Head traumas can lead to loss of life, as well as permanent damage to the brain tissue as a result of serious injuries. Stating that especially traffic accidents, sports and war injuries and even domestic violence can cause head trauma, Endocrinology Specialist Prof. Dr. Fahrettin Keleştemur warned that people who are especially interested in sports that are open to head blows should be much more careful.


Keleştemur, who informed that head traumas are evaluated in three stages according to some neurological parameters, as mild, moderate and severe head trauma, reminded that trauma-related cerebral hemorrhage is also common, especially in martial arts. Keleştemur said, “Turkey is a lucky country in this respect. Because those who do martial arts are required to wear helmets. Helmets are not used while playing these sports in the USA and some European countries. Therefore, the risk of trauma-related damage is higher,” he said.

ATTENTION TO THE Pituitary Gland

Stating that the cells located in the lower parts of the pituitary gland are the most sensitive areas in terms of trauma, Keleştemur said, “The pituitary gland is a pea-sized gland located in the bone structure called Sella Turcica (Turkish Saddle) at the base of the brain. It is a vital organ that regulates the secretion of various hormones in our body, especially growth hormone. The most sensitive area in terms of possible traumas is the area where these cells are located.


“Blows to the head affect many hormones controlled by the pituitary gland, especially growth hormone,” said Keleştemur.

“The severity of the blow and the duration of exposure are effective in the emergence of hormone deficiency. Growth hormone deficiency can cause an increase in fat mass and a decrease in muscle mass in adults, leading to changes in body composition. In children, the most important effect of growth hormone deficiency is short stature. In addition, learning disorders, impaired reasoning ability, and thought disorders may occur. However, it should not be forgotten that permanent damage and hormonal disorders can be reduced with serious measures to be taken while doing these sports. We know that hormone deficiency is seen 10-30 percent more in those who do not use helmets than those who do.”


Keleştemur, who also warned that head trauma should be investigated if thyroid hormone deficiency and cortisol deficiency secreted from the adrenal gland are detected in addition to growth hormone deficiency, emphasized that the hormone deficiency must be replaced and said, “Especially, cortisol hormone deficiency can cause much more serious consequences. A drop in blood pressure and a drop in sugar can occur. If the hormone cortisol is deficient, it must be compensated. It is also very important to detect growth hormone deficiency. Because after the treatment, the quality of life of the person improves visibly.

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