Assessment of neuroendocrine dysfunction following traumatic brain injury.
Por um escritor misterioso
Last updated 19 outubro 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.
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Progress Toward a Multiomic Understanding of Traumatic Brain Injury: A Review - Philip A Kocheril, Shepard C Moore, Kiersten D Lenz, Harshini Mukundan, Laura M Lilley, 2022
PDF) Neuroendocrine-induced hyponatremia in patients with traumatic brain injury: a systematic review and meta-analysis of the epidemiology, factors and prognosis
Brain Injury Medicine
Assessment of neuroendocrine dysfunction following traumatic brain injury.
Assessment of neuroendocrine dysfunction following traumatic brain injury.
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