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Mild TBI Diagnosis and Management Strategies

TBI: Screening and Evaluation of Headache and Endocrine Disorders

by Elaine Peskind, MD ; Charles Wilkinson, PhD
Seminar date: 4/25/2013

Description: Dr. Wilkinson will discuss the following: We have found a prevalence of chronic pituitary dysfunction of over 40% in Veterans who have sustained blast concussions during deployment to Iraq or Afghanistan. Posttraumatic hypopituitarism shares many of the symptoms of PTSD, and screening for hormonal abnormalities holds promise for appropriately directing endocrinological diagnostic and therapeutic alternatives that may otherwise remain unconsidered and for facilitating recovery and rehabilitation of Veterans with TBI. Dr. Peskind will discuss how persistent migraine-like headaches following TBI is common among active duty Service Members and Veterans returning from deployments to OEF/OIF/OND. Headaches following blast mTBI often are poorly responsive to standard migraine prophylaxis. Data supporting a novel treatment approach using the alpha-1 adrenoreceptor antagonist drug, prazosin, will be presented.

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