Articles

Pituitary Function Impairment after Moderate Traumatic Brain Injury

Abstract

To determine the prevalence of pituitary hormone deficiencies after moderate traumatic brain injury (TBI). We conducted a prospective cohort and included 75 patients with moderate TBI with GCS between 9 and 13 who referred to emergency department of Shariati Hospital, Tehran/Iran, during 2004-2007. Pituitary hormones were assessed 3 and 6 months after injury. In 3rd month post-injury, 39 cases had not any pituitary dysfunction; however, deficiencies in one, two and three of the pituitary hormones were found in 26, 8 and 2 patients, respectively. Twenty one patients showed a deficiency in one of the pituitary hormones and only one case with deficiency of two after 6 months. The most prevalent changes occur in IGF-1 and LH/FSH after moderate TBI. However, the whole deficiencies decrease over the time.

Mazaux JM, Richer E. Rehabilitation after traumatic brain injury in adults. Disabil Rehabil 1998;20(12):435-47.

Bruns J Jr, Hauser WA. The epidemiology of traumatic brain injury: a review. Epilepsia 2003;44 Suppl 10:2-10.

Kraus JF, Black MA, Hessol N, Ley P, Rokaw W, Sullivan C, et al. The incidence of acute brain injury and serious impairment in a defined population. Am J Epidemiol 1984;119(2):186-201.

Cooper KD, Tabbador K, Hauser WA, Shulman K, Feiner C, Factor PR. The epidemiology of head injury in the Bronx. Neuroepidemiology 1983;2:70-88.

Durkin MS, Olsen S, Barlow B, Virella A, Connolly ES Jr. The epidemiology of urban pediatric neurological trauma: evaluation of, and implications for injury prevention programs. Neurosurgery 1998;42(2):300-10.

Tiret L, Hausherr E, Thicoipe M, Garros B, Maurette P, Castel JP, et al. The epidemiology of head trauma in Aquitaine (France), 1986: a community-based study of hospital admissions and deaths. Int J Epidemiol 1990;19(1):133-40.

Vázquez-Barquero A, Vázquez-Barquero JL, Austin O, Pascual J, Gaite L, Herrera S. The epidemiology of head injury in Cantabria. Eur J Epidemiol 1992;8(6):832-7.

Ingebrigtsen T, Mortensen K, Romner B. The epidemiology of hospital-referred head injury in northern Norway. Neuroepidemiology 1998;17(3):139-46.

Andersson EH, Björklund R, Emanuelson I, Stålhammar D. Epidemiology of traumatic brain injury: a population based,study in western Sweden. Acta Neurol Scand 2003;107(4):256-9.

Servadei F, Verlicchi A, Soldano F, Zanotti B, Piffer S. Descriptive epidemiology of head injury in Romagna and Trentino. Comparison between two geographically different Italian regions. Neuroepidemiology 2002;21(6):297-304.

Hillier SL, Hiller JE, Metzer J. Epidemiology of traumatic brain injury in South Australia. Brain Inj 1997;11(9):649-59.

Nell V, Brown DS. Epidemiology of traumatic brain injury in Johannesburg--II. Morbidity, mortality and etiology. Soc Sci Med 1991;33(3):289-96.

Wang CC, Schoenberg BS, Li SC, Yang YC, Cheng XM, Bolis CL. Brain injury due to head trauma. Epidemiology in urban areas of the People's Republic of China. Arch Neurol 1986;43(6):570-2.

National Institutes of Health Consensus Development Conference Statement. Rehabilitation of persons with traumatic brain injury. NIH Consens Statement 1998;16(1):1-41.

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IssueVol 49, No 7 (2011) QRcode
SectionArticles
Keywords
TBI Pituitary hormone Moderate injury

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Hadji Abadi MR, Ghodsi M, Merazin M, Roozbeh H. Pituitary Function Impairment after Moderate Traumatic Brain Injury. Acta Med Iran. 1;49(7):438-441.