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  • Title: Traumatic hypopituitarism: anterior hypophyseal insufficiency from indirect cranial trauma.
    Author: Soules MR, Sheldon GW.
    Journal: South Med J; 1979 Dec; 72(12):1592-6. PubMed ID: 229570.
    Abstract:
    We have reported a case of partial hypopituitarism involving deficient ACTH, LH, FSH, and growth hormone production and elevated prolactin. The hypopituitarism was caused by injury to the pituitary resulting from a parachute accident without direct craniocerebral trauma. The pathogenesis of this pituitary injury as either a clivus fracture near the sella, unilated abstruction of the internal carotid artery, and/or direct stalk injury. Clinicians should be alerted to the possibility of hypopituitarism from direct or indirect cranial injuries.
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