Should every patient with traumatic brain injury be referred to an endocrinologist?

摘要

Evidence from clinical studies has demonstrated that traumatic brain injury (TBI) is often the cause of hypopituitarism. Indeed, the risk of TBI-related hypopituitarism is much greater than previously suspected.1"4 TBI-related hypopituitarism remains underdiagnosed, however, often because of lack of awareness among the physicians most likely to see patients who might be suffering from this condition (i.e. general practitioners, endocrinologists and neurosurgeons).