Educational Module - Neuroendocrine Disorders Post Acquired Brain Injury

Neuroendocrine Disorders Post Acquired Brain Injury

History and Epidemiology

Neuroendocrine disorders, primarily hypopituitarism, was first diagnosed by the Germanresearcher Cyran in 1918 1-3. Until recently damage to the hypothalamus and pituitary gland following trauma was often not diagnosed until the post mortem examination 17. Recent research indicates neuroendocrine disorders vary post traumatic brain injury (TBI) 18and what was once thought to be a rare occurrence is now increasingly diagnosed 1;19;20.  In the early 1950’s, the incidence of hypopituitarism post injury was thought to be 1%; however, the rate has recently been quoted between 20 and 70% 3;14.

What does the research tell us about the pooled prevalence of hypopituitarism post stroke and ABI?

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Educational Module-Dysphagia and Nutrition Post ABI

Educational Module

Dysphagia and nutritional management

Dysphagia is defined as difficulty or discomfort with swallowing.  Morgan and Ward 1have noted that traumatic brain injury, associated with focal and diffuse cortical and brainstem damage, may impair swallowing ability and lead to the development of dysphagia and aspiration.

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