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Traumatic brain injury and neuro-endocrine disruption : medical and psychosocial rehabilitation

WEBB NE; LITTLE B; LOUPEE WILSON S; POWER EM
NEUROREHABILITATION , 2014, vol. 34, n° 4, p. 625-636
Doc n°: 172500
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-141074
Descripteurs : AF3 - TRAUMATISME CRANIEN

Traumatic Brain Injury (TBI) initiates a cascade of neuromodulatory
damage that blurs the distinctions between physical and psychological medicine.
Monitoring endocrine function through labs is not part of the medical care
algorithm for treatment of TBI, but the clinical symptoms are easily
misidentified as they include: depression, fatigue, poor concentration,
irritability and a decline in overall cognitive functioning. The reciprocal flow
of change between neuroendocrine health and psychosocial health is well
established within the field of neuroscience, social psychology, endocrinology
and behavioral neurology, but has not translated into patient care. OBJECTIVES:
This paper outlines common neuroendocrine disruptions secondary to TBI and their
clinical implications for treating mental health professionals. CONCLUSION: Wider
adoption of the consensus guidelines on the detection and monitoring of endocrine
abnormalities post-TBI may diminish the severity of functional impairment and
improve quality of life.

Langue : ANGLAIS

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