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EEG abnormalities in patients with atypical panic attacks

J B Weilburg1, S Schachter, J Worth

  • 1Department of Psychiatry, Massachusetts General Hospital, Boston 02114, USA.

The Journal of Clinical Psychiatry
|August 1, 1995
PubMed
Summary
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Routine EEGs may miss connections between panic attacks and epilepsy. Prolonged EEG monitoring during multiple panic attacks is crucial for identifying potential epileptiform changes, suggesting a link between atypical panic disorder and seizure activity.

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Panic attacks and partial seizures share phenomenological similarities.
  • Previous routine electroencephalograms (EEGs) did not reveal a relationship between panic attacks and seizure activity.

Purpose of the Study:

  • To investigate the potential relationship between atypical panic attacks and epileptiform EEG changes.
  • To determine if prolonged EEG monitoring can detect seizure activity during panic attacks.

Main Methods:

  • Fifteen subjects with atypical panic attacks underwent prolonged ambulatory EEG monitoring with sphenoidal electrodes.
  • One subject experienced a panic attack during routine EEG prior to monitoring.

Main Results:

  • Focal paroxysmal EEG changes, indicative of partial seizure activity, were observed in 33% of subjects during panic attacks.

Related Experiment Videos

  • Two subjects with panic-related EEG changes had normal routine EEGs.
  • Multiple panic attacks were recorded before associated EEG changes were detected in some subjects.

    • Conclusions:

    • Routine EEGs are insufficient for detecting the association between atypical panic attacks and epileptiform EEG changes.
    • Extended EEG monitoring during multiple panic attacks may be necessary to reveal a link between these conditions.