These procedures are performed in similar circumstances and for similar pathology. Multi-lobar resection is used to remove an epilepto-genic area or pathology, which does not involve the whole hemisphere, and by means of which useful cortex may be spared. This technique is used for patients with widespread cortical neuronal migration disorder and gross destructive lesions consequent upon trauma or cerebral infarction. Multi-lobar resection is less common than hemispherectomy.
The indications for hemispherectomy are established unilateral hemisphere disease, causing intractable epileptic seizures, with an appropriate neurological deficit. The matter of the addition of a homonymous hemianopia is usually negotiable.
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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.