First case of chronic post-traumatic anterior pituitary dysfunction in a professional rugby player: A case report - 23/04/22
, Jean-Philippe Hager a , Olivier Capel a , Mirela Diana Ilie b , François Cotton c , Thais Dutra Vieira a , Bertrand Sonnery-Cottet a , Gérard Dine d , Gérald Raverot e, ⁎
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Background |
Post-traumatic hypopituitarism has been reported as a complication in a number of contact sports. Although rugby is a sport with a high risk and high incidence of concussion, no such cases have been reported to date.
Case presentation |
A 35-year-old professional rugby player presented with fatigue and reduced libido complaints after nearly 300 professional games during his 15-year career. At the end of the season, biological monitoring was performed and revealed low total testosterone level associated with a low luteinizing hormone, suggestive of central hypogonadism. Brain magnetic resonance imaging (MRI) revealed the presence of a 10-mm sequel lesion in the right medial temporal lobe and two additional punctiform lesions, all suggestive of post-traumatic brain injury lesions. Testosterone replacement therapy was initiated and the player perceived an overall decrease in fatigue and complete restoration of his libido after only a couple of weeks of treatment. During follow-up, thyrotropic deficiency was diagnosed 2 years after initial diagnosis treated by l-Thyroxin.
Conclusions |
In conclusion, this case report highlights a new post-traumatic brain injury complication in a professional rugby player, namely chronic post-traumatic anterior pituitary dysfunction.
Study design |
Case report; level of evidence 4.
Le texte complet de cet article est disponible en PDF.Keywords : Sports injury, Post-traumatic hypopituitarism, Traumatic brain injury, Rugby, Concussion
Plan
Vol 83 - N° 2
P. 142-146 - avril 2022 Retour au numéro
Article précédent
- Consensus statement by the French Society of Endocrinology (SFE) and French Society of Pediatric Endocrinology & Diabetology (SFEDP) on diagnosis of Cushing's syndrome
- Antoine Tabarin, Guillaume Assié, Pascal Barat, Fidéline Bonnet, Jean François Bonneville, Françoise Borson-Chazot, Jérôme Bouligand, Anne Boulin, Thierry Brue, Philippe Caron, Frédéric Castinetti, Olivier Chabre, Philippe Chanson, Jean Benoit Corcuff, Christine Cortet, Régis Coutant, Anthony Dohan, Delphine Drui, Stéphanie Espiard, Delphine Gaye, Solenge Grunenwald, Laurence Guignat, Elif Hindie, Frédéric Illouz, Peter Kamenicky, Hervé Lefebvre, Agnès Linglart, Laetitia Martinerie, Marie Odile North, Marie Laure Raffin-Samson, Isabelle Raingeard, Gérald Raverot, Véronique Raverot, Yves Reznik, David Taieb, Delphine Vezzosi, Jacques Young, Jérôme Bertherat
- Pheochromocytoma and renal failure: A challenging diagnosis
- Alexandra Mansour, Pauline Vital, François Rebière, Marie-Pierre Teissier-Clément, Laurence Salle
Bienvenue sur EM-consulte, la référence des professionnels de santé.