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Neurological complications in microgravity and long duration spaceflight

  • Giselle Coelho,
  • Alejandro Rabinstein,
  • W. David Freeman

摘要

Long-duration spaceflight produces structural, functional, and hemodynamic brain changes driven by microgravity, radiation, elevated CO2, and isolation. Consequences include Spaceflight-Associated Neuro-Ocular Syndrome, vestibular imbalance, orthostatic intolerance, and cognitive disturbance. We consolidate current evidence, present a cerebrovascular physiologic framework, and discuss emerging countermeasures—including lower body negative pressure, artificial gravity, advanced neuromonitoring, and synthetic torpor—needed to safeguard neurological health on exploration-class missions.