<p>In my conclusion (so far):</p>

<p>Blood flow is important for cooling the brain (as well as the core of the body). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720747/" rel="noreferrer">One review</a> says:</p>

<blockquote>
  <p>[Cerebral blood flow] CBF is most critical for maintaining and stabilizing the thermal environment of the brain. Under normal conditions, cerebral tissue beyond 2–3 cm from the cortical surface remains unaffected by changes in ambient temperature surface without simultaneous temperature changes in the perfusing blood (Stone et al., 1997). Core brain temperature is generally higher than body temperature; with blood temperature in the jugular vein higher than in the carotid artery (Nunneley and Nelson, 1994), CBF primarily contributes to heat removal from brain tissue. 
  The superficial parts of the brain, however, are much more susceptible to the ambient temperature and may be cooler than arterial blood, particularly in neonates and infants (Iwata et al., 2014). Primate studies demonstrated that shifts in temperature, 5–7°C on either side of the neutral zone (28 and 32°C), did not affect deep brain structures, while superficial sites and CSF of the basal subarachnoid space were reported to change (Hayward and Baker, 1968). CBF, therefore, is critical in maintaining intracranial thermal homeostasis by reducing temperature in the deep brain but sometimes increasing temperature in the superficial brain (<a href="https://www.ncbi.nlm.nih.gov/pubmed/24907512/" rel="noreferrer">Iwata et al., 2014</a>).</p>
</blockquote>

<p>Frankly I'm surprised that apparently no paper has tried to estimate the amount of heat removed from the skull just by the jugular vein, since there's a difference in temperature with the carotid artery, and the blood flow is known as well. This could be a decent first-order approximation of how much the rest of the body acts as a radiator for the head. On the other hand, there's something else that has been studied intensely... </p>

<p>In many non-human mammals and birds there's evidence for a mechanism that allows the brain to be cooler than the rest of the body. This mechanism, called SBC (selective brain cooling) has actually several flavors, but all seems to involve just head-level "radiators" like the nose. </p>

<p><a href="https://i.sstatic.net/SvNp2.png" rel="noreferrer"><img src="https://i.sstatic.net/SvNp2.png" alt="enter image description here"></a>
<a href="https://i.sstatic.net/BPSkA.png" rel="noreferrer"><img src="https://i.sstatic.net/BPSkA.png" alt="enter image description here"></a></p>

<p>There was no direct evidence (as of 2004) that SBC exists/works in humans, although some speculation based exist based anatomical considerations... as well as experimental analogy with extreme body temperatures observed across species:</p>

<blockquote>
  <p>Actually, artiodactyls, which have the most
  effective mechanism of SBC, are able to tolerate
  extremely high body temperatures. Taylor (1970) has
  shown that heat stressed and water deprived Grant’s
  gazelles are able to maintain rectal temperature at
  46.5C for as much as 6 h with no observable ill effects.
  Surprisingly, rectal temperatures as high as 46.5C
  (Khogali and Mustafa, 1984) and 47.0C (Hart et al.,
  1982) have been recorded also in humans who survived
  heat stroke. If SBC were absent, such high temperatures
  would be inevitably lethal.</p>
</blockquote>

<p>All SBC info from above and images from </p>

<ul>
<li>Michał Caputa "Selective brain cooling: a multiple regulatory mechanism", 
<a href="https://doi.org/10.1016/j.jtherbio.2004.08.079" rel="noreferrer">https://doi.org/10.1016/j.jtherbio.2004.08.079</a></li>
</ul>

<p>Until 2-3 years it seems there was no way to measure/image brain temperature in a similar way to how blood flow is. But that has changed with the introduction or MR thermometry, which is non-invasive method. One of the <a href="http://www.ajnr.org/content/ajnr/early/2017/01/26/ajnr.A5059.full.pdf" rel="noreferrer">recent papers</a> on this notes:</p>

<blockquote>
  <p>Brain thermoregulation remains an enigmatic process reflecting
  the complex interplay of metabolism and cerebrovascular
  perfusion.</p>
</blockquote>

<p>Although not trying to answer systemic "where the heat goes" questions, the paper has some interesting findings, namely that after a stroke brain temperature (in monkeys) raises above systemic temperature. That finding raises more questions than it answers with respect to brain thermoregulation mechanisms, but here is the eye candy of MR thermoimaging:</p>

<p><a href="https://i.sstatic.net/do96P.png" rel="noreferrer"><img src="https://i.sstatic.net/do96P.png" alt="enter image description here"></a></p>

<p>The paper goes into some detail into hypotheses of why this raise happens, how much it contributes to stroke propagation etc., but there aren't any firm answers. What is clear is that the brain can lose its ability to thermoregulate, relative to the body.</p>

CC BY-SA 4.0
2018-08-07T19:54:10.060Z
2018-08-08T02:04:29.403Z
2018-08-08T02:04:29.403Z
got trolled too much this week
<p>I remember[ed] reading <a href="https://www.bbc.co.uk/news/science-environment-24571219" rel="noreferrer">a story</a> on a brain-inspired integrated mechanism for energy-delivery and cooling in (experimental) new computer chips:</p>

<blockquote>
  <p>The human brain packs phenomenal computing power into a tiny space and uses only 20 watts of energy - an efficiency IBM is keen to match.</p>
  
  <p>Its new "redox flow" system pumps an electrolyte "blood" through a computer, carrying power in and taking heat out. [...]</p>
  
  <p>"The human brain is 10,000 times more dense and efficient than any computer today.</p>
  
  <p>"That's possible because it uses only one - extremely efficient - network of capillaries and blood vessels to transport heat and energy - all at the same time."</p>
</blockquote>

<p>But as with other biology-inspired stuff, neural networks in particular, what ultimately becomes useful in computer science/engineering may not be that closely related to the way biology actually works.</p>

<p>So what I want to ask here is: are there some detailed mass-and-heat flow analyses for how the brain (of humans or even of other mammals) is actually cooled? How is most of the heat exhausted from the brain? Is it really thorough blood, and then globally through the whole body? Or is mostly a more local process at head level?</p>

<hr>

<p>I managed to find something about the <a href="https://bioheat.umbc.edu/files/2015/07/Chapter2_2007.pdf" rel="noreferrer">importance of blood for cooling</a>, but only at whole-body level:</p>

<blockquote>
  <p>The second influence of the blood flow is that it can enhance heat
  dissipation from the inside of the body to the environment to maintain a normal body temperature.
  Theoretical study has shown that if the heat produced in the central areas of the body at rest
  condition could escape only by tissue conduction, the body temperature would not reach a steady
  state until it was about 80°C. A lethal temperature would be reached in only 3 hours. During exercise,
  our body temperature would have typically risen 12°C in 1 hour if no heat were lost by
  blood flow. Maintaining a core temperature of 37°C during thermal stress or exercise in the body
  is achieved by increasing the cardiac output by central and local thermoregulation, redistributing
  heat via the blood flow from the muscle tissue to the skin, and speeding the heat loss to the environment
  by evaporation of sweat.</p>
</blockquote>

<p>So from that I suspect blood is surely important for cooling the brain as well, but still some questions remain, e.g. where does most of the heat from the brain get dumped by the blood? In more layman's terms: is the rest of the body necessary as a radiator for the brain, or is the skull enough for that purpose?</p>

<hr>

<p>Thanks to <a href="https://link.springer.com/article/10.1007/BF00186829" rel="noreferrer">a paper</a> cited by AliceD on biology.SE, I also found some anatomical considerations from about two decades ago... which seem to not be very conclusive:</p>

<blockquote>
  <p>Selective brain cooling (SBC) is understood as a natural
  mechanism that enables mammals to maintain their brain
  temperature below the temperature of the rest of the
  body during states of hyperthermia (Baker 1979). [...]</p>
  
  <p>The question whether SBC also operates in humans, who
  lack cranial retia mirabilia, has led to an interesting controversy.
  For some authors (Brengelmann 1987) the copious
  and constant arterial blood flow to the brain appears
  sufficient to cool the brain under all conditions. Others
  (Cabanac 1993) concede that this concept may be correct
  for the conditions at normothermia, but they propose that
  an additional brain-directed cooling mechanism becomes
  effective during hyperthermia. These authors draw attention
  to vascular arrangements in humans, which permit
  effects comparable to SBC in "rete species". Cabanac
  (1993) points to several sites of intimate thermal contact
  between the arterial and the cooler venous blood, e.g.,
  the internal carotid in the carotid canal, where the artery
  is tightly surrounded by the venous plexus caroticus and
  thereafter immersed in the cavernous sinus, and the vertebral
  arteries surrounded by a plexus of veins where
  they course through the transverse foramina (see our Fig.
  14). Furthermore, Cabanac refers to the high cooling capacity
  of the skin of the head (particularly rich in sweat
  glands), whence venous blood, cooled by sweat evaporation,
  flows via emissary veins towards the brain in hyperthermic
  situations (Caputa et al. 1978; Cabanac and
  Brinnel 1985; Deklunder et al. 1991; Hiroshita et al.
  1991). An additional loss of heat occurs in the upper airways
  (Cabanac 1993), including the paranasal sinuses. A
  direct conductive skin-brain heat exchange has also been
  considered.</p>
</blockquote>

<p>A <a href="https://doi.org/10.1016/j.jtherbio.2004.08.079" rel="noreferrer">decade-later paper by Caputa</a> still noted that</p>

<blockquote>
  <p>The existence of effective SBC in humans has not been
  proven directly because brain temperature has never
  been recorded in healthy subjects exposed to hyperthermic
  conditions.</p>
</blockquote>

CC BY-SA 4.0
2018-08-08T08:03:52.023Z
At some point, you could have started posting answers, rather than updating your question (which you eventually did).  Great stuff!
Steven Jeuris
CC BY-SA 4.0
2018-08-08T08:09:36.133Z
Note that I said answer_s_. If you have different competing or unrelated theories you are investigating, breaking them up into separate posts would be fine.
Steven Jeuris
<neuroscience>
How is the brain cooled?
got trolled too much this week
# How is the brain cooled?

(Asked by: username_0 on 2018-08-07)

I remember[ed] reading [a story](https://www.bbc.co.uk/news/science-environment-24571219) on a brain-inspired integrated mechanism for energy-delivery and cooling in (experimental) new computer chips:

> The human brain packs phenomenal computing power into a tiny space and uses only 20 watts of energy - an efficiency IBM is keen to match.
>
> Its new "redox flow" system pumps an electrolyte "blood" through a computer, carrying power in and taking heat out. [...]
>
> "The human brain is 10,000 times more dense and efficient than any computer today.
>
> "That's possible because it uses only one - extremely efficient - network of capillaries and blood vessels to transport heat and energy - all at the same time."

But as with other biology-inspired stuff, neural networks in particular, what ultimately becomes useful in computer science/engineering may not be that closely related to the way biology actually works.

So what I want to ask here is: are there some detailed mass-and-heat flow analyses for how the brain (of humans or even of other mammals) is actually cooled? How is most of the heat exhausted from the brain? Is it really thorough blood, and then globally through the whole body? Or is mostly a more local process at head level?

---

I managed to find something about the [importance of blood for cooling](https://bioheat.umbc.edu/files/2015/07/Chapter2_2007.pdf), but only at whole-body level:

> The second influence of the blood flow is that it can enhance heat
> dissipation from the inside of the body to the environment to maintain a normal body temperature.
> Theoretical study has shown that if the heat produced in the central areas of the body at rest
> condition could escape only by tissue conduction, the body temperature would not reach a steady
> state until it was about 80°C. A lethal temperature would be reached in only 3 hours. During exercise,
> our body temperature would have typically risen 12°C in 1 hour if no heat were lost by
> blood flow. Maintaining a core temperature of 37°C during thermal stress or exercise in the body
> is achieved by increasing the cardiac output by central and local thermoregulation, redistributing
> heat via the blood flow from the muscle tissue to the skin, and speeding the heat loss to the environment
> by evaporation of sweat.

So from that I suspect blood is surely important for cooling the brain as well, but still some questions remain, e.g. where does most of the heat from the brain get dumped by the blood? In more layman's terms: is the rest of the body necessary as a radiator for the brain, or is the skull enough for that purpose?

---

Thanks to [a paper](https://link.springer.com/article/10.1007/BF00186829) cited by AliceD on biology.SE, I also found some anatomical considerations from about two decades ago... which seem to not be very conclusive:

> Selective brain cooling (SBC) is understood as a natural
> mechanism that enables mammals to maintain their brain
> temperature below the temperature of the rest of the
> body during states of hyperthermia (Baker 1979). [...]
>
> The question whether SBC also operates in humans, who
> lack cranial retia mirabilia, has led to an interesting controversy.
> For some authors (Brengelmann 1987) the copious
> and constant arterial blood flow to the brain appears
> sufficient to cool the brain under all conditions. Others
> (Cabanac 1993) concede that this concept may be correct
> for the conditions at normothermia, but they propose that
> an additional brain-directed cooling mechanism becomes
> effective during hyperthermia. These authors draw attention
> to vascular arrangements in humans, which permit
> effects comparable to SBC in "rete species". Cabanac
> (1993) points to several sites of intimate thermal contact
> between the arterial and the cooler venous blood, e.g.,
> the internal carotid in the carotid canal, where the artery
> is tightly surrounded by the venous plexus caroticus and
> thereafter immersed in the cavernous sinus, and the vertebral
> arteries surrounded by a plexus of veins where
> they course through the transverse foramina (see our Fig.
> 14). Furthermore, Cabanac refers to the high cooling capacity
> of the skin of the head (particularly rich in sweat
> glands), whence venous blood, cooled by sweat evaporation,
> flows via emissary veins towards the brain in hyperthermic
> situations (Caputa et al. 1978; Cabanac and
> Brinnel 1985; Deklunder et al. 1991; Hiroshita et al.
> 1991). An additional loss of heat occurs in the upper airways
> (Cabanac 1993), including the paranasal sinuses. A
> direct conductive skin-brain heat exchange has also been
> considered.

A [decade-later paper by Caputa](https://doi.org/10.1016/j.jtherbio.2004.08.079) still noted that

> The existence of effective SBC in humans has not been
> proven directly because brain temperature has never
> been recorded in healthy subjects exposed to hyperthermic
> conditions.

**Tags:** neuroscience

> **Comments:**
> **username_1**: At some point, you could have started posting answers, rather than updating your question (which you eventually did).  Great stuff!  
> **username_1**: Note that I said answer_s_. If you have different competing or unrelated theories you are investigating, breaking them up into separate posts would be fine.  

---

## 1 answers

### Answer by username_0 on 2018-08-07. Score: 6

In my conclusion (so far):

Blood flow is important for cooling the brain (as well as the core of the body). [One review](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720747/) says:

> [Cerebral blood flow] CBF is most critical for maintaining and stabilizing the thermal environment of the brain. Under normal conditions, cerebral tissue beyond 2–3 cm from the cortical surface remains unaffected by changes in ambient temperature surface without simultaneous temperature changes in the perfusing blood (Stone et al., 1997). Core brain temperature is generally higher than body temperature; with blood temperature in the jugular vein higher than in the carotid artery (Nunneley and Nelson, 1994), CBF primarily contributes to heat removal from brain tissue.
> The superficial parts of the brain, however, are much more susceptible to the ambient temperature and may be cooler than arterial blood, particularly in neonates and infants (Iwata et al., 2014). Primate studies demonstrated that shifts in temperature, 5–7°C on either side of the neutral zone (28 and 32°C), did not affect deep brain structures, while superficial sites and CSF of the basal subarachnoid space were reported to change (Hayward and Baker, 1968). CBF, therefore, is critical in maintaining intracranial thermal homeostasis by reducing temperature in the deep brain but sometimes increasing temperature in the superficial brain ([Iwata et al., 2014](https://www.ncbi.nlm.nih.gov/pubmed/24907512/)).

Frankly I'm surprised that apparently no paper has tried to estimate the amount of heat removed from the skull just by the jugular vein, since there's a difference in temperature with the carotid artery, and the blood flow is known as well. This could be a decent first-order approximation of how much the rest of the body acts as a radiator for the head. On the other hand, there's something else that has been studied intensely...

In many non-human mammals and birds there's evidence for a mechanism that allows the brain to be cooler than the rest of the body. This mechanism, called SBC (selective brain cooling) has actually several flavors, but all seems to involve just head-level "radiators" like the nose.

[![enter image description here](https://i.sstatic.net/SvNp2.png)](https://i.sstatic.net/SvNp2.png)
[![enter image description here](https://i.sstatic.net/BPSkA.png)](https://i.sstatic.net/BPSkA.png)

There was no direct evidence (as of 2004) that SBC exists/works in humans, although some speculation based exist based anatomical considerations... as well as experimental analogy with extreme body temperatures observed across species:

> Actually, artiodactyls, which have the most
> effective mechanism of SBC, are able to tolerate
> extremely high body temperatures. Taylor (1970) has
> shown that heat stressed and water deprived Grant’s
> gazelles are able to maintain rectal temperature at
> 46.5C for as much as 6 h with no observable ill effects.
> Surprisingly, rectal temperatures as high as 46.5C
> (Khogali and Mustafa, 1984) and 47.0C (Hart et al.,
> 1982) have been recorded also in humans who survived
> heat stroke. If SBC were absent, such high temperatures
> would be inevitably lethal.

All SBC info from above and images from

* Michał Caputa "Selective brain cooling: a multiple regulatory mechanism",
  <https://doi.org/10.1016/j.jtherbio.2004.08.079>

Until 2-3 years it seems there was no way to measure/image brain temperature in a similar way to how blood flow is. But that has changed with the introduction or MR thermometry, which is non-invasive method. One of the [recent papers](http://www.ajnr.org/content/ajnr/early/2017/01/26/ajnr.A5059.full.pdf) on this notes:

> Brain thermoregulation remains an enigmatic process reflecting
> the complex interplay of metabolism and cerebrovascular
> perfusion.

Although not trying to answer systemic "where the heat goes" questions, the paper has some interesting findings, namely that after a stroke brain temperature (in monkeys) raises above systemic temperature. That finding raises more questions than it answers with respect to brain thermoregulation mechanisms, but here is the eye candy of MR thermoimaging:

[![enter image description here](https://i.sstatic.net/do96P.png)](https://i.sstatic.net/do96P.png)

The paper goes into some detail into hypotheses of why this raise happens, how much it contributes to stroke propagation etc., but there aren't any firm answers. What is clear is that the brain can lose its ability to thermoregulate, relative to the body.


---

