Addisonian Crisis after Missed Diagnosis ofPosttraumatic Hypopituitarism

Journal of Clinical Medicine

卷:4

Marcus Blaum¹  Ilonka Kreitschmann-Andermahr²  Christine Streetz-van der Werf³  Wolfram Karges³ 

[1] Department of Neuroradiology, RWTH Aachen University, 52062 Aachen, Germany;

[2] Department of Neurosurgery, University Hospital Essen, 45147 Essen, Germany;

[3] Division of Endocrinology and Diabetes, RWTH Aachen University, 52062 Aachen, Germany;

关键词: traumatic brain injury;    hypopituitarism;    neuroendocrine dysfunction;    hypocortisolism;    Addisonian crisis;   

DOI  :  10.3390/jcm4050965

来源: DOAJ

【 摘 要 】

We report a case of a previously undiagnosed panhypopituitarism initially presenting as a full-blown Addisonian crisis with hypoglycemia, hyponatremia, hypotension and neuropsychological symptoms, more than 30 years after a severe traumatic brain injury (TBI). The patient also displayed clearly visible pathognomonic clinical signs of long-standing pituitary dysfunction. The case highlights the importance of being aware of endocrine sequelae even decades after serious TBI.

【 授权许可】

Unknown