Chief Cushie ~MaryO~ Posted March 19, 2008 Chief Cushie Report Share Posted March 19, 2008 http://www.ingentaconnect.com/content/bsc/...dumab.henrietta Three years prospective investigation of anterior pituitary function after traumatic brain injury: a pilot study Authors: Tanriverdi, Fatih1; Ulutabanca, Halil2; Unluhizarci, Kursad1; Selcuklu, Ahmet2; Casanueva, Felipe F.3; Kelestimur, Fahrettin2 Source: Clinical Endocrinology, Volume 68, Number 4, April 2008 , pp. 573-579(7) Publisher: Blackwell Publishing Abstract: Summary Objective It has been recently demonstrated that traumatic brain injury (TBI)-mediated hypopituitarism could be more frequent than previously known. However, most of the previous data were obtained from retrospective studies, and the natural history of the hypopituitarism due to TBI is still unclear. So far no study has been reported in which the pituitary function of the same patients has been investigated more than 1 year after TBI. Therefore, we report the results of 3 years prospective follow-up of anterior pituitary function in patients with mild, moderate and severe TBI. Patients and design Thirty patients (25 males, 5 females; age 37?2 ? 2?4 years) with TBI were included in the study. Pituitary function was evaluated at 1 and 3 years after TBI. Results After individual evaluation of GH deficiency from 1 year to 3 years after TBI, 7 of 13 (53?8%) GH-deficient patients at 1st year recovered after 3 years of TBI, and GH deficiency detected at 3 years in one patient was new onset. Additionally, five of six (83?3%) ACTH-deficient patients at 1st year recovered after 3 years of TBI, and ACTH deficiency detected at 3 years in one patient was new onset. Conclusions GH deficiency is the most common pituitary deficit 1 and 3 years after TBI. In patients with mild and moderate TBI, pituitary function improves over time in a considerable number of patients, but it may also worsen rarely over the 3-year period. In patients with severe TBI, ACTH and GH deficiencies at 1st year evaluation persist at 3rd year. Document Type: Research article DOI: 10.1111/j.1365-2265.2007.03070.x Affiliations: 1: Departments of Endocrinology and 2: Neurosurgery, Erciyes University Medical School, Kayseri, Turkey and 3: Department of Medicine, School of Medicine and Complejo Hospitalario Universitario de Santiago, Santiago de Compostela University, Santiago de Compostela, Spain Link to comment Share on other sites More sharing options...
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