Ghanizada · Handbook of clinical neurology 2025 · narrative review · n=?

The glymphatic system.

Cited 15 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review / book chapter without systematic review methodology.

PubMed 40122623 · doi:10.1016/B978-0-443-19104-6.00006-1 · record verified 2026-08-26

What was done

This book chapter reviews the physiological mechanisms of the glymphatic system—a brain-wide network facilitating cerebrospinal fluid (CSF) and interstitial fluid (ISF) exchange—and summarizes evidence regarding its dysfunction across neurological disorders and potential therapeutic targets.

What was found

The abstract provides no quantitative data. It outlines that impaired glymphatic clearance is implicated in aging, sleep disruption, cerebral edema, stroke, traumatic brain injury, migraine, hydrocephalus, psychiatric conditions, and neurodegenerative disorders including Alzheimer, Parkinson, Huntington diseases, amyotrophic lateral sclerosis, and small vessel disease.

Why it matters

Synthesizing the biological mechanisms of brain waste clearance highlights potential therapeutic avenues aimed at preserving or restoring fluid exchange to mitigate neurodegenerative and acute neurological pathology.

Limits

The abstract describes a broad narrative overview rather than a systematic review or meta-analysis. No original empirical data, sample sizes, effect sizes, or specific search methodology are provided to evaluate the strength or consistency of the summarized evidence.

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