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      Importance of Video-EEG Monitoring in the Diagnosis of Refractory Panic Attacks

      case-report

      1 , 2 , * , 2

      Case Reports in Psychiatry

      Hindawi Publishing Corporation

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          Abstract

          Partial seizures can be misdiagnosed as panic attacks. There is considerable overlap of symptoms between temporal lobe seizures and panic attacks making the diagnosis extremely challenging. Temporal lobe seizures can present with intense fear and autonomic symptoms which are also seen in panic disorders. This results in delay in diagnosis and management. We report an interesting case of a young woman who was diagnosed with right temporal lobe seizures with symptoms suggestive of a panic attack.

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          Most cited references 11

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          Diagnostic and statistical manual of mental disorders.

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            Diagnostic and statistical manual for mental disorders

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              Lifetime prevalence of specific psychiatric disorders in three sites.

              Lifetime rates are presented for 15 DSM-III psychiatric diagnoses evaluated in three large household samples on the basis of lay interviewers' use of the Diagnostic Interview Schedule. The most common diagnoses were alcohol abuse and dependence, phobia, major depressive episode, and drug abuse and dependence. Disorders that most clearly predominated in men were antisocial personality and alcohol abuse and dependence. Disorders that most clearly predominated in women were depressive episodes and phobias. The age group with highest rates for most disorders was found to be young adults (aged 25 to 44 years). Correlates with race, education, and urbanization are presented.
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                Author and article information

                Journal
                Case Rep Psychiatry
                Case Rep Psychiatry
                CRIM.PSYCHIATRY
                Case Reports in Psychiatry
                Hindawi Publishing Corporation
                2090-682X
                2090-6838
                2013
                24 July 2013
                : 2013
                Affiliations
                1Epilepsy Center, Department of Neurology, Scott & White Neuroscience Institute, TX 76508, USA
                2Texas A&M Health Science Center College of Medicine, Temple, TX, USA
                Author notes
                *Batool F. Kirmani: bkirmani@ 123456swmail.sw.org

                Academic Editors: F. Jollant and S. Shimodera

                Article
                10.1155/2013/340792
                3741947
                23984151
                Copyright © 2013 B. F. Kirmani and D. Mungall.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Categories
                Case Report

                Clinical Psychology & Psychiatry

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