-Related Microdynamics After Mild Traumatic Brain Injury Using Intravoxel Incoherent Motion Magnetic Resonance Imaging

Journal:
Frontiers in Neuroscience

DOI:
10.3389/fnins.2026.1756207

_{Correspondence}

Specially Appointed Associate Professor WATANABE, Shinya
Institute of Medicine, University of Tsukuba

_{Related Link}

Institute of Medicine