Reducing intracranial pressure by reducing central venous pressure: assessment of potential countermeasures to spaceflight-associated neuro-ocular syndrome

Author:

Hansen Alexander B.1ORCID,Lawley Justin S.123ORCID,Rickards Caroline A.4,Howden Erin J.5,Sarma Satyam23,Cornwell William K.6,Amin Sachin B.1ORCID,Mugele Hendrik1,Marume Kyohei1,Possnig Carmen1,Whitworth Louis A.3,Williams Michael A.7,Levine Benjamin D.23

Affiliation:

1. Department of Sport Science, University of Innsbruck, Innsbruck, Austria

2. Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas

3. University of Texas Southwestern Medical Center, Dallas, Texas

4. Department of Physiology and Anatomy, University of North Texas Health Science Center, Fort Worth, Texas

5. The Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia

6. Division of Cardiology, Department of Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado

7. Departments of Neurology and Neurological Surgery, University of Washington School of Medicine, Seattle, Washington

Abstract

Spaceflight causes pathological changes in the eye that may be due to the absence of gravitational unloading of intracranial pressure (ICP) under microgravity conditions commonly referred to as spaceflight-associated neuro-ocular syndrome (SANS), whereby countermeasures aimed at lowering ICP are necessary. These data show that impedance threshold breathing acutely reduces ICP via a reduction in central venous pressure (CVP). Whereas, acute thigh cuff inflation, a popular known spaceflight-associated countermeasure, had little effect on ICP and CVP.

Funder

National Space Biomedical Research Institute

Publisher

American Physiological Society

Subject

Physiology (medical),Physiology

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