Mesial temporal lobe seizures presenting as anxiety disorders.
Five patients had brief simple partial seizures that mimicked panic disorder. The following features assisted diagnosis: Seizures were briefer and more stereotyped than panic attacks; some progressed to typical complex partial seizures; and aphasia and dysmnesia occurred during seizures in some patients. Each patient had one mesial temporal structural lesion. Routine waking EEG was normal in 2 patients. Inadequate response to anti-epileptics necessitated partial temporal lobectomy in 4 patients, 3 of whom remain seizure free.
Young
G B
GB
Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada.
Chandarana
P C
PC
Blume
W T
WT
McLachlan
R S
RS
Muñoz
D G
DG
Girvin
J P
JP
D000328:Adult; D001008:Anxiety Disorders / Q000000981:diagnostic imaging / Q000523:psychology*; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000000981:diagnostic imaging / Q000523:psychology* / Q000601:surgery; D004830:Epilepsy, Tonic-Clonic / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D011877:Radionuclide Imaging; D013702:Temporal Lobe / Q000000981:diagnostic imaging / Q000601:surgery