TY - T1的血清催乳素浓度升高后晕厥JF -神经学乔-神经病学SP - 60 LP - 62 - 10.1212 / WNL.47.1.60六世- 47首页 - 1 AU -埃米利奥Oribe AU - Rohullah Amini AU -艾略特尼森鲍姆AU -伯纳德Boal Y1 - 1996/07/01 UR - //www.ez-admanager.com/content/47/1/60.abstract N2 -晕厥的区别和癫痫发作是一种常见的临床诊断问题。升高血清催乳素(PRL)浓度是用来帮助区分癫痫nonepileptic pseudoseizures等攻击。报告PRL浓度后晕厥的变量。确定PRL升高晕厥后,我们测量血清PRL含量在一个45分钟的被动60度挡风玻璃倾斜在21几近晕倒或晕厥史的患者。挡风玻璃倾斜引起的低血压(平均动脉压51毫米汞柱,95% CI = 45-57) 11个患者晕厥。PRL concentrations were elevated (>19 ng/mL) and reached a maximum within the first 30 minutes after tilt-induced syncope in nine patients (PRL supine: 11 ng/mL, 95% CI = 7-15, vs. PRL after syncope: 52 ng/mL, 95% CI = 36-67; a greater than fourfold rise), while they remained unchanged in 10 patients who had a normal response to head-up tilt (PRL supine: 6 ng/mL, 95% CI = 5-8, vs. maximum PRL while upright: 8 ng/mL, 95% CI = 6-10). The findings indicate that elevated PRL concentrations are present after hypotensive syncope and are of little use in differentiating such syncope from epileptic seizures. NEUROLOGY 1996;47: 60-62 ER -