Depending on the symptoms, in our practice we do sometimes screen for hormonal deficiencies, and work closely with our Endocrinologists if any abnormalities are found. TBI can increase the risk for pituitary (a gland at the base of the brain that produces hormones) dysfunction and we think the risk is likely higher with increased TBI severity. So far, there doesn’t seem to be much evidence that everyone who experiences a TBI needs to be screened for hormonal problems, we let symptoms guide decision making, and test and treat as needed for this less common situation.

More common after TBI are balance, word finding, and mood changes.