Neurosurgery notes/General/Basic brain specs

Basic brain specs

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  • About 2% of total body mass (1.4 kg)
Volume of intracranial contents
  • 1700 ml
  • Can be divided into three physiologic compartments
    • Adults
      • Brain parenchyma ≈ 1400 ml (80%)
        • 10% is solid material
        • 70% is tissue water
      • Cerebral blood volume (CBV) ≈ 150 ml (10%)
      • CSF ≈ 150 ml (10%)
        • 75ml 50% in cranium
          • Ventricular CSF 25 ml
        • 75ml 50% in spine
        • CSF production
          • 600mls/day
          • 30mls/hr
          • 0.5ml/min
    • Infant
      • CSF production
        • 400ml/day
    • Neonates
      • CSF = 50 ml
        • Ventricular CSF 25 ml
      • CSF production
        • 25ml/day
        • 1ml/hr
        • 0.01ml/min
The high metabolic activity of the brain
  • 20% of basal oxygen consumption
  • 25% of basal glucose consumption
    • Resting energy expenditure by organ
      • Brain 22%,
      • Liver 21%,
      • Heart 9%
      • Kidneys 8%
    • Cellular function
      • Maintenance of transmembrane electrical and ionic gradients (≈ 60%)
      • Maintenance of membrane structure and integrity and the synthesis and release of neurotransmitters (≈ 40%)
  • 20% of cardiac output (750 ml/min in adults) at rest,
    • Equates to an average CBF of about 50 ml/100 g/min.