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Related Experiment Videos

Panic attack semiology in right temporal lobe epilepsy.

Mona Sazgar1, Peter L Carlen, Richard Wennberg

  • 1Krembil Neuroscience Centre, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada.

Epileptic Disorders : International Epilepsy Journal with Videotape
|July 24, 2003
PubMed
Summary
This summary is machine-generated.

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Epileptic seizures mimicking panic attacks are linked to the right temporal lobe. This study highlights the association between right temporal lobe epilepsy and ictal panic symptoms, aiding diagnosis.

Area of Science:

  • Neurology
  • Epileptology
  • Clinical Neuroscience

Background:

  • Panic attack semiology can mimic epileptic seizures, potentially delaying diagnosis.
  • Identifying the neurological basis of panic-like symptoms is crucial for accurate patient management.

Observation:

  • Five patients with intractable temporal lobe epilepsy, previously diagnosed with panic attacks, were identified.
  • Ictal symptoms included panic, impending doom, hyperventilation, palpitations, and paresthesias.
  • No ictal panic was observed in patients with extra-temporal epilepsy.

Findings:

  • Electroencephalography (EEG) revealed a right anterior to mid-temporal focus in all five patients.
  • Neuroimaging indicated right mesial temporal sclerosis or a right temporal ganglioglioma.

Related Experiment Videos

  • One patient exhibited ictal tachycardia, resolving post-surgery, with later seizures showing ictal bradycardia.

    • Implications:

    • This case series supports a link between panic attack symptoms and ictal activity in the right mesial temporal region.
    • Recognizing seizure semiology can improve the diagnosis of temporal lobe epilepsy presenting with panic symptoms.
    • Further research into the neurobiological underpinnings of ictal panic is warranted.