Mishra V, Gahlaut D S, Kumar S, Mathur G P, Agnihotri S S, Gupta V
GSVM Medical College, Kanpur.
J Assoc Physicians India. 1990 Nov;38(11):846-7.
We studied the serum prolactin levels in 35 cases with various types of seizures viz. generalized tonicolonic seizures (GTC), complex partial seizures (CPS), and simple partial seizures (SPS). We also studied 20 cases with pseudoseizure (hysteria) presenting in an epileptiform manner. Twenty two normal healthy subjects were also studied. All the cases were studied both in the postictal and interictal periods. Serum prolactin rose significantly in the postictal periods in patients with GTC and CPS, but patients with SPS or pseudoseizure did not demonstrate this rise. Thus serum prolactin estimation can be of help in differentiating true generalized seizures from pseudoseizure presenting in an epileptiform manner.
我们研究了35例不同类型癫痫发作患者的血清催乳素水平,这些癫痫发作类型包括全身强直阵挛性发作(GTC)、复杂部分性发作(CPS)和简单部分性发作(SPS)。我们还研究了20例表现为癫痫样发作的假性发作(癔症)患者。另外还研究了22名正常健康受试者。所有病例均在发作后和发作间期进行了研究。GTC和CPS患者在发作后的血清催乳素水平显著升高,但SPS或假性发作患者未出现这种升高。因此,血清催乳素测定有助于鉴别真正的全身性发作与表现为癫痫样发作的假性发作。