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Post-traumatic hypopituitarism: report of a child case
Makoto Aoki1, Shuichi Hagiwara1, Masato Murata1
1Department of Emergency Medicine Gunma University Graduate School of Medicine Maebashi Gunma Japan.
Acute Medicine & Surgery
|November 11, 2017
Summary
A 9-year-old boy developed hypopituitarism after a car accident. This case highlights the importance of recognizing post-traumatic hypopituitarism in children following head injuries.
Area of Science:
- Pediatric Endocrinology
- Neurotrauma
- Endocrinology
Background:
- Post-traumatic hypopituitarism is a recognized complication of moderate to severe head trauma.
- While extensively studied in adults, pediatric cases remain underreported.
Observation:
- A 9-year-old boy sustained head and facial injuries in a motor vehicle accident.
- He presented with diabetes insipidus six hours post-injury, requiring hormone replacement therapy.
- Post-injury evaluations, including secretory function and water dehydration tests, indicated potential hypopituitarism one year later.
Findings:
- The case demonstrates a link between traumatic brain injury and the development of hypopituitarism in a pediatric patient.
- Facial fracture reduction under general anesthesia was performed on day 12.
Implications:
- Emergency physicians should consider post-traumatic hypopituitarism in pediatric patients with traumatic brain injury.
- Early recognition and management are crucial for optimizing outcomes in affected children.
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