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Panic disorder masquerading as pre-eclampsia

J Benjamin1, M Benjamin

  • 1Division of Psychiatry, Ben Gurion University of the Negev, Beer-sheba, Israel.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|September 1, 1993
PubMed
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Panic disorder is a treatable psychiatric condition. Misdiagnosis can occur, as seen in a postpartum patient initially treated for pre-eclampsia but later identified with panic attacks resolved by antidepressants.

Area of Science:

  • Psychiatry
  • Obstetrics
  • Neurology

Background:

  • Panic disorder is a distinct psychiatric condition with established treatments.
  • Accurate diagnosis is crucial for effective management.

Observation:

  • A postpartum patient presented with symptoms mimicking pre-eclampsia: sudden hypertension, hyperreflexia, and headache.
  • Initial treatment involved magnesium sulfate for presumed pre-eclampsia.

Findings:

  • Subsequent episodes after discharge were correctly identified as panic attacks.
  • The patient's panic attacks resolved effectively with the antidepressant imipramine.

Implications:

  • This case highlights the importance of considering panic disorder in postpartum patients with severe symptoms.

Related Experiment Videos

  • Differential diagnosis between pre-eclampsia and panic disorder is critical for appropriate treatment.
  • Antidepressant therapy can be highly effective for panic disorder in the postpartum period.