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Yıl:1996; Cilt: 1; Sayı: 2>> Özet
Nöropsikiyatri Gündemi; 1996;1(2):59-61
Epilepsili Hastalarda Serum Prolaktin ve Kortizol Düzeyleri
N Taşdemir, T Tombul, M Gülersönmez, Y Ütkür, A Yaramış, C Devecioğlu, H Kaya
Dicle Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı
Kasım 1994-Mayıs 1995 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Nöroloji ve Pediatri Polikliniğine başvuran veya yatarak tedavi gören, yaşları 1-50 arasında (ortalama: 19.68±11.78) olan, 22 kız, 57 erkek, toplam 79 epilepsili hastanın serum prolaktin düzeyi radyoimmunassay (RIA) ile kortizol ise yarışmalı immunassay tekniğiyle çalışıldı. Hastaların cinsiyet, yaş, nöbet tipi ve nöbetten sonraki kan alma zamanlarına göre serum prolaktin ve kortizol düzeyleri değerlendirildi. Olgular cinsiyet ve yaş aralıkları yönünden incelendiğinde önemli bir farklılık saptanmadı. Çeşitli zamanlarda alınan kan örneklerinde parsiyel nöbet geçiren 13 hastanın 3'ünde (% 23), jeneralize nöbet geçiren 66 hastanın 17'sinde (% 25) prolaktin yüksekliği gözlendi. Tüm olgular içinde statusta olan 14 hastanın 7'sinde (% 50) yükseklik vardı. Nöbetten sonra ilk 6 saat, 6-48 saat ve 48 saatten sonra olmak üzere kan alma zamanına göre hastalar 3 gruba ayrıldığında, prolaktinin nöbetten sonraki ilk saatlerde yüksek olduğu daha sonra ise normale yaklaştığı gözlendi. (z= 16.335; p<0.001). Kortizol düzeylerinin olgularımızda değişmediği saptandı. Serum prolaktin düzeyinin, epilepsili hastalarda nöbetten sonra yüksek bulunmasının tanı koymada yardımcı bir ölçüt olacağı düşünüldü.

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