INTRODUCTION: We describe a case report of panhypopituitarism after traumatic head injury. A previously healthy young man suffered a closed head injury and multiple spinal fractures after a motorcycle accident. METHODS: His treatment in the intensive care unit was prolonged because of numerous problems with raised intracranial pressure, hemodynamics, and electrolyte balance. RESULTS: Eventually, hypocortisolism and other pituitary hormone deficiencies were diagnosed. Magnetic resonance images showed incoherent pituitary stalk and re-review of the first computed tomography scans of the day of the accident confirmed hemorrhage in the infundibulum. CONCLUSION: This case and review of the literature suggests that hormone deficiencies are not uncommon after head injuries.
INTRODUCTION: We describe a case report of panhypopituitarism after traumatic head injury. A previously healthy young man suffered a closed head injury and multiple spinal fractures after a motorcycle accident. METHODS: His treatment in the intensive care unit was prolonged because of numerous problems with raised intracranial pressure, hemodynamics, and electrolyte balance. RESULTS: Eventually, hypocortisolism and other pituitary hormone deficiencies were diagnosed. Magnetic resonance images showed incoherent pituitary stalk and re-review of the first computed tomography scans of the day of the accident confirmed hemorrhage in the infundibulum. CONCLUSION: This case and review of the literature suggests that hormone deficiencies are not uncommon after head injuries.
Authors: Marta Bondanelli; Laura De Marinis; Maria Rosaria Ambrosio; Marcello Monesi; Domenico Valle; Maria Chiara Zatelli; Alessandra Fusco; Antonio Bianchi; Marco Farneti; Ettore C I degli Uberti Journal: J Neurotrauma Date: 2004-06 Impact factor: 5.269
Authors: Ioanna Dimopoulou; Stylianos Tsagarakis; Maria Theodorakopoulou; Evangelia Douka; Maria Zervou; Andreas T Kouyialis; Nikolaos Thalassinos; Charis Roussos Journal: Intensive Care Med Date: 2004-04-07 Impact factor: 17.440