Reducing intracranial pressure by reducing central venous pressure: assessment of potential countermeasures to spaceflight-associated neuro-ocular syndrome
Alexander B. Hansen, Justin S. Lawley, Caroline A. Rickards, Erin J. Howden, Satyam Sarma, William K. Cornwell, Sachin B. Amin, Hendrik Mugele, Kyohei Marume, Carmen Possnig, Louis A. Whitworth, Michael A. Williams, Benjamin D. Levine
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.