2002
DOI: 10.1177/1073858402008003011
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Ion Regulation in the Brain: Implications for Pathophysiology

Abstract: Ions in the brain are regulated independently from plasma levels by active transport across choroid plexus epithelium and cerebral capillary endothelium, assisted by astrocytes. In "resting" brain tissue, extracellular potassium ([K+]o) is lower and [H]o is higher (i.e., pHo is lower) than elsewhere in the body. This difference probably helps to maintain the stability of cerebral function because both high [K]o and low [H+]o enhance neuron excitability. Decrease in osmolarity enhances synaptic transmission and… Show more

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Cited by 298 publications
(115 citation statements)
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References 135 publications
(81 reference statements)
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“…the interstitial and cerebrospinal fluids-ISF and CSF, respectively) is essential for normal central nervous system (CNS) function [38]. The regulation of K + appears to be particularly critical because small changes in K + concentrations have profound effects on neuronal activity.…”
Section: Introductionmentioning
confidence: 99%
“…the interstitial and cerebrospinal fluids-ISF and CSF, respectively) is essential for normal central nervous system (CNS) function [38]. The regulation of K + appears to be particularly critical because small changes in K + concentrations have profound effects on neuronal activity.…”
Section: Introductionmentioning
confidence: 99%
“…Early during an ictal discharge, the cerebral [K + ] EC increases to 7-12 m M and remains more or less steady at this elevated level [69][70][71] , with dynamics similar to that of the CBF increase in the adult [72] . The K + concentration in the newborn brain also increases to 3-7 m M above the baseline during seizures, but the rise and decay times of the [K + ] EC changes are longer and their amplitudes smaller than those in adults [67,73,74] ( fig.…”
Section: Potassiummentioning
confidence: 94%
“…4). increases transiently during neuronal activity, but is prolonged elevated during epileptic seizures [32]. Furthermore, cell death by injuries or neurodegenerative diseases liberates intracellular K + .…”
Section: Discussionmentioning
confidence: 99%