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严重头部创伤后孤立性生长激素缺乏症

Isolated growth hormone deficiency after severe head trauma.

作者信息

Eichler I, Frisch H, Eichler H G, Soukop W

机构信息

Department of Pediatrics, University Hospital, Vienna, Austria.

出版信息

J Endocrinol Invest. 1988 Jun;11(6):409-11. doi: 10.1007/BF03349069.

DOI:10.1007/BF03349069
PMID:3209820
Abstract

In a 12-yr-old boy growth arrest occurred after severe head trauma. Evaluation of pituitary endocrine function revealed isolated growth hormone (GH) deficiency. Lack of GH response to GH-releasing factor indicated that the responsible lesion was most likely to be localized in the pituitary gland. GH substitution resulted in biochemical (somatomedin increase) and clinical (catch up growth) response.

摘要

一名12岁男孩在严重头部创伤后出现生长停滞。垂体内分泌功能评估显示孤立性生长激素(GH)缺乏。对生长激素释放因子缺乏GH反应表明,责任病变很可能定位于垂体。GH替代治疗产生了生化反应(生长介素增加)和临床反应(追赶生长)。

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引用本文的文献

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Traumatic brain injury induced hypothalamic-pituitary dysfunction: a paediatric perspective.创伤性脑损伤所致下丘脑-垂体功能障碍:儿科视角
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2
Traumatic brain injury-mediated hypopituitarism. Report of four cases.创伤性脑损伤所致垂体功能减退。4例报告。
Eur J Pediatr. 2007 Nov;166(11):1163-8. doi: 10.1007/s00431-006-0406-7. Epub 2007 Jan 17.
3
A rare case of adulthood-onset growth hormone deficiency presenting as sporadic, symptomatic hypoglycemia.一例罕见的成年期起病的生长激素缺乏症,表现为散发性症状性低血糖。

本文引用的文献

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Diabetes insipidus following closed head injury.闭合性颅脑损伤后尿崩症
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Unrecognized pituitary necrosis (Sheenhan's syndrome), a cause of sudden death.未被识别的垂体坏死(席汉综合征),一种猝死原因。
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Acquired growth hormone deficiency due to pituitary stalk transection after head trauma in childhood.儿童期头部外伤后因垂体柄横断导致的获得性生长激素缺乏症。
Eur J Pediatr. 1993 Feb;152(2):99-101. doi: 10.1007/BF02072482.
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Hypothalamic lesions following closed head injury.闭合性颅脑损伤后的下丘脑病变
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7
Traumatic hypopituitarism occurring before puberty: survival 35 years untreated.青春期前发生的创伤性垂体功能减退:未经治疗存活35年。
J Clin Endocrinol Metab. 1968 Dec;28(12):1768-72. doi: 10.1210/jcem-28-12-1768.
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Post-traumatic anterior hypopituitarism.创伤后垂体前叶功能减退症
Pediatrics. 1976 Jun;57(6):893-6.
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Pituitary insufficiency following head injury.头部损伤后垂体功能减退
Isr J Med Sci. 1978 Jul;14(7):785-9.