Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
Treatment of Panic Attacks with EEG Paroxysmal Abnormalities : Review of 3 Cases Regarding Treatment Effectiveness
Karin HayashiShigehiro SugaUi YamadaMadoka SakamakiKunio SugiyamaMasahiro HashizumeKoichi NakanoKoji Tsuboi
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2006 Volume 46 Issue 3 Pages 233-241

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Abstract
In recent years, it has been pointed out that many panic disorder patients have complications concerning EEG abnormalities. We experienced three panic disorder patients with paroxysmal EEG abnormalities who were given anticonvulsant treatment. Case 1 : A 36 year old female, complaining of attacks consisting of dizziness, dyspnea, and cold sweat. She was diagnosed as panic disorder with some paroxysmal discharges in her EEG records, and was prescribed to sodium valproate. After starting the medication, the patient's complaints dissapeared. Case 2 : A 44 year old female who consulted our hospital about her irritability, dizziness, and nausea. She had a past history of developing convulsions in childbirth. Since her EEG records showed frequent sharp waves, we began treatment with socium valproate, but her symptoms did not change, resulting in using sulpiride and minor tranquilizers. The medication quickly cleared her symptoms. Case 3 : A 58 year old female, who had been using etizolam for a long time due to sudden dizziness and anxiety. By checking her EEG, we also found abnormalities, so started treatment with carbamazepine. The treatment relieved her of dizzines, but because her anxiety persisted, termination of etizolam became difficult. We considered that each of these 3 cases was caused by different pathology, and summarized eath case with regard to diagnosis, progress and treatment.
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© 2006 Japanese Society of Psychosomatic Medicine
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