During injury and ischemia of the CNS mediator compounds are released
or activated which cause secondary swelling and damage of nerve cells.
Such mediators are glutamate, acidosis, free fatty acids, or high ext
racellular potassium. Glial homeostatic mechanisms are activated to pr
event the secondary injury from these mediators. The glial clearance m
echanisms have been studied in detail using in vitro systems allowing
for a close control of the glial environment. Current evidence suggest
s glial swelling to occur together with glutamate uptake or in respons
e to extracellular acidosis. Glial swelling, therefore, is rather the
result of homeostatic mechanisms than an indication of glial demise.