Reply to Post-concussion (or other TBI) pituitary injury and dysregulated hormones

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[quote=Anonymous][quote=Anonymous]Wow that’s serious. What was the accident? I only know of one person who had this and it was after severe head trauma in a car accident. [/quote]

Thanks for asking these questions.  I feel like a PSA.  Chronic anterior pituitary dysfunction after TBI (which includes concussion) has a prevalence of 16-60% (depending on the group studied).  Pituitary changes can happen after ANY severity of concussion or head injury.  Pituitary controls: growth hormone, thyroid hormones, reproductive hormones and adrenal hormones.  It definitely happens after sports concussion.  People are usually not screened immediately after the injury, but if there are chronic symptoms  (fatigue, cognitive symptoms, loss of menstrual cycle or libido, etc.) Initial labs can look normal, but if symptomatic, patients should be screened with dynamic testing for the pituitary hormones. Interestingly, women may be more vulnerable to this depending when in their menstrual cycle they are injured.  Growth and sex hormones are the most frequently affected.

More here: https://concussionandcte.org/pcs-resources/treatments/

This is why we are looking for a pituitary endocrinologist or neuroendocrinologist who specializes in this.[/quote]

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