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血清催乳素在鉴别癫痫与假性发作中的价值。

Value of serum prolactin in differentiating epilepsy from pseudoseizure.

作者信息

Mishra V, Gahlaut D S, Kumar S, Mathur G P, Agnihotri S S, Gupta V

机构信息

GSVM Medical College, Kanpur.

出版信息

J Assoc Physicians India. 1990 Nov;38(11):846-7.

PMID:2079470
Abstract

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.

摘要

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。

相似文献

1
Value of serum prolactin in differentiating epilepsy from pseudoseizure.血清催乳素在鉴别癫痫与假性发作中的价值。
J Assoc Physicians India. 1990 Nov;38(11):846-7.
2
Prolactin and cortisol levels in seizure disorders.癫痫疾病中的催乳素和皮质醇水平。
J Assoc Physicians India. 1994 Sep;42(9):709-12.
3
Capillary prolactin measurement for diagnosis of seizures.用于癫痫诊断的毛细血管催乳素测定。
Ann Neurol. 1991 Feb;29(2):187-90. doi: 10.1002/ana.410290212.
4
Serum prolactin levels are elevated also after pseudo-epileptic seizures.假性癫痫发作后血清催乳素水平也会升高。
Seizure. 1998 Apr;7(2):85-9.
5
Plasma prolactin in epilepsy and pseudoseizures.癫痫与假性发作中的血浆催乳素
Indian Pediatr. 1994 Jun;31(6):667-9.
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Use of serum prolactin in diagnosing epileptic seizures: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology.血清催乳素在癫痫发作诊断中的应用:美国神经病学学会治疗与技术评估小组委员会报告
Neurology. 2005 Sep 13;65(5):668-75. doi: 10.1212/01.wnl.0000178391.96957.d0.
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[Differential diagnostic value of postictal serum prolactin determination].[发作后血清催乳素测定的鉴别诊断价值]
Nervenarzt. 1987 Jul;58(7):456-8.
8
Prolactin in partial epilepsy: an indicator of limbic seizures.部分性癫痫中的催乳素:边缘叶癫痫发作的一个指标。
Ann Neurol. 1986 Dec;20(6):716-22. doi: 10.1002/ana.410200611.
9
Serum prolactin levels for differentiation of nonepileptic versus true seizures: limited utility.血清催乳素水平在鉴别非癫痫性发作与真性癫痫发作中的作用:效用有限。
Epilepsy Behav. 2004 Aug;5(4):517-21. doi: 10.1016/j.yebeh.2004.03.004.
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Prolactin and cortisol levels in various paroxysmal disorders in childhood.儿童期各种发作性疾病中的催乳素和皮质醇水平。
Pediatrics. 1991 Sep;88(3):486-9.

引用本文的文献

1
Serum prolactin concentrations and epilepsy. A study which compares healthy subjects with a group of patients in presurgical evaluation and circadian variations with those related to seizures.血清催乳素浓度与癫痫。一项将健康受试者与一组术前评估患者进行比较的研究,以及与癫痫发作相关的昼夜变化研究。
Eur Arch Psychiatry Clin Neurosci. 1992;241(6):365-71. doi: 10.1007/BF02191962.