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Head Injury Updates; Roadside to Resus

The Resus Room

CHAPTER

Hypopituturism After Traumatic Brain Injury

Acquired hypopituturism after traumatic brain injury. This is the result of a neuroendocrine dysfunction of that pituitary gland and can cause both short-term and long-term morbidity. A systematic review by Schneider et al reported a pulled prevalence unbelievably of 27.5%. Despite this remarkably high prevalence it's totally under diagnosed in the TBI population. The signs and symptoms are vastly non-specific in these critically ill trauma patients. And so they might present with things like lethargy or insomnia fatigue reduced attention difficulty concentrating memory impairment anxiety depression irritability and diminished libido. But on top of these symptoms deficiencies in ACTH or adrenocorticatrophic

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