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创伤性脑损伤所致垂体功能减退:康复的必要性与希望

Traumatic brain injury induced hypopituitarism: the need and hope of rehabilitation.

作者信息

Masel Brent E

机构信息

Transitional Learning Center at Galveston, Galveston, TX 77550, USA.

出版信息

Pituitary. 2005;8(3-4):263-6. doi: 10.1007/s11102-006-6052-2.

Abstract

Traumatic brain injury is a leading cause of death and disability in developed countries. Damage caused by focal and diffuse lesions produces symptoms involving most major medical systems as well as symptoms of neurological and psychological origin. The severity of a traumatic brain injury is difficult to assess, and therefore, an initial accurate prognosis is difficult as well. Present treatments focus on relieving symptoms without adequately addressing the underlying cause of those symptoms. Recent studies have shown anterior pituitary deficiencies to be common amongst survivors of TBI. As many symptoms ascribed to a TBI are similar to the symptoms of hypopituitarism, it is possible that treatment of these deficiencies will improve functioning and the quality of life for survivors of traumatic brain injuries.

摘要

创伤性脑损伤是发达国家死亡和残疾的主要原因。局灶性和弥漫性损伤造成的损害会产生涉及大多数主要医疗系统的症状以及神经和心理方面的症状。创伤性脑损伤的严重程度难以评估,因此,初步准确的预后也很困难。目前的治疗方法侧重于缓解症状,而没有充分解决这些症状的根本原因。最近的研究表明,垂体前叶功能减退在创伤性脑损伤幸存者中很常见。由于许多归因于创伤性脑损伤的症状与垂体功能减退的症状相似,治疗这些功能减退可能会改善创伤性脑损伤幸存者的功能和生活质量。

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