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Published on: April 24, 2020
Postural influence on intracranial fluid dynamics: an overview.
Arlan Faritovich Sagirov1, Timofey Vladimirovich Sergeev2, Aleksandr Vladimirovich Shabrov2
1Department of Ecological Physiology, Federal State Budgetary Scientific Institution "Institute of Experimental Medicine", 12 Academic Pavlov St, Saint-Petersburg, 197022, Russia. arlansagirov@gmail.com.
Body position significantly impacts intracranial fluid dynamics, affecting cerebral blood flow, cerebrospinal fluid (CSF) movement, and intracranial pressure (ICP). Understanding these changes is crucial for craniospinal physiology.
Area of Science:
- Neuroscience
- Physiology
- Biomechanics
Background:
- Intracranial fluid dynamics are complex and influenced by various physiological factors.
- Understanding how body position affects these dynamics is essential for neurological health.
- Previous research has explored aspects of this topic, but a comprehensive review is needed.
Purpose of the Study:
- To review the effects of different body positions on intracranial fluid dynamics.
- To analyze cerebral arterial and venous flow, CSF hydrodynamics, and ICP.
- To discuss research methodologies for quantifying these effects.
Main Methods:
- Literature review of studies investigating body positions and intracranial fluid dynamics.
- Analysis of orthostatic, supine, and antiorthostatic positions.
- Focus on cerebrovascular autoregulation, microgravity, and head-down tilt (HDT).
Main Results:
- Body position significantly alters cerebral blood flow, venous outflow, and CSF circulation.
- Head-down tilt and microgravity present unique challenges to cerebrovascular autoregulation.
- Posture-dependent changes in ICP and intracranial compliance (ICC) are observed.
Conclusions:
- Different body positions induce significant changes in intracranial fluid dynamics.
- Further research can enhance understanding of intracranial and craniospinal physiology.
- This review synthesizes current knowledge on posture's impact on the intracranial environment.
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