Assessment of neuroendocrine dysfunction following traumatic brain injury.
Por um escritor misterioso
Last updated 29 maio 2024
A screening protocol adapted for selected patients at risk for endocrine problems is described, and physicians should be aware of the importance of neuroendocrine dysfunction following TBI. Posttraumatic neuroendocrine pathology may be a clinically significant complication following traumatic brain injury TBI. Metabolic abnormalities are described after TBI in two cases. A 21 year old male injured in a motor vehicle accident admitted in a minimally responsive condition presented with fluctuating high sodium levels, undetectable serum testosterone, and depressed cortisol and thyroid function. Imaging revealed near complete avulsion of the pituitary stalk leading to panhypopituitarism. A 38 year old male admitted for occipital skull fractures and brain contusions presented with hypona tremia and low serum testosterone. Both patients required hormonal replacement and correction of electrolyte abnormalities. A screening protocol adapted for selected patients at risk for endocrine problems is described. While neuroendocrine screening is not advocated in all TBI patients, physicians should be aware of the importance of neuroendocrine dysfunction following TBI.
Assessment of neuroendocrine dysfunction following traumatic brain injury: Brain Injury: Vol 12, No 6
Neuroendocrine disorders after traumatic brain injury
Traumatic brain injury as a chronic disease: insights from the United States Traumatic Brain Injury Model Systems Research Program - The Lancet Neurology
Endocrine Dysfunction After Traumatic Brain Injury: An Ignored Clinical Syndrome?
Frontiers Traumatic Brain Injury as Frequent Cause of Hypopituitarism and Growth Hormone Deficiency: Epidemiology, Diagnosis, and Treatment
The screening and management of pituitary dysfunction following traumatic brain injury in adults: British Neurotrauma Group guidance
Frontiers Clinical application of recommendations for neurobehavioral assessment in disorders of consciousness: an interdisciplinary approach
JCM, Free Full-Text
Clocks & Sleep, Free Full-Text
Hormonal imbalances
Biomedicines, Free Full-Text
Traumatic brain injuries Nature Reviews Disease Primers
TBI Resources for Medical Providers
Trauma Care, Free Full-Text
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