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The Impact of Traumatic Brain Injury on Pituitary Function

机译:颅脑外伤对垂体功能的影响

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摘要

It is paramount that clinicians who care for patients with traumatic brain injury (TBI) at any point in time, including neurosurgeons, rehabilitation physicians, internists, neurologists, and endocrinologists, are aware of the prevalence of posttraumatic hypopituitarism and its impacts on acute and long-term recovery. This article reviews the natural history, pathophysiology, and presenting features of hypopituitarism occurring after TBI. Proposed methodologies for screening, diagnosis, and initiation of treatment are discussed, as well as the effect of hormone replacement therapy on clinical outcomes.
机译:至关重要的是,在任何时间护理颅脑外伤(TBI)患者的临床医生,包括神经外科医生,康复医生,内科医生,神经病学家和内分泌学家,都应意识到创伤后垂体功能低下的流行及其对急性和长期性的影响长期恢复。本文回顾了自然史,病理生理学以及呈现TBI后发生垂体功能低下的特征。讨论了用于筛查,诊断和开始治疗的建议方法,以及激素替代疗法对临床结果的影响。

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