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Galactorrhea after prolonged traumatic coma: case report

R de Leo, K C Petruk, P Crockford

    Neurosurgery
    |August 1, 1981
    PubMed
    Summary
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    A traumatic brain injury led to prolonged coma and unexpected galactorrhea in a teenage girl. Treatment with 2-bromoergocryptine successfully resolved the galactorrhea, suggesting a link between head trauma and pituitary function.

    Area of Science:

    • Neurology
    • Endocrinology
    • Trauma Surgery

    Background:

    • Motor vehicle accidents can cause severe traumatic brain injuries.
    • Acute subdural hematoma is a critical neurosurgical condition.
    • Galactorrhea, or abnormal milk production, can have various underlying causes.

    Observation:

    • A 17-year-old female developed significant galactorrhea four weeks post-trauma.
    • The patient experienced a traumatic acute subdural hematoma and rib fractures.
    • Prolonged coma was a sequela of the motor vehicle accident.

    Findings:

    • Galactorrhea was successfully treated with 2-bromoergocryptine.
    • This suggests a potential link between severe head trauma and endocrine dysfunction.
    • The pathophysiology of post-traumatic galactorrhea is explored.

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    Implications:

    • Highlights the importance of monitoring endocrine function after severe head trauma.
    • 2-bromoergocryptine may be an effective treatment for trauma-induced galactorrhea.
    • Further research into the neuroendocrine effects of traumatic brain injury is warranted.