دورية أكاديمية
Growth Hormone Deficiency Following Traumatic Brain Injury
| العنوان: | Growth Hormone Deficiency Following Traumatic Brain Injury |
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| المؤلفون: | Oratile Kgosidialwa, Osamah Hakami, Hafiz Muhammad Zia-Ul-Hussnain, Amar Agha |
| المصدر: | International Journal of Molecular Sciences, Vol 20, Iss 13, p 3323 (2019) |
| بيانات النشر: | MDPI AG, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Biology (General) LCC:Chemistry |
| مصطلحات موضوعية: | traumatic brain injury, growth hormone deficiency, hypopituitarism, Biology (General), QH301-705.5, Chemistry, QD1-999 |
| الوصف: | Traumatic brain injury (TBI) is fairly common and annually affects millions of people worldwide. Post traumatic hypopituitarism (PTHP) has been increasingly recognized as an important and prevalent clinical entity. Growth hormone deficiency (GHD) is the most common pituitary hormone deficit in long-term survivors of TBI. The pathophysiology of GHD post TBI is thought to be multifactorial including primary and secondary mechanisms. An interplay of ischemia, cytotoxicity, and inflammation post TBI have been suggested, resulting in pituitary hormone deficits. Signs and symptoms of GHD can overlap with those of TBI and may delay rehabilitation/recovery if not recognized and treated. Screening for GHD is recommended in the chronic phase, at least six months to a year after TBI as GH may recover in those with GHD in the acute phase; conversely, it may manifest in those with a previously intact GH axis. Dynamic testing is the standard method to diagnose GHD in this population. GHD is associated with long-term poor medical outcomes. Treatment with recombinant human growth hormone (rhGH) seems to ameliorate some of these features. This review will discuss the frequency and pathophysiology of GHD post TBI, its clinical consequences, and the outcomes of treatment with GH replacement. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1422-0067 |
| العلاقة: | https://www.mdpi.com/1422-0067/20/13/3323Test; https://doaj.org/toc/1422-0067Test |
| DOI: | 10.3390/ijms20133323 |
| الوصول الحر: | https://doaj.org/article/6d7af454ba524ab3a259d9c56fa22735Test |
| رقم الانضمام: | edsdoj.6d7af454ba524ab3a259d9c56fa22735 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 14220067 |
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| DOI: | 10.3390/ijms20133323 |