The effect of a synthetic GnRH analogue on catamenial epilepsy: a study in ten patients

In: Journal of Neurology · 1992 · vol. 239(5) , pp. 284–286 · doi:10.1007/bf00810354 · PMID:1535100 · W161562191
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Ten patients with catamenial epilepsy were treated with a GnRH analogue, resulting in seizure reduction or cessation in seven patients but adverse effects in eight.

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This study involved ten female patients with catamenial epilepsy who received a synthetic GnRH analogue in addition to their existing antiepileptic drugs. Across participants, three became seizure free, four had decreased seizure frequency, and one had seizures of shorter duration, while two had no therapeutic effect. Adverse effects were reported in eight patients, including hot flushes, headache, and increased weight, which the authors note as part of the treatment experience and with a small sample size of ten. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Ten female patients suffering from catamenial epilepsy were treated with a synthetic analogue of the gonadotrophin releasing hormone (GnRH) in addition to antiepileptic drugs. Three of the patients became seizure free, in four patients seizure frequency decreased and in one patient seizures were of shorter duration. In only two of the patients was there no therapeutic effect. Adverse effects, including hot flushes, headache and increase in weight, were noticed in eight patients. These results support the hypothesis that treatment with a synthetic GnRH analogue might be helpful in patients with intractable catamenial epilepsies.
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Summary Ten female patients suffering from catamenial epilepsy were treated with a synthetic analogue of the gonadotrophin releasing hormone (GnRH) in additon to antiepileptic drugs. Three of the patients became seizure free, in four patients seizure frequency decreased and in one patient seizures were of shorter duration. In only two of the patients was there no therapeutic effect. Adverse effects, including hot flushes, headache and increase in weight, were noticed in eight patients. These results support the hypothesis that treatment with a synthetic GnRH analogue might be helpful in patients with intractable catamenial epilepsies. Similar content being viewed by others References Almquist R (1955) The rhythm of epileptic attacks and its relationship to the menstrual cycle. Munksgaard, Kopenhagen Ansell B, Clarke E (1956) Epilepsy and menstruation, the role of water retention. 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Hum Reprod 4:384–388 Wildt L, Sir-Petermann T (1989) Physiologic und Pathophysiologie der Ovarialfunktion. Kliniksarzt 18:503–510 Zorn JR, Soubrane O, Siboni O (1987) Medical reversible castration withd-Trp-6-LHRH microcapsules for the treatment of endometriosis. Contrib Gynecol Obst 16:254–259 Author information Authors and Affiliations Rights and permissions About this article Cite this article Bauer, J., Wild, L., Flügel, D. et al. The effect of a synthetic GnRH analogue on catamenial epilepsy: a study in ten patients. J Neurol 239, 284–286 (1992). https://doi.org/10.1007/BF00810354 Received: Revised: Accepted: Issue date: DOI: https://doi.org/10.1007/BF00810354

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