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CBF Threshold Neuronal Injury — FRCA Final MCQ

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HardNeuroanaesthesiaCBF Threshold Neuronal InjuryFRCA Final

Minimum CBF below which irreversible neuronal injury begins?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B10 mL/100g/min

Normal CBF ~50. At ~20: EEG fails (electrical failure). At ~10: membrane ion pump failure → irreversible cell death within minutes. Penumbra (10-20) is salvageable tissue — basis for stroke thrombolysis/thrombectomy time windows.

Reference: RCOA – 2023 – Cerebral physiology and neuroprotection