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Endocrine Dysfunction Following Stroke.

Fei Wang1, Ming-Ying Luo2, Lei Zhou3

  • 1Department of Neurosurgery, The First Affiliated Hospital of Kunming Medical University, 295 Xichang Rd, Kunming, 650032, Yunnan, China. neurosurgeonwf@aliyun.com.

Journal of Neuroimmune Pharmacology : the Official Journal of the Society on Neuroimmune Pharmacology
|July 5, 2020
PubMed
Summary

Stroke survivors face a doubled risk of developing acquired hypothyroidism, pituitary dysfunction, and adrenal gland disorders. These endocrine risks are crucial for managing patients post-stroke.

Keywords:
Endocrine dysfunctionHemorrhagic strokeIschemic strokePituitary

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Area of Science:

  • Endocrinology
  • Neurology
  • Public Health

Background:

  • Endocrine dysfunction is a known complication following traumatic brain injury.
  • Stroke survivors may experience various endocrine system disruptions.
  • Understanding these risks is vital for comprehensive patient care.

Purpose of the Study:

  • To investigate the incidence of endocrine dysfunctions after stroke.
  • To compare endocrine disorder risks between stroke and non-stroke patients.

Main Methods:

  • Utilized the Taiwan National Health Insurance Research Database (NHIRD) from 2001 to 2011.
  • Matched 131,951 stroke patients with an equal number of non-stroke controls by diagnosis date, age, and sex.
  • Employed Cox proportional hazards regression to analyze risks of goiter, hypothyroidism, thyroiditis, pituitary dysfunction, and adrenal disorders.

Main Results:

  • Stroke patients exhibited significantly higher risks of acquired hypothyroidism (aHR=1.65), pituitary dysfunction (aHR=1.92), and adrenal gland disorders (aHR=1.62).
  • Pituitary and adrenal dysfunctions occurred in both hemorrhagic and ischemic stroke patients.
  • Acquired hypothyroidism was primarily observed in ischemic stroke patients.

Conclusions:

  • Stroke survivors have a substantially increased risk (approximately 2-fold) of developing acquired hypothyroidism, pituitary dysfunction, and adrenal gland disorders.
  • These endocrine risks necessitate consideration in the clinical management of both ischemic and hemorrhagic stroke patients.
  • Early monitoring and intervention for endocrine complications can improve stroke patient outcomes.