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Cited by 50

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

Traumatic brain injuries induced pituitary dysfunction: a call for algorithms

Gilis-Januszewska, Aleksandra, Kluczyński, Łukasz, Hubalewska-Dydejczyk, Alicja·2020·Endocrine Connections
DOI 10.1530/ec-20-0117
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Abstract

Traumatic brain injury affects many people each year, resulting in a serious burden of devastating health consequences. Motor-vehicle and work-related accidents, falls, assaults, as well as sport activities are the most common causes of traumatic brain injuries. Consequently, they may lead to permanent or transient pituitary insufficiency that causes adverse changes in body composition, worrisome metabolic function, reduced bone density, and a significant decrease in one’s quality of life. The prevalence of post-traumatic hypopituitarism is difficult to determine, and the exact mechanisms lying behind it remain unclear. Several probable hypotheses have been suggested. The diagnosis of pituitary dysfunction is very challenging both due to the common occurrence of brain injuries, the subtle character of clinical manifestations, the variable course of the disease, as well as the lack of proper diagnostic algorithms. Insufficiency of somatotropic axis is the most common abnormality, followed by presence of hypogonadism, hypothyroidism, hypocortisolism, and diabetes insipidus. The purpose of this review is to summarize the current state of knowledge about post-traumatic hypopituitarism. Moreover, based on available data and on our own clinical experience, we suggest an algorithm for the evaluation of post-traumatic hypopituitarism. In addition, well-designed studies are needed to further investigate the pathophysiology, epidemiology, and timing of pituitary dysfunction after a traumatic brain injury with the purpose of establishing appropriate standards of care.

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Metadata

Authors
Gilis-Januszewska, A., Kluczyński, Ł., & Hubalewska-Dydejczyk, A.
Venue
Endocrine Connections
Publisher
Bioscientifica
Published
2020-05
Volume
9
Issue
5
Pages
R112-R123
ISSN
2049-3614
DOI
10.1530/ec-20-0117
Cited by
50
References
54

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