Cited by 104Pituitary Gland Disorders and TreatmentsGrowth Hormone and Insulin-like Growth FactorsTraumatic Brain Injury and Neurovascular Disturbances

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Abnormalities of Pituitary Function after Traumatic Brain Injury in Children

Niederland, Tamás, Makovi, Helga, Gál, Veronika, Andréka, Bertalan, Ábrahám, Csongor S., Kovács, József·2007·Journal of Neurotrauma

DOI 10.1089/neu.2005.369er

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Abstract

Traumatic brain injury (TBI) is a frequent cause of neuroendocrine dysfunction typically in male adults. Head injuries are also common in childhood, but only a few case reports outlined the endocrine consequences. The aim of this study was to reveal anterior pituitary function in children with history of hospitalization due to mild to severe head trauma. Our endocrine follow-up study was performed between October 2003 and February 2004 in the Pediatric Department of Petz Aladár County Teaching Hospital, Gyor, Hungary. Twenty-six children (17 boys and nine girls, aged 11.47 +/- 0.75 years) at 30.6 +/- 8.3 months after head injury and 21 age-matched controls were enrolled. Basal and stimulated anterior pituitary and peripheral hormone concentrations were measured by routine laboratory methods. Pituitary dysfunction was detected in 61% of patients with TBI history. All growth hormone (GH) parameters measured and calculated were significantly (p < 0.05) lower in TBI group than in controls after L-DOPA stimulation. Similar difference was detected 60 min after insulin provocation. Forty-two percent of all TBI children showed insufficient growth hormone (GH) response in both stimulation tests, 73% of these cases were boys. Cortisol levels of TBI patients were significantly (p < 0.05) lower all through the insulin test than values measured in control group. The degree of pituitary dysfunction was independent from the severity of TBI. Our study confirms the high risk for hypopituitarism in children with TBI despite the lack of obvious clinical symptoms. We suggest screening of pituitary function after any kind of brain trauma requiring hospitalization in childhood.

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Authors: Niederland, T., Makovi, H., Gál, V., Andréka, B., Ábrahám, C. S., & Kovács, J.
Affiliations: Petz Aladár Megyei Oktató Kórház (HU)
University of Debrecen (HU)
University of Szeged (HU)
ORCID: Kovács, József
Venue: Journal of Neurotrauma
Publisher: SAGE Publications
Published: 2007-01
Volume: 24
Issue: 1
Pages: 119-127
ISSN: 0897-7151 (ISSN-L)
1557-9042
DOI: 10.1089/neu.2005.369er
OpenAlex: W2035483698
Semantic Scholar: 4bc69e8341b4f723ee6a415fe36098bc36041388
Cited by: 104
References: 38
Citations by year: 2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 8 · 2018: 3 · 2017: 1 · 2016: 6 · 2015: 5 · 2014: 7 · 2013: 7 · 2012: 13
FWCI: 4.36
Type: journal article
Language: en
Open access: closed
Licence: www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
Locations: Journal of Neurotrauma (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Keywords: traumatic brain injury, pediatric head injury, anterior pituitary dysfunction, hypopituitarism, growth hormone deficiency, neuroendocrine dysfunction, L-dopa stimulation test, cortisol, sex differences
MeSH terms: Adolescent, Adult, Body Height, Brain Injuries, Child, Female, Humans, Hydrocortisone, Hypoglycemia, Hypoglycemic Agents, Insulin, Levodopa, Male, Pituitary Function Tests, Pituitary Gland, Pituitary Hormones, Prolactin, Thyroid Hormones, Thyrotropin, Human Growth Hormone

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Abnormalities of Pituitary Function after Traumatic Brain Injury in Children

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