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militarynurse

Tbi And Hypopituitarism ( Pituitary Gland And Hormone Dysfunction )

Question

  • The most common hormonal deficiencies associated with TBI include:

    Pituitary deficiencies (TSH/FSH/GH/IGF-1)

    Gonadotropin deficiencies (LH/FSH/testosterone/estradiol) Adrenocorticotropic hormone, thyroid deficiency and prolactin deficiencies are also seen among patients with neuroendocrine involvement following TBI

  • Hypogonadotropic hypogonadism (acquired): pituitary-hypothalamic injury from trauma. These men have low testosterone serum concentrations but have gonadotropins in the normal or low range. Suggest Neuroendocrine Dysfunction Screening ( NED ) for FSH,

See links at: http://www.ncbi.nlm.nih.gov/pubmed/15879352

http://www.brainline.org/content/2011/07/hypopituitarism-after-brain-injury.html

http://www.ncbi.nlm.nih.gov/pubmed/18780593

http://cdn.intechopen.com/pdfs/30501/InTech-The_case_of_hypopituitarism_in_traumatic_brain_injury.pdf

http://www.ncbi.nlm.nih.gov/pubmed/20731261

http://www.noticeandcomment.com/An89-Proposed-Rule-Secondary-Service-Connection-for-Diagnosable-Illnesses-Associated-With-Traumatic-Brain-fn-3325.aspx

https://www.federalregister.gov/articles/2012/12/10/2012-29709/secondary-service-connection-for-diagnosable-illnesses-associated-with-traumatic-brain-injury

https://priorservice.wordpress.com/2013/04/30/ptsd-or-hypopituitarism-nearly-half-of-veterans-found-with-blast-concussions-might-have-hormone-deficiencies/

http://www.va.gov/vetapp09/files2/0910774.txt

http://www.va.gov/vetapp07/files3/0726237.txt

http://www.dcoe.mil/content/Navigation/Documents/DCoE_TBI_NED_Training_Slides.pdf

http://www.dtic.mil/dtic/tr/fulltext/u2/a568011.pdf

http://neuro.psychiatryonline.org/article.aspx?articleID=103172

A good read:

Gulf War and Health: Volume 7: Long-Term Consequences of Traumatic Brain Injury

By Committee on Gulf War and Health: Brain Injury in Veterans and Long-Term Health Outcomes, Board on Population Health and Public Health Practice, Institute of Medicine

Edited by militarynurse

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