Panic disorder presenting with pseudoseizures
Almodovar Sanchez, W.; Castaing, P.; Franco, L.
Boletin de la Asociacion Medica de Puerto Rico 99(2): 149-158
2007
ISSN/ISBN: 0004-4849 Document Number: 703050
This case describes the presentation of an adolescent with recurrent seizure-like episodes due to unrecognized somatoform and anxiety disorders. Most likely, Mr. O started suffering from non-epileptic seizures or pseudoseizures as part of a Conversion Disorder that was followed by the development of a superimposed Panic Disorder. Both disorders had been indirectly treated by the use of Valproic Acid prescribed for seizure disorder. Valproic Acid is an antiepileptic drug which is used as a mood stabilizer and has been reported to be effective in the treatment of panic disorder [39]. Patient remained free of panic and seizure-like symptoms until Valproic Acid was discontinuad. Treatment with a serotonin norepinephrine reuptake inhibitor (SNRI) at an appropriate dosage resulted in complete resolution of symptoms and allowed patient to engage in psychotherapy. Primary care clinicians are encouraged to consider psychiatric etiologies of unexplained symptoms. Referral to mental health services should be made if there is minimal or no response to appropriate and adequate treatment.
Document emailed within 1 workday
