ABSTRACT
A 30-year-old woman, who was involved in an automobile accident two years before admission, presented with hypopituitarism. Deficits of ACTH, FSH, LH, GH, and borderline TSH were demonstrated. Normal TRF response and elevated prolactin levels indicated residual normal anterior pituitary tissue with inadequate hypothalamic control. We have briefly reviewed the subject of posttraumatic hypopituitarism.
Subject(s)
Craniocerebral Trauma/complications , Hypopituitarism/etiology , Adult , Female , Galactorrhea/etiology , Humans , Pituitary Function Tests , Pituitary Gland, Anterior/injuries , PregnancyABSTRACT
A patient presented with hypopituitarism, 2 years after severe head trauma. Deficits of growth-hormone, follicle-stimulating hormone, luteinizing hormone, and borderline thyroid-stimulating hormone (TSH) were demonstrated. Normal TSH-releasing hormone (TRH) response and elevated prolactin indicated viable anterior pituitary tissue with inadequate hypothalamic control. Precautions are suggested for recognition and treatment of this syndrome.
