Ground-Based Studies of Headward Fluid Shifts Related to Space Flight

Long-term space flight decreases visual acuity in more than 50% of astronauts with some reports of post-flight lumbar opening pressures up to 21 mmHg1. Loss of hydrostatic (gravitational) pressures in microgravity shifts blood, spinal fluid and tissue fluids towards the head, probably causing venous congestion and leading to symptoms compatible with chronically increased intracranial pressure (ICP). This is characterized as the Visual Impairment and Intracranial Pressure (VIIP) syndrome. Simulation of gravitational stress by application of Lower Body Negative Pressure (LBNP) is proposed as a means to reduce ICP and reestablish cerebral health in astronauts during long mission stay in space. We hypothesize that 50 mmHg of lower body negative pressure (LBNP) during supine and simulated intracranial hypertension by 15 deg head-down tilt (HDT) counteracts elevations in ICP and internal jugular vein crosssectional area (IJV CSA).