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Panic Attacks as Ictal Manifestations of Parietal Lobe Seizures
Author(s) -
Alemayehu Shimellis,
Bergey Gregory K.,
Barry Elizabeth,
Krumholz Allan,
Wolf Aizik,
Fleming Cynthia Pam,
Frear Edward J.
Publication year - 1995
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/j.1528-1157.1995.tb01621.x
Subject(s) - panic , ictal , epilepsy , neuroscience , psychology , medicine , parietal lobe , temporal lobe , psychiatry , anxiety
Summary: Although most panic attacks appear to be primary psychiatric disturbances, some evidence suggests a biologic basis for panic disorder, possibly associated with temporal lobe dysfunction. Fear is a common affective change associated with some complex partial seizures (CPS) originating from the right temporal lobe. We describe a previously unreported association between panic attacks and seizures originating from the parietal lobe in 2 patients with right parietal lobe tumors. Intracranial monitoring documented correlations between the symptoms of fear and restricted regional parietal cortical discharges. Surgical resections of the lesions (one total, one subtotal) resulted in complete recovery or improvement.