Triphasic response of pituitary stalk injury following TBI: a relevant yet uncommonly recognised endocrine phenomenon
| Autor: | Chad Zik, Ansha Goel, Michelle Jeffery, Freba Farhat |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Pituitary disorder Traumatic brain injury Headache Disorders Physiology 030209 endocrinology & metabolism Diagnostic tools Inappropriate ADH Syndrome 03 medical and health sciences Young Adult 0302 clinical medicine Brain Injuries Traumatic medicine Endocrine system Humans Deamino Arginine Vasopressin Pituitary stalk business.industry Polyuria Antidiuretic Agents General Medicine medicine.disease Reminder of Important Clinical Lesson Diabetes Insipidus Neurogenic Pituitary Gland Diabetes insipidus business 030217 neurology & neurosurgery Thirst Hormone Antidiuretic |
| Zdroj: | BMJ Case Rep |
| Popis: | The triphasic response of pituitary stalk injury has previously been described in a minority of patients following intracranial surgery, however, this phenomenon can also occur after traumatic brain injury. We present the case of a 20-year-old male who experienced the triphasic response of pituitary stalk injury (central diabetes insipidus, syndrome of inappropriate antidiuretic hormone and central diabetes insipidus again) after striking his head on a concrete curb. His history and presentation highlight the importance of recognising the distinctive symptoms of each individual stage of pituitary stalk injury, and using the appropriate diagnostic tools and therapies to guide further management. |
| Databáze: | OpenAIRE |
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