Modeling the impact of thoracic pressure on intracranial pressure

Autor: Drayton W. Munster, Beth E. Lewandowski, Emily S. Nelson, R. K. Prabhu, Jerry G. Myers Jr
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: npj Microgravity, Vol 10, Iss 1, Pp 1-10 (2024)
Druh dokumentu: article
ISSN: 2373-8065
DOI: 10.1038/s41526-024-00385-5
Popis: Abstract A potential contribution to the progression of Spaceflight Associated Neuro-ocular Syndrome is the thoracic-to-spinal dural sac transmural pressure relationship. In this study, we utilize a lumped-parameter computational model of human cerebrospinal fluid (CSF) systems to investigate mechanisms of CSF redistribution. We present two analyses to illustrate potential mechanisms for CSF pressure alterations similar to those observed in microgravity conditions. Our numerical evidence suggests that the compliant relationship between thoracic and CSF compartments is insufficient to solely explain the observed decrease in CSF pressure with respect to the supine position. Our analyses suggest that the interaction between thoracic pressure and the cardiovascular system, particularly the central veins, has greater influence on CSF pressure. These results indicate that future studies should focus on the holistic system, with the impact of cardiovascular changes to the CSF pressure emphasized over the sequestration of fluid in the spine.
Databáze: Directory of Open Access Journals