An established neurologist, Dr. Jonathan Fellus leads Advanced NeuroCare, LLC, in New Jersey. Dr. Jonathan Fellus’ areas of expertise include endocrine abnormalities among those who have sustained traumatic brain injury (TBI).

Associated with falls, accidents, assaults, and sports injuries, TBI often impacts the glands and organs responsible for the production and release of hormones. Elements of the endocrine system, such as the thyroid and adrenal gland, exert control over metabolism, growth, sexual function, and the immune system’s response to illness. With the hypothalamus and pituitary gland situated at the base of the brain, TBI may cause long-lasting hormone problems w ahen these delicate structures are stretched, torn, or otherwise disrupted by the forces impacting the skull.

One common issue is adrenal insufficiency, which is associated with low blood pressure, weight loss, and fatigue. This condition can be life-threatening in serious cases. Another issue, diabetes insipidus, results from the pituitary failing to produce enough anti-diuretic hormone, which controls blood pressure. This can result in extreme thirst and a frequent need to urinate.

The varied therapies for TBI-related hormone issues include hormone replacement therapy, IV salt solutions, fluid intake reduction, and medications.