Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Apr 2020
Glucose and Lactate Concentrations in Cerebrospinal Fluid After Traumatic Brain Injury.
Studies in which brain metabolism has been monitored using microdialysis have indicated decreases in cerebral glucose concentration and increases in lactate concentration in patients with traumatic brain injury (TBI). However, few data are available on glucose and lactate concentrations in the cerebrospinal fluid (CSF) of TBI patients. This study investigates the relationship between CSF glucose and lactate concentrations and outcomes after TBI. ⋯ Low CSF glucose/lactate ratio is observed in nonsurvivors after severe TBI and may have prognostic value.