The use of provocative testing is controversial, with many, particularly European, authorities believing it to be unnecessary. However, other, particularly American, authorities consider it useful. I personally perform provocative testing when embolizing AVMs in eloquent areas such as primary motor cortex, language cortex and occipital cortex .
With the catheter in a satisfactory position for potential embolization, 40-50 mg of sodium amytal is injected. If a temporary deficit occurs, embolization is not performed. A positive test indicates normal cortex has been perfused. The test remains controversial and many find the anatomical information as good as the physiological from provocative testing.
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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.