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Andrew G. Herzog, MD, MSc

Arch Neurol. 1992;49(3):223-224.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In 1976, Ohman et al¹ reported that serum prolactin levels rose 10- to 50-fold in eight of nine depressed women 15 minutes following electroconvulsive therapy, but not in women who were receiving similar anesthesia for gynecologic surgery. In 1978, Trimble² described the occurrence of prolactin elevations post-tictally in patients with epilepsy. Since then, evidence has accumulated to suggest that changes in prolactin secretion in the setting of epilepsy are not haphazard, but represent predictable and localizable alterations in the electrophysiologic activity of specific cerebral regions that modulate endocrine secretion.

See also p 225.

Transient elevations in serum prolactin levels may occur following generalized motor and partial seizures.^2-7 Peak levels are reached in 15 to 20 minutes, with a gradual return to baseline during the course of the subsequent hour.^2-7 Simulated seizures are associated with elevation of serum cortisol levels but not serum prolactin levels.^3,6 Postictal . . . [Full Text PDF of this Article]

Author Affiliations
Boston, Mass

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