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Irish Journal of Medical Science (1971 -)

Erschienen in:

01.04.2019 | Review Article

Hypopituitarism post traumatic brain injury (TBI): review

verfasst von: Oratile Kgosidialwa, Amar Agha

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 4/2019

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Abstract

Post-traumatic hypopituitarism (PTHP) is an important and relatively common complication of TBI (traumatic brain injury). A number of studies have shown that this clinical phenomenon can occur soon after TBI (acute) or later in the chronic phase. Patients with moderate to severe TBI are at a particular risk of developing PTHP. In the acute setting, it is important to monitor patients for hypoadrenalism as this confers a high risk for morbidity and even mortality. The gonadotrophin, growth hormone and TSH deficiencies are better defined in the chronic phase. Untreated PTHP can lead to delayed recovery, impaired rehabilitation and persistent neuropsychiatric symptoms. This review will discuss the frequency and natural history of PTHP and its clinical implications and propose a pathway for investigation and management of this still under-recognised entity.

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Titel: Hypopituitarism post traumatic brain injury (TBI): review
verfasst von: Oratile Kgosidialwa
Amar Agha
Publikationsdatum: 01.04.2019
Verlag: Springer London
Erschienen in: Irish Journal of Medical Science (1971 -) / Ausgabe 4/2019
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-019-02007-6

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