A coupled cerebro-ocular-CSF lumped-parameter model under gravitational and postural variations

Abstract

Spaceflight-Associated Neuro-ocular Syndrome (SANS) involves complex interactions between intracranial pressure (ICP), intraocular pressure (IOP), and cerebrospinal fluid (CSF) dynamics within the optic nerve subarachnoid space (ONSAS). While existing computational models address specific aspects of these interactions, they lack a comprehensive, system-level representation. To bridge this gap, we present the HEAD (Hemodynamic Eye-brain Associated Dynamics) model. By consistently integrating several previously proposed physiological sub-models, HEAD provides a unified lumped-parameter framework that fully couples cerebrovascular autoregulation, multi-territory ocular hemodynamics, and compartmentalized craniospinal-ONSAS CSF circulation under gravitational loading. This formulation enables the simultaneous analysis of eye-brain-CSF dynamics within a single computational tool. Model predictions were validated against experimental data from supine (0{degrees}) to head-down tilt (HDT, -30{degrees}) postures, accurately reproducing posture-dependent IOP increases and achieving an excellent ICP match against clinical benchmarks at the -6{degrees} HDT standard bed-rest angle. The coupled system predicts bed-specific ocular hemodynamic responses, with retinal blood flow exhibiting the largest relative increase under HDT compared to the ciliary and choroidal circulations. Crucially, explicitly modeling the ONSAS as a distinct compartment reveals a posture-dependent pressure drop of 1.89-3.69 mmHg between the intracranial and perioptic spaces. This compartmentalization yields a translaminar pressure profile that remains positive (8.05-11.83 mmHg) across all simulated conditions but is chronically reduced under sustained HDT. Ultimately, the HEAD model elucidates the physiological mechanisms linking gravitational stress to translaminar mechanics, providing a robust computational foundation to investigate SANS and supply boundary conditions for structural models of the optic nerve head.