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Nocturnal prolactin and growth hormone levels in children with complex partial and generalized tonic-clonic seizures

J R Valdizán1, J M Vergara, J P Rodriguez

  • 1Department of Clinical Neurophysiology, Miguel Servet Hospital, Zaragoza, Spain.

Insights

Nocturnal prolactin levels significantly increase in children with seizures. Growth hormone (GH) secretion remained unchanged in epileptic children compared to those with pseudoseizures.

Area of Science:

  • Pediatric Neurology
  • Endocrinology
  • Sleep Medicine

Background:

  • Epilepsy in children can affect neuroendocrine function.
  • Nocturnal hormone secretion patterns during sleep are crucial for development.
  • Distinguishing true seizures from pseudoseizures is clinically important.

Purpose of the Study:

  • To investigate nocturnal prolactin and growth hormone (GH) secretion during the delta sleep phase in children with epilepsy.
  • To compare hormone levels in children with complex partial or generalized tonic-clonic seizures against a control group with pseudoseizures.

Main Methods:

  • Measurement of plasma prolactin and GH levels during the first sleep cycle's delta phase.
  • Inclusion of pediatric patients diagnosed with complex partial seizures, generalized tonic-clonic seizures, and pseudoseizures.
  • Comparative analysis of hormone secretion between epileptic and pseudoseizure groups.

Main Results:

  • A moderate and statistically significant elevation in nocturnal prolactin plasma levels was observed in children with both types of infantile seizures.
  • No significant differences in nocturnal growth hormone (GH) secretion were detected between the seizure groups and the control group.

Conclusions:

  • Nocturnal prolactin secretion is a potential biomarker for distinguishing epileptic seizures from pseudoseizures in children.
  • Growth hormone (GH) secretion patterns during sleep do not appear to be significantly altered in children with these seizure types.

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