Cerebral autoregulation maintains constant CBF over a MAP range of approximately:
- A 40–80 mmHg
- B 60–200 mmHg
- C 50–150 mmHg ✓
- D 70–110 mmHg
Explanation
Cerebral autoregulation maintains cerebral blood flow (CBF) at approximately 50 mL/100 g/min over a MAP range of 50–150 mmHg through myogenic and metabolic mechanisms. Below 50 mmHg, CBF falls passively leading to ischaemia; above 150 mmHg, forced vasodilation causes hyperaemia and breakthrough cerebral oedema. In chronic hypertension, the autoregulatory curve shifts rightward; acute hypotension is then more dangerous. Volatile anaesthetics attenuate autoregulation in a dose-dependent manner.
Reference: Morgan & Mikhail's Clinical Anesthesiology, 6th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.