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Hypothalamic-pituitary axis deficiency following traumatic brain injury in a dog
Authors:Catherine Foley  DVM  ; Kiko Bracker  DVM  DACVECC  and Sharon Drellich  DVM  DACVECC
Institution:Angell Animal Medical Center, Boston, MA 02130.
Abstract:Objective – To describe endocrine dysfunction associated with traumatic brain injury in a dog.
Summary – A 12-week-old dog presented with traumatic brain injury and did not respond to traditional supportive care. Continued hypothermia, electrolyte derangements, hypotension, and hyposthenuria prompted screening for and detection of several hypothalamic-pituitary disorders including: hypoadrenocorticism, central diabetes insipidus, hypothyroidism, and growth hormone deficiency. Electrolyte abnormalities, urine osmolarity, and blood pressure improved with treatment for the associated disorders.
New or Unique Information Provided – This is the first report of generalized hypothalamic-pituitary dysfunction or panhypopituitarism following traumatic brain injury in a dog.
Keywords:central diabetes insipidus  growth hormone deficiency  hypothyroidism  hypoadrenocorticism
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