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The effect of electrical stimulation of medial temporal lobe structures in epileptic patients upon ACTH, prolactin, and growth hormone

Department of Neurology (Drs. Gallagher and King, and Ms. Littleton). and the Section of Neurosurgery (Dr. Flanigin), Medical College of Georgia, Augusta, CA.

We measured ACTH, cortisol, prolactin, and growth hormone concentrations in patients with temporal lobe epilepsy who were having depth electrode studies. During the collection period, electrical stimuli were applied to amygdala and hippocampus to establish after-discharge thresholds. After-discharges that lasted at least 10 seconds or seizures caused secretion of ACTH and prolactin but not growth hormone. Stimuli that did not produce after-discharges of this duration inhibited ACTH secretion, but had no effect on prolactin or growth hormone secretion.

Address correspondence and reprint requests to Dr. Gallagher, Department of Neurology, Medical College of Georgia, Augusta, GA 30912.

Supported in part by the Johnson Foundation.

Presented in part at the thirty-sixth annual meeting of the American Academy of Neurology, Boston, MA, April 1984.

Received November 25, 1985. Accepted for publication June 6, 1986.

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