| Fatigue after aneurysmal subarachnoid hemorrhage evaluated by pituitary function and 3D-CBF. | |
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MedLine Citation:
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PMID: 14705969 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The reason for longstanding fatigue following aneurysmal subarachnoidal hemorrhage (SAH) is still not clarified. The bleed from supratentorial aneurysms is often in the vicinity of the hypothalamus and pituitary gland making an endocrine dysfunction plausible. METHODS: Ten patients with post-SAH fatigue were investigated with 3D-CBF (SPECT) and underwent an evaluation of the pituitary function. RESULTS: Five had normal pituitary function. Disturbances in the gonadotropin function was detected in three patients and suspected in two. The mean insulin-like growth factor I (IGF-I) value of the patients was in the lower part of the reference range. In the patients with endocrine dysfunction, the 3D-CBF was pathologic in the central structures of the basal region. CONCLUSIONS: The present results indicate that an aneurysmal SAH may result in partially impaired pituitary capacity. This deficit may contribute to fatigue after aneurysmal SAH, but cannot solely explain this disorder. SPECT identified regional tissue damage in the patients with pituitary dysfunction after SAH. |
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Authors:
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L Brandt; H Säveland; S Valdemarsson; H Sjöholm; P Reinstrup |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta neurologica Scandinavica Volume: 109 ISSN: 0001-6314 ISO Abbreviation: Acta Neurol. Scand. Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-01-06 Completed Date: 2004-02-27 Revised Date: 2006-08-16 |
Medline Journal Info:
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Nlm Unique ID: 0370336 Medline TA: Acta Neurol Scand Country: Denmark |
Other Details:
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Languages: eng Pagination: 91-6 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, University Hospital of Lund, Lund, Sweden. lennart.brandt@neurokir.lu.se |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Fatigue / etiology* Female Humans Imaging, Three-Dimensional Insulin-Like Growth Factor I / analysis Male Middle Aged Pituitary Gland / blood supply*, pathology*, radionuclide imaging Regional Blood Flow Subarachnoid Hemorrhage / complications* Tomography, Emission-Computed, Single-Photon |
| Chemical | |
Reg. No./Substance:
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67763-96-6/Insulin-Like Growth Factor I |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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