Elevated concentrations of glutamate and aspartate in human ventricular cerebrospinal fluid (vCSF) during episodes of increased CSF pressure and clinical signs of impaired brain circulation

In the ventricular cerebrospinal fluid (vCSF) of 10 hydrocephalic patients the mean (± S. D.) concentrations of glutamate and asparate were 2.9 ± 0.2 and 0.2 ± 0.2 μM, respectively. Significantly higher concentrations of these amino acids were found in two patients (glutamate 37.8 and 22.4 μM, aspartate 2.2 and 0.6 μM) with symptoms of impaired brain tissue perfusion, i.e. relative ischemia due to severely increased intraventricular CSF pressure. Our results are consistent with recent experiments in rats showing increased extracellular concentrations of glutamate and aspartate during transient cerebral ischemia.