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Ginkgo Biloba: Applications in Traumatic Brain Injury

In 1998 more than $649 million was spent on medicinal herbs in the United States mass market. The number one seller was ginkgo biloba with more than $150 million in retail sales.1 Weiss et al2 surveyed emergency patients for 6 months in 1999 and found that 9% were taking ginkgo biloba. Kaye et al3 found similar results, with approximately 10% of perioperative patients taking ginko. It is the most commonly prescribed herbal agent in Germany. The German botanical equivalent of the Food and Drug Administration, the E commission, approves of its use for the symptomatic treatment of depression and impairment of memory and concentration secondary to organic brain syndrome.4 It has been studied in dementias of varying causes, stroke, traumatic brain injury, macular