Hippocampal size and neuron number are reduced in a number of conditio
ns, including temporal lobe epilepsy and Alzheimer's disease. Furtherm
ore, a decrease with advancing age has also been suggested. The presen
t study examined the entire hippocampal formation of 12 subjects aged
from 46 to 85 years and free from neurological disease. The volume of
seven subregions (CA1, CA2-3, CA4, dentate gyrus, subiculum, presubicu
lum and white matter) was determined and the number of neurons estimat
ed in each of these grey matter subregions using the optical dissector
technique. There was a significant relationship between CA1 neuron nu
mber and cerebrum volume. Multivariate analysis showed the greater con
tribution to the variance in CA1 neuron number was made by cerebrum vo
lume (69%) rather than age (2%) or sex (1%). The findings of this stud
y show that, in neurologically normal individuals, brain size is a maj
or determinant of the number of CA1 neurons.