title: Mesial temporal lobe seizures presenting as anxiety disorders.
abstract: 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.
authors.affiliation: Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada.
authors.forename: G B
authors.initials: GB
authors.lastname: Young
authors.forename: P C
authors.initials: PC
authors.lastname: Chandarana
authors.forename: W T
authors.initials: WT
authors.lastname: Blume
authors.forename: R S
authors.initials: RS
authors.lastname: McLachlan
authors.forename: D G
authors.initials: DG
authors.lastname: Muñoz
authors.forename: J P
authors.initials: JP
authors.lastname: Girvin
mesh_terms: 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