Panic Attacks as Ictal Manifestations of Parietal Lobe Seizures

Shimellis Alemayehu, Gregory K. Bergey, Elizabeth Barry, Allan Krumholz, Aizik Wolf, Cynthia Pam Fleming, Edward J. Frear

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)824-830
Number of pages7
JournalEpilepsia
Volume36
Issue number8
DOIs
StatePublished - Aug 1995
Externally publishedYes

Keywords

  • Panic attacks‐Seizures‐Parietal lobe‐Fear

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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