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Focal paroxysmal EEG changes during atypical panic attacks

J B Weilburg1, S Schachter, G S Sachs

  • 1Department of Psychiatry, Massachusetts General Hospital, Boston 02115.

The Journal of Neuropsychiatry and Clinical Neurosciences
|January 1, 1993
PubMed
Summary
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Atypical panic attacks may be linked to partial seizures, not previously established. Electroencephalogram (EEG) monitoring revealed focal sharp wave activity during panic attacks in two patients, suggesting a seizure connection.

Area of Science:

  • Neurology
  • Epileptology
  • Psychiatry

Background:

  • Atypical panic attacks present with unique sensory symptoms, but their neurological basis remains unclear.
  • Previous research has not established a definitive link between atypical panic attacks and partial seizures.

Observation:

  • Two patients experiencing atypical panic attacks underwent electroencephalogram (EEG) monitoring.
  • Spontaneous panic attacks occurred during both routine EEG in-lab and ambulatory home monitoring.

Findings:

  • EEG recordings showed focal paroxysms of sharp wave activity coinciding with the onset of panic attack symptoms in both patients.
  • Patients remained conscious throughout the observed events, consistent with partial seizure activity.

Implications:

Related Experiment Videos

  • The findings suggest a potential correlation between atypical panic attacks and underlying partial seizure activity.
  • Further research is warranted to explore the relationship between panic attacks and seizure disorders for improved diagnosis and treatment.