Resumen
Las manifestaciones de pánico asociadas a la epilepsia del lóbulo temporal pueden ser difíciles de diferenciar de los ataques de pánico que hacen parte de los trastornos de ansiedad. Presentamos el caso de una paciente con crisis de pánico de difícil control médico, en la que fueron considerados en el diagnóstico diferencial estas dos entidades. Se describen las características clínicas específicas que permiten aproximarse al diagnóstico.
Citas
Kanner A, Campos M. Epilepsia del lóbulo temporal. En: Campos M, Kanner A. cols. Epilepsias diagnóstico y tratamiento. Santiago, Mediterráneo. 2004: 252-268.
Vignal JP, Maillard L, McGonigal A, Chauvel P. The dreamy state: hallucinations of autobiographic memory evoked by temporal lobe stimulations and seizures. Brain 2007;130:88-99.
Ray A, Kotagal P. Temporal lobe epilepsy in children: overview of clinical semiology. Epileptic Disord 2005;7:299-307.
Chauvel P, Delgado-Escueta A, Halgren A, Bancaud J. Advances in Neurology: Frontal Lobe Seizures and epilepsies. New York: Raven Press, 1992.
American Psychiatric Association. Diagnostic criteria from DSM-IV-TR. Washington, D.C.: American Psychiatric Association. 2000.
Kaplan HI, Sadock BJ, Grebb JA, eds. Synopsis of Psychiatry. 9a Ed. Williams & Wilkins. 2000: 599-601.
Mennin DS, Heimerg RG, Craig S. Panic, agoraphobia, phobias, and generalized anxiety disorder. In Hersen M, Bellack AS, eds. Psycophatology in adulthood. 2nd Ed. Needham Heights, MA: Allyn & Bacon; 2000:169.
Young GB, Chandarana PC, Blume WT, et al. Mesial temporal, lobe seizures presenting as anxiety disorders. J Neuropsychiatry Clin Neurosci 1995;7:352-357.
Deutsch SI, Rosse RB, Sud IM, Burket JA. Temporal Lobe Epilepsy Confused With Panic Disorder: Implications for Treatment. Clin Neuropharm 2009;32:160-162.
Hurley RA, Fisher R, Taber KH, Sudden J. Onset Panic: Epileptic Aura or Panic Disorder?. Neuropsychiatry Clin Neurosci 2006;18(4):436-443.
Scalise A, Placidi F, Diomedi M, De Simone R, Gigli GL. Panic disorder or epilepsy?: A case report. Journal of the Neurological Sciences 2006;246:173-175.
Beyenburg S, Mitchell AJ, Schmidt D, Elger CE, Reuber M. Anxiety in patients with epilepsy: Systematic review and suggestions for clinical management. Epilepsy y Behavior 2005;7:161-171.
Marcangelo MJ, Ovsiew F. Psychiatric Aspects of Epilepsy. Psychiatr Clin N Am 2007;30:781-802.
Gloor P. The amygdaloid system. In: Gloor P, editor. The temporal lobe and limbic system. New York' Oxford University Press; 1997:90- 721.
Falconer MA. Genetic and related aetiological factors in temporal lobe epilepsy: a review. Epilepsia 1971;12:13-31.
Iriarte J, Urrestarazu E, Alegre M, Viteri C, Artieda J. Parasomnias: episodios anormales durante el sueño. Rev Med Univ Navarra 2005;49:46-52.
William D. The structure of emotions reflected in epileptic experiences. Brain 1956;79:29-67.
Biederman J, Petty C, Faraone SV, Seidman L. henomenology of Childhood Psychosis, Findings From a Large Sample of Psychiatrically Referred Yout. The Journal of Nervous and Mental Disease. 2004;192:607-614.
Torres-Zambrano M. Lobectomias temporales en epilepsia medicamente intratable. Resultados variables epidemiológicas y seguimiento postoperatorio en el hospital neurológico de la liga colombiana contra la epilepsia, Cartagena de indias. Colombia. Acta Neurol Colomb 2005;21:0.
Engel J, Pedley TA. Epilepsy a comprehensive textbook. Philadelphia, J.B. Lippincott Company, 1997;3: 2788-2789.
Massana G, Serra-Grabulosa JM, Salgado-Pineda P, et al. Amygdala atrophy in panic disorder patients detected by volumetric MRI. Neuroimage 2003;19:80-90.
Uchida RR, Del-Ben CM, Santos AC, et al. Decreased left temporal lobe volume of panic patients measured by MRI. Braz J Med Biol Res 2003; 36:7925-7929.
Vythilingam M, Anderson ER, Goddard A, et al. Temporal lobe volume in panic disorder-a quantitative MRI study. Psychiatry Res 2000;99:75-82.
Vythilingam M, Anderson ER, Goddard A, Woods SW, Staib LH, Charney DS, Douglas DS, Bremner D. Temporal lobe volume in panic disorder a quantitative magnetic resonance imaging study, Psychiatry Research. Neuroimaging Section 99_2000.7582.
Sakai Y, Kumano H, Nishikawa M, et al. Cerebral glucose metabolism associated with a fear network in panic disorder. Neuroreport 2005;16:927-931.
Bisaga A, Katz JL, Antonini A, et al. Cerebral glucose metabolism in women with panic disorder. Am J Psychiatry 1998;155:1178-1183.
Eren I, Tukel R, Polat A, et al. Evaluation of regional cerebral blood flow changes in panic disorder with technetium-99m- HMPAO SPECT. Psychiatr Res 2003;123:135-143.
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