In:
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine, Wiley, Vol. 29, No. 2 ( 2018-02), p. 61-66
Abstract:
An 84–year–old male with a traumatic brain injury resulting from a bicycle accident was transported to our hospital. Computed tomography (CT) of the head revealed a right frontal lobe contusion. He was admitted to the emergency department. He developed convulsions and an altered mental status on day 9 after admission, and a fever and hypotension on day 11. After polyuria was observed on day 14, the patient underwent laboratory tests that indicated hypopituitarism and central diabetes insipidus. Related hormone levels in blood samples collected on the day of admission were within normal ranges. Retrospective analyses of head CT scans revealed a pituitary hematoma that was visible on day 6 but not present on the day of admission. We attributed the hypopituitarism to a subacute pituitary hematoma after traumatic brain injury. We administered thyroid hormone, corticosteroid, and antidiuretic hormone therapy. He was transferred to another hospital on day 167. Although hypopituitarism may occur after traumatic brain injury, the symptoms are obscured by the injury after effects. Therefore, in the severe traumatic brain injury patient, we should actively consider the possibility of hypopituitarism and perform endocrinological evaluation.
Type of Medium:
Online Resource
ISSN:
1883-3772
,
1883-3772
DOI:
10.1002/jja2.2018.29.issue-2
Language:
English
Publisher:
Wiley
Publication Date:
2018
detail.hit.zdb_id:
2846771-1
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