Neuropsychiatric disturbances and hypopituitarism after traumatic brain injury in an elderly man
Journal
Journal of the Formosan Medical Association
Journal Volume
105
Journal Issue
2
Pages
172-176
Date Issued
2006
Author(s)
Abstract
Neuropsychiatric or cognitive disturbances are common complications after traumatic brain injury. They are commonly regarded as irreversible sequelae of organic brain injuries. We report a case of hypopituitarism in a 77-year-old man who presented with long-term neuropsychiatric disturbances, including cognitive impairment, disturbed sleep patterns, personality change, loss of affect, and visual and auditory hallucinations after a traumatic subdural hemorrhage. The treatment response to hormone replacement therapy was nearly complete. Hypopituitarism is rarely considered in patients who sustain traumatic brain injury and the neuropsychiatric manifestations of posttraumatic hypopituitarism have rarely been reported. This case highlights the importance of hypopituitarism as a potential reversible cause of neuropsychiatric disturbances after traumatic brain injury. ?2006 Elsevier & Formosan Medical Association.
SDGs
Other Subjects
levothyroxine; prednisolone; affect; aged; article; auditory hallucination; case report; cognitive defect; hormone substitution; human; hypopituitarism; male; mental disease; neurologic disease; personality disorder; sleep disorder; subdural hematoma; traumatic brain injury; treatment response; visual hallucination
Publisher
Scientific Communications International Ltd
Type
journal article