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The actual thinking part of our "Brains" is the brain stem, which actually extends down right to where the demon slayers are cutting. If that gets chopped and can't regenerate, the demon can't regenerate. We have been shown the clear presence of the Soul. Meaning, when demons are dying and "thinking" it is as their spirit, not their flesh. The flesh is dying and dissolving to ash and then thin air because their thought process has ceased. And their thoughts, their emotions, have a critical affect on their entire being, and even something simple as an emotional shock will result in harsh consequinces, as seen with Kokushibou disintegrating after being revolted by his own repugnant visage. Therefore, Demons do need their brains to live, they need them to tether their emotional will to the physical plain, I believe. If they're emotionally resilient enough, they can last long enough before dissolving to regen the head, like with Akaza. If they just don't have that, like Douma, they die at once. And then some of them succeed in regenerating and then mentally screw themselves, like Koku.Its not exactly a brain function issue considering that cutting a demon through its head does not kill them. So far its only the neck. Its also not a spine issue considering cutting a demons spine does not kill them either. The nichirin blades normally do something which kills demons when you decapitate them and red blades slow down their regeneration for a time. The only lore we have about this concerns nichirin blades being made from metal which bathes in the sun and whatnot... and red blades simply seem like a way to release more of saod energy considering how it is attained.
With Muzan, he will never regret his existence. But his body still needs its will attached. The brain stem is, I'm assuming, the tether, the bridge between his soul and body. To ensure he isn't deteriorating while his original brain regenerates, he has multiple ones stashed all over.
Now, what really, really confuses me is the hearts. I'm guessing those are blood pumping mechanisms. Because so far the heart definitely had no relevance to the demon body. Destroying them did nothing. though maybe there's something else there that helps Muzan, perhaps for breaking into multiple miniature forms of himself, like he did with Yuirichi.