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Cited by 13Pituitary Gland Disorders and TreatmentsHypothalamic control of reproductive hormonesTraumatic Brain Injury Research

Wie harmlos sind Kopfbälle? Hypogonadotroper Hypogonadismus nach leichten Schädel-Hirn-Traumata bei einem Profi-Fußballspieler

Auer, M., Stalla, G., Athanasoulia, A.·2013·DMW - Deutsche Medizinische Wochenschrift
DOI 10.1055/s-0033-1343099
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Abstract

HISTORY AND CLINICAL PRESENTATION: A 27-year-old man was admitted to our outpatient clinic with symptoms of loss at libido, erectile dysfunction and fatigue. He had been playing soccer from the age of 7, for the last 10 years as a high-level professional. During that time repeated mild head-trauma without loss of consciousness had occurred, mainly triggered by excessive header-training and occasional collisions. INVESTIGATIONS: Serum levels of testosterone and luteinizing hormone were low. A gonadotropin releasing hormone loading test revealed significant gonadotropin responses, therefore pituitary gonadotropic insufficiency was unlikely. Further pituitary insufficiency of any other axis was also excluded by insulin hypoglycemia test. Magnetic resonance imaging of the brain revealed no significant abnormalities of the hypothalamic-pituitary unit. TREATMENT AND COURSE: Testosterone substitution, at first applied transdermally, then intramuscularly, was initiated after approval by the National Anti Doping Agency. Four months later most of the symptoms had regressed. CONCLUSION: Pituitary deficiency in the course of craniocerebral trauma is frequent and may be transient or permanent, mostly affecting somatotropic or gonadotropic function. Hormonal imbalances may also be observed after mild but repeated trauma without loss of consciousness and should be considered in cases of isolated pituitary dysfunction, since such traumas may often occur in contacts sports such as boxing or intensive soccer play.

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  • There are increasing case reports of pituitary deficiencies after repetitive sports injury.

    “There are also increasing case reports of pituitary deficiencies after repetitive sports injury [35-40].”

    From Neuroendocrine Disruptions Following Head Injury (2023) · cites this paper as [35]

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Authors
Auer, M., Stalla, G., & Athanasoulia, A.
Affiliations
Max Planck Institute of Psychiatry (DE)
Corresponding author
Auer, M.
ORCID
Venue
DMW - Deutsche Medizinische Wochenschrift
Publisher
Georg Thieme Verlag KG
Published
2013-04-15
Volume
138
Issue
16
Pages
831-833
ISSN
  • 0012-0472 (ISSN-L)
  • 1439-4413
DOI
10.1055/s-0033-1343099
OpenAlex
W2110718196
Cited by
13
References
0
Citations by year
2023: 2 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 1 · 2015: 1 · 2013: 1
FWCI
0.52
Type
journal article
Language
de
Open access
closed
Locations
  • DMW - Deutsche Medizinische Wochenschrift (publishedVersion)
  • PubMed (publishedVersion)
  • MPG.PuRe (Max Planck Society) (submittedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
  • Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Keywords
hypogonadotropic hypogonadism, mild traumatic brain injury, repeated head trauma, professional football players, androgen deficiency, erectile dysfunction, testosterone replacement therapy, contact sports, pituitary dysfunction, gonadotropin-releasing hormone stimulation test
MeSH terms
Adult, Athletic Injuries, Brain Concussion, Humans, Hypogonadism, Luteinizing Hormone, Magnetic Resonance Imaging, Male, Occupational Diseases, Soccer, Testosterone, Hormone Replacement Therapy

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