Identification of functional cortex, including Rolandic cortex and speech cortex, enables the surgeon to avoid these areas when formulating surgical strategy . In addition to preservation of cerebral function during surgery, it is also possible with these techniques to achieve a greater extent of resection with increased safety. While somatosensory evoked potential (SSEP) and cortical stimulation mapping of motor cortex can be performed in patients under either general or local anesthesia, speech mapping requires the cooperation of an awake patient. Although resections in or near functional brain can be made safer by localizing important brain functions, there are a number of pitfalls that the surgeon must be aware of in order to avoid producing functional deficits.
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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.