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Neuroendocrine dysfunction in temporal lobe epilepsy

A G Herzog, V Russell, J L Vaitukaitis

    Archives of Neurology
    |March 1, 1982
    PubMed
    Summary
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    Temporal lobe epilepsy patients may have altered neuroendocrine function. Luteinizing hormone levels suggest hypothalamic-pituitary dysfunction in these individuals.

    Area of Science:

    • Neuroendocrinology
    • Epilepsy Research
    • Clinical Neuroscience

    Background:

    • Medial temporal lobe structures influence endocrine function.
    • Temporal lobe epilepsy (TLE) patients often exhibit personality changes mimicking endocrine disorders.
    • Potential neuroendocrine dysfunction in TLE warrants investigation.

    Purpose of the Study:

    • To investigate neuroendocrine dysfunction in temporal lobe epilepsy.
    • To compare serum luteinizing hormone (LH) response to LH-releasing hormone (LHRH) infusion in TLE patients and controls.

    Main Methods:

    • Intravenous LHRH infusion test was administered.
    • Serum LH levels were measured in TLE patients and normal controls.
    • Response curves and baseline/peak values were analyzed.

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    Main Results:

    • Five of seven TLE patients showed LH response curves outside the normal range.
    • All seven TLE patients had abnormal baseline or peak LH values.
    • Significant alterations in gonadotropin secretion were observed in TLE patients.

    Conclusions:

    • Hypothalamic-pituitary control of gonadotropin secretion may be altered in TLE.
    • Findings suggest a link between TLE and neuroendocrine abnormalities.
    • Further research into TLE's impact on the endocrine system is indicated.