PANIC ATTACKS MISTAKEN FOR RELAPSE OF EPILEPSY

被引:17
作者
GENTON, P [1 ]
BARTOLOMEI, F [1 ]
GUERRINI, R [1 ]
机构
[1] UNIV PISA,IRCCS STELLA MARIS,INST CHILD NEUROL PSYCHAT & EDUC PSYCHOL,PISA,ITALY
关键词
EPILEPSY; PSEUDOEPILEPTIC SEIZURES; PANIC ATTACKS; NEUROLOGIC DIAGNOSIS;
D O I
10.1111/j.1528-1157.1995.tb01664.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Panic attacks, a frequent type of pseudoepileptic seizures, occur more frequently in epilepsy patients than in the general population and are often misdiagnosed, leading to pseudosevere epilepsy. We evaluated 4 patients with a past history of epileptic seizures long in remission who were misdiagnosed as having relapsing seizures although they had fairly typical panic attacks. To avoid unnecessary and ineffective antiepileptic drug (AED) treatment, recurrence of seizures after long remission should be carefully evaluated to identify patients with a panic disorder who require specific treatment. In patients who unexpectedly exhibit seizures after long remission, an accurate retrospective diagnosis of the epileptic syndrome and a precise description of the attack symptomatology should be obtained, if possible with EEG-video monitoring.
引用
收藏
页码:48 / 51
页数:4
相关论文
共 16 条
[1]  
Diagnostic and statistical manual of mental disorders, (1987)
[2]  
Johnston DC, Troyer IE, Whitsset SF., Clomipramine treatment of agoraphobic women. An eight‐week controlled trial, Arch Gen Psychiatry, 45, pp. 453-459, (1988)
[3]  
Krumholz A, Niedermeyer E., Psychogenic seizures: a clinical study with follow up data, Neurology, 33, pp. 498-502, (1983)
[4]  
Leis AA, Ross MA, Summers AK., Psychogenic seizures: ictal characteristics and diagnosis pitfalls, Neurology, 42, pp. 95-99, (1992)
[5]  
Lepine JP., Epidémiologie des attaques de paniques et de l'agoraphobie, L'attaque de panique: unnouveau concept, pp. 39-77, (1987)
[6]  
Lesser RP, Luders H, Dinner DS., Evidence for epilepsy in rare patients with psychogenic seizures, Neurology, 33, pp. 502-504, (1983)
[7]  
Liebowitz MR, Fyer AJ, Gorman JM., Lactate provocation of panic attacks. Clinical and behavioral findings, Arch Gen Psychiatry, 41, pp. 764-770, (1984)
[8]  
Loiseau P, Duche B, Cordova S, Dartiques JF, Cohadon S., Prognosis of benign childhood epilepsy with centro‐temporal spikes: a follow‐up study of 168 patients, Epilepsia, 29, pp. 229-235, (1988)
[9]  
Luther JS, McNamara JO, Carwile S, Miller P, Hope V., Pseudoepileptic seizures. Methods and video analysis to aid diagnosis, Ann Neurol, 12, pp. 458-462, (1983)
[10]  
Mattson RH., Value of intensive monitoring, Advances in epilepsy. The Xth Epilepsy International Symposium, pp. 43-52, (1980)