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Panic attack or partial seizure with a psychic content?

« H E » email
posted Monday, 24 October 2005

Panic disorder may coexist with epilepsy

64 channel EEGPanic disorder may coexist with epilepsy and be a significant source of distress or disability. An aura of anxiety or fearfulness (ictal fear) may be confused with panic attacks. Recent studies have reported evidence, demonstrated by positron emission tomography and magnetic resonance imaging, suggesting that the lesion in panic disorder may be in temporal lobes. The findings lend additional support to the idea that these illnesses may be related.

In line with earlier reports, a recent paper, to be published in Journal of Anxiety Disorders (abstract below) posits the existence of a subgroup of panic attacks with the clinical features of the epileptic aura, and so must be considered and diagnosed as simple partial seizures (SPSs) with a psychic content. In the paper, research is presented to support a hypothesis that panic attacks, when they have the same clinical signs as the epileptic consciousness, should be diagnosed as partial seizures with a psychic content.


More...



Study abstract:

J Anxiety Disord. 2005 Jun 12; [Epub ahead of print]

Panic and epilepsy.

Alvarez-Silva S, Alvarez-Rodriguez J, Perez-Echeverria MJ, Alvarez-Silva I.

Servicio de Psiquiatria, Hospital Miguel Servet, Zaragoza, Spain.

Research is presented to support a hypothesis that panic attacks, when they have the same clinical signs as the epileptic consciousness, should be diagnosed as partial seizures with a psychic content. After setting out the four clinical signs defining it (suddenness, automatic nature, great intensity and strangeness), an extensive review of the literature is made in search of scientific information to support the hypothesis, which reveals a wealth of concurring scientific evidence, at both the clinical and preclinical levels, to support the hypothesis presented here. In conclusion, new research is proposed with a view to drawing up interviews and clinical scales in order to quantify the four clinical signs objectively.

PMID: 15955658 [PubMed - as supplied by publisher]


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