Panic attacks mistaken for relapse of epilepsy

P. Genton, F. Bartolomei, R. Guerrini

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)48-51
Number of pages4
JournalEpilepsia
Volume36
Issue number1
DOIs
Publication statusPublished - 1995

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Keywords

  • Epilepsy
  • Neurologic diagnosis
  • Panic attacks
  • Pseudoepileptic seizures

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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