The effects of adrenal insufficiency and its treatment on cognition in an athlete with post-concussion syndrome
Wilson, Holly Paton, Emily Hacker, David Stevens, Andrew Belli, Antonio Yakoub, Kamal Jones, Christopher A Hawkins, Andrew
Wilson, Holly
Paton, Emily
Hacker, David
Stevens, Andrew
Belli, Antonio
Yakoub, Kamal
Jones, Christopher A
Hawkins, Andrew
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2024-12-17
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Abstract
Post-concussion Syndrome (PCS) describes persistent nonspecific neurological, cognitive and emotional symptoms following concussion. A young male presented to a sports concussion clinic with persistent symptoms post-injury. Neurocognitive testing found unexpected severe memory impairment. Blood tests for pituitary function returned low cortisol levels secondary to adrenal insufficiency (AI), which was immediately treated. Post-treatment and improvement of cortisol levels, repeat neuropsychology testing demonstrated reliable improvement in memory and processing speed test scores, commensurate with premorbid expectations. This case highlights the importance of a broad diagnostic approach to formulating unexpected persistent PCS symptoms, screening for AI in PCS cases, and completing neurocognitive testing.
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Wilson H, Paton E, Hacker D, Stevens A, Belli A, Yakoub K, Jones CA, Hawkins A. The effects of adrenal insufficiency and its treatment on cognition in an athlete with post-concussion syndrome. Neurocase. 2024 Dec 17:1-8. doi: 10.1080/13554794.2024.2443249. Epub ahead of print.
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