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

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Batool F. Kirmani ◽  
Diana Mungall
Keyword(s):  
Temporal Lobe ◽  
Interesting Case ◽  
Panic Attacks ◽  
Eeg Monitoring ◽  
Partial Seizures ◽  
Delay In Diagnosis ◽  
Panic Disorders ◽  
Intense Fear ◽  
Temporal Lobe Seizures ◽  
Video Eeg

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.

scholarly journals Heart rate analysis differentiates dialeptic complex partial temporal lobe seizures from auras and non-epileptic seizures

2007 ◽  
Vol 65 (3a) ◽  
pp. 565-568 ◽  
Author(s):  
Gisele R. de Oliveira ◽  
Francisco de A.A. Gondim ◽  
R. Edward Hogan ◽  
Francisco H. Rola
Keyword(s):  
Heart Rate ◽  
Temporal Lobe ◽  
Epileptic Seizures ◽  
Eeg Monitoring ◽  
Rate Analysis ◽  
Temporal Lobe Seizures ◽  
Heart Rate Analysis ◽  
Video Eeg

The distinction of non-epileptic from epileptic events is difficult even for experienced neurologists. We retrospectively evaluated 59 dialeptic events from 27 patients admitted for video EEG monitoring to check whether heart rate (HR) analysis could help in differentiating dialeptic complex partial temporal lobe seizures (TLS) from dialeptic simple partial TLS, and non-epileptic dialeptic events. Baseline HR was increased in the simple partial TLS in comparison to complex partial TLS and non-epileptic groups (p<0.05). HR increase accompanied each individual dialeptic complex partial TLS (100% of the events, p<0.05) bur HR returned to baseline in the post-ictal phase. Ictal HR was not altered in the non-epileptic or simple partial TLS groups. Our findings suggest that ictal centrally mediated tachycardia is characteristic of dialeptic TLS (both tachycardia and bradycardia have been reported during TLS). This finding may be used as a criterion to distinguish dialeptic complex partial TLS from simple partial and non-epileptic dialeptic events.

scholarly journals Recurrent episodes of falls and amnestic confusional states as diagnostic challenge in the elderly

2019 ◽  
Vol 12 (6) ◽  
pp. e228842
Author(s):  
Yulia Novitskaya ◽  
Katrin Götz-Trabert ◽  
Andreas Schulze-Bonhage
Keyword(s):  
Temporal Lobe ◽  
Brain Mri ◽  
Pacemaker Implantation ◽  
The Elderly ◽  
Eeg Monitoring ◽  
Diagnostic Challenge ◽  
Transient States ◽  
Temporal Lobe Seizures ◽  
Confusional States ◽  
Video Eeg

New-onset paroxysmal events in patients over 60 years of age are often diagnostically challenging owing to atypical presentation. Recurrent falls and transient states of confusion are especially common in the elderly population, yet their causes often remain undiagnosed due to concomitant cognitive deficits and motor impairments. We present an elderly patient with newly occurring ‘blackouts’ without obvious triggers and transient states of confusion for which he was amnestic. All neurological exams including brain MRI scan and routine electroencephalography (EEG) were normal. Long-term ECG monitoring using an event recorder captured an asystole during a habitual episode, leading to the diagnosis of syncope and pacemaker implantation. A subsequent video EEG monitoring performed due to ongoing unexplained confusional states revealed both bradycardia and long-lasting confusional states to be caused by unrecognised temporal lobe seizures. Ictal video EEG monitoring may play a crucial role in establishing a diagnosis of atypical temporal lobe seizures in the elderly.

Usefulness of Unilateral Interictal Sharp Waves of Temporal Lobe Origin in Prolonged Video-EEG Monitoring Studies

Epilepsia ◽  
1993 ◽  
Vol 34 (5) ◽  
pp. 884-889 ◽  
Author(s):  
Andres M. Kanner ◽  
Harold H. Morris ◽  
Hans Luders ◽  
Dudley S. Dinner ◽  
Paul Ness ◽  
...  
Keyword(s):  
Temporal Lobe ◽  
Eeg Monitoring ◽  
Sharp Waves ◽  
Video Eeg

scholarly journals Lateralizing value of early head turning and ictal dystonia in temporal lobe seizures: a video-EEG study

Seizure ◽  
2001 ◽  
Vol 10 (6) ◽  
pp. 428-432
Author(s):  
Hsiang-Yu Yu ◽  
Chun-Hing Yiu ◽  
Der-Jen Yen ◽  
Chien Chen ◽  
Yuh-Cherng Guo ◽  
...  
Keyword(s):  
Temporal Lobe ◽  
Head Turning ◽  
Temporal Lobe Seizures ◽  
Video Eeg

Lateralizing value of early head turning and ictal dystonia in temporal lobe seizures: a video-EEG study

Seizure ◽  
2001 ◽  
Vol 10 (6) ◽  
pp. 428-432 ◽  
Author(s):  
H YU ◽  
C YIU ◽  
D YEN ◽  
C CHEN ◽  
Y GUO ◽  
...  
Keyword(s):  
Temporal Lobe ◽  
Head Turning ◽  
Temporal Lobe Seizures ◽  
Video Eeg

scholarly journals Lateralisation value of lower limb behaviors in complex partial seizures of temporal lobe origin: a video-EEG analysis

Seizure ◽  
2004 ◽  
Vol 13 (1) ◽  
pp. 35-39 ◽  
Author(s):  
CHIANG-WEI CHOU ◽  
HSIANG-YU YU ◽  
YANG-HSIN SHIH ◽  
CHUN-HING YIU ◽  
SHANG-YEONG KWAN ◽  
...  
Keyword(s):  
Temporal Lobe ◽  
Lower Limb ◽  
Eeg Analysis ◽  
Partial Seizures ◽  
Complex Partial Seizures ◽  
Video Eeg

scholarly journals Antiepileptic Drug Withdrawal in Patients with Temporal Lobe Epilepsy Undergoing Presurgical Video-EEG Monitoring

Epilepsia ◽  
2008 ◽  
Vol 42 (2) ◽  
pp. 251-255 ◽  
Author(s):  
Der-Jen Yen ◽  
Chien Chen ◽  
Yang-Hsin Shih ◽  
Yuh-Cherng Guo ◽  
Li-Ting Liu ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Antiepileptic Drug ◽  
Temporal Lobe ◽  
Drug Withdrawal ◽  
Eeg Monitoring ◽  
Antiepileptic Drug Withdrawal ◽  
Video Eeg

The lateralizing value of upper extremity movements in complex partial seizures of temporal lobe origin: A video-EEG study

1998 ◽  
Vol 11 (6) ◽  
pp. 314-318 ◽  
Author(s):  
Der-Jen Yen ◽  
Hsiang-Yu Yu ◽  
Chun-Hing Yiu ◽  
Yang-Hsin Shih ◽  
Shang-Yeong Kwan ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Temporal Lobe ◽  
Partial Seizures ◽  
Complex Partial Seizures ◽  
Video Eeg
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