Hypopituitarism After Brain Injury

Hi there, I’m 24 years old. I fell of a roof when I was 18 and split my head open completely and got knocked out, broke both wrists eye socket and teeth.
I’ve had nothing but problems since started of with loss of sexually function, then came extreme fatigue and irritably I could barley find the energy to move most days would come home from work and collapse. I’d get thoughts in my head that I couldn’t get rid of as well as extreme anxiety and depression I literally had to lock my self in my room for 2 years , I had always been very social and loved getting out and always full of energy. Literally don’t get any enjoyment out of anything any more, I wake up as if I’ve had no sleep all my muscles are week and I’ve got constant fatigue as if I’ve got the flu, some days I get hot flushes or I’m freezing . Constant brain fog everyday as well as awful memory, I find it so hard to just read emails it takes me 10 goes before I can even begin to understand. 7 years later still extreme fatigue the brain fog most days is unbearable also the feeling of being outside your body it’s just awful.
Constant first and urination it’s just hell in my mind and body I’m just constantly fighting, to top it of all my joints are beginning to hurt some days I find it hard walking on my feet as my ankles hurt. I’ve been in an out of gps , seen so many people, some people just don’t understand and some doctors just try to put you on antidepressants and counciling! It’s so hard to make people understand what your going through I’ve literally tried everything I’ve even started to pay for private health care which even they keep saying there’s nothing wrong ! I’ve finally got a second opinion with a doctor that understands, he’s about to carry out purity gland MRI and an ITT test , I really hope at last I can find out what’s wrong as I don’t know how much longer I can deal with this, conignitive function is just no excitant most days even holding a conversation is an impossible task. I was always the one telling story’s and talking the most, now I’m just the guy with nothing to say and never wanting to do anything, no enjoyment out of anything, zero sex drive, get extremely stressed and irritated over nothing as if my heads going to explode. Bad headaches and extreme fatigue to the point of collapsing sometimes. I would love an opinion on this if anyone could give me an insite. Craig

I was a very active 50 year old, I rode a cycle from London to Paris in July 2018 and then did a white collar boxing event in September 2018, the boxing event was quite brutal but I survived it, the week following the boxing i went to 50th birthday event and drunk a reasonable amount of alcohol, at 1am I climbed the stairs at home and through investigation i think i passed out and fell backwards down the stairs, the ambulance service were called, they worked on me for approximately 1 hour before taking me to a local A & E, I was given a CT scan and discharged the following day despite not being able to walk or talk and I have zero memory of this day.The next 2 months I spent at home in a vegetative state, until I visited my GP who referred me to a Dr Greenwood a consultant neurologist in London, who examined me and sent for in depth MRI scan which revealed that I had suffered a severe traumatic brain injury, he then referred me to Prof Stephanie Baldeweg, consultant endocrinologist, following a glucagon stress test and subsequent pituitary profile blood test, it was the discovered that i had damaged my pituitary gland, I was prescribed hydrocortisol tablets and duloxetine tablets, its been 15 months since the accident and my recovery is very slow, i do feel that i have begun to win this battle and although a long way off I am sticking with it despite very low times along the way.
Graham
London

I went through a brain surgery in 2016 and now i am feeling very thirsty and always urge to pee. What's the solution? Please help.

From an E.D. point of view, some symptoms do resolve in "simplistic brain injuries..." but a significant number of people have overlying issues: multiple brain injuries over time; specific injuries that are non-detectible via standard methods and/or many that develop symptoms after the individual has left the emergency department setting. The list goes on.'

After brain injury(s) close monitoring by physicians specializing in Neurorehabilitation medicine, family-self-friend, cognitive and behavioral conditions needs to occur to achieve good outcomes.

I was t-boned by a car; on my motorized scooter in Feb 2018; I sustained bruises and contusions; and suffered a severe concussion as a result of the accident. Though my bruises and contusions have healed, I continue to have suffer from dizziness, fatigue, lack of concentration, lack of libido and vertigo. I had an MRI done in July, the results showed possible Pituitary malfunction; so my doc has ordered a Pituitary MRI. My question is could this be related to the accident and head trauma I sustained. My Neurologist doesn't think there is a correlation between the two; though I have been reading it implies my Pituitary might have very well been damaged in the accident...could this be?

My mother fell on a tile floor in 2010, she was ambulatory after rehab, but showed extreme anger over everything. Now she has blood collection in the frontal lobe with strong onset dementia. My father is her main caregiver. We have noticed a much stronger odor from her urine and bowel movements. Dad took her to her primary for blood work for testing. Do you have any information on this with TBI patients? Sincerely, T.

Doctors in London state that its unlikely that hypopot from tbi can show signs immediately without there being something else there before as it takes years they say for symptoms to show immediately following tbi or within six months. My son was so injured and showed signs at 4 months when investigated and the denial means he will be unable to secure compensation for this potential negative life changer

Two years ago I was struck from behind while at a traffic light.  I was on the way to work, eating a biscuit, while I was struck.  My head was in a turned position eating the biscuit, and this position along with a sudden jerk resulted in a whiplash injury that resulted in a concussion.  I was not aware of it at the time that I sustained a concussion because after five minutes of being hit I felt normal.  However, I believe that the accident resulted in nerve and brain damage that began a cycle of neurons being damaged in the brain.  

At the time, I thought that I had only bone, ligament, and nerve damage, thinking that the light-headedness, dizziness, faintness, rapid heart beats, etc. was all due to damaged nerves.  This is because a false reading of the MRI failed to read the damage to the pituitary gland that had ensued.

Having a concussion that never fully healed (because doctors misdiagnosed me and failed to read my scans accurately), along with a damaged pituitary resulted in hypopituitarism relating to growth hormone and testosterone.  Without these hormones in normal supply, especially growth hormone, my concussion was unable to heal completely.

The past two years has been trying.  Really hard.  A normal day ranges from 1.5 x harder to 5 x harder.  It depends on how tired my brain is.  I've put on a lot of weight due to almost no growth hormone.  The skin on my forehead has gotten very thin and a lot of fine lines now show (I'm almost 39).  I'm talking a lot of them showing up over the past year.  Injuries heal much slower.  I was bit by mosquitos last year, and it took about four months for them to heal.  Before my injury, a mosquito bite would be healed within two weeks tops.  My bones have broken-down, as I can now run my hand along my shin (Tibia or Fibula?) bone and I feel rivets.  Before the injury, I had a solid, straight bone with no rivets.  I find myself very tired or fatigued to some degree much of the time.  Soft tissue damage in the neck from the accident has up until recently still displayed the sound of crunching, the result of not having enough growth hormone to heal the tissues in a timely manner.

Every day is a battle to make it through the day.  People who have not had a brain injury and a damaged pituitary gland at the same time have no idea how hard life is for people in such a predicament.  It is hard, and it makes you a bit irritable at times,  Unfortunately, most people don't really seem to get it, and they act like you should either function as you always did, or they don't want to hear you talk about your problems,  After living with such hardship, you learn that we should appreciate all that we're given, including health.  So many people worry about frivolous things.  They don't realize how blessed they really are.

Thank God I finally was able to have a doctor that noticed my damaged pituitary, and now I am on track to start growth hormone injections which should restore my brain and return me to full health after suffering for two years. 

I had a closed head injury in 1998, care flight to a Dallas Hospital, X-rayed everything but my head. sustained several injuries but sent home and the nightmare began. A year later an MRI revealed a past closed head injury. From that day on my life changed. Family put off my extremely strange behavior as crazy. Dr's. Depression anything but finding the true cause, so I self medicated, alcohol, drugs both legal and nothing worked but no one really helped and still today 2016 I have to deal with the symptoms and all these years worked in dangerous construction had several concussions but now stay e

I'm surprised at the figures you give, Dr Bazarian. Most research puts the incidence of longterm hypopituitarism at much higher than that, around 30% after brain injury. http://bit.ly/1aaznvZ and http://bit.ly/1cvWe6w and some papers even higher still. bit.ly/18g66Sd . Diabetes insipidus has also been found to persist in around 6% of TBI patients http://www.ncbi.nlm.nih.gov/pubmed/15579748