Cerebral Microdialysis

Evaluation of the microenvironment of neural elements in TBI, although not clinically common practice at the present time, may in the future be of value in management of the TBI. Reversal of the lactate/pyruvate ratio, accumulation of glutamate in the extracellular fluid and significant peaks of potassium have been repeatedly reported in cases of TBI [5].

Table 21.6. Classification of diffuse head injury based on CT.


Initial CT findings

Diffuse injury I

No visible pathology (Fig. 21.2)

Diffuse injury II

Cisterns are present; midline shift <5 mm and/or lesion densities present, no high- or mixed-

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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