Most of papers and review articles, that I have come across, only talks about abnormally elevated level of lactate in moderate or severe TBI. I could not find any such report in case of mild TBI.
i) Could someone please provide me some reference/s where elevated level of lactate has been reported in case of mild TBI?
ii) We know that neurophysiological and neurological dysfunction resolves with in few days/weeks in most of patients. However, a significant portion of patients with mild TBI (~15%) report persistent cognitive dysfunction weeks, months and years post injury. Could some TBI expert be kind enough to share his/her insight into metabolic imbalance expected in those patients with poor recovery?
Regards,
Dushyant
Hello Dushyant Kumar
please check the resources and one of the pdf is discussed in detail about TBI
http://www.ncbi.nlm.nih.gov/books/NBK299199/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3820255/
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