Brain Injury Clinical Trial
OBJECTIVES: I. Determine the randomness of adrenocorticotropic hormone (ACTH) and cortisol
secretion using approximate entropy in patients who have sustained a head injury.
II. Determine the correlation between randomness of ACTH and cortisol secretion and stages
of sleep in these patients.
PROTOCOL OUTLINE: Patients are stratified according to type of injury (closed head injury
due to trauma vs vascular accidents). Patients are admitted two times for overnight
assessment.
Admission 1: Patients receive cosyntropin IV. Blood is drawn at 30 and 60 minutes after IV
infusion. Patients receive oral metyrapone before sleep. A sham sleep study is conducted
through the night and patients' blood is drawn in the morning.
Admission 2: At least 2 weeks after admission 1, patients return for an overnight admission.
Starting in the evening, blood is drawn every 15 minutes for 12 hours. A sleep study is
conducted through the night.
;
Primary Purpose: Screening
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