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Serum prolactin in epilepsy and hysteria.

Differentiating between hysteria presenting in an epileptiform manner and epilepsy can present diagnostic difficulties. Differentiation is important, however, since management of the two disorders differs. Electrochemical stimulation of the medial basal hypothalamus in animal models increases prolactin release.' Therefore if the abnormal electrical activity in epilepsy passes through the midbrain it should raise the serum prolactin concentration. This paper reports an investigation of this hypothesis.