Lesional Temporal Lobe Epilepsy: Beware the Deceitful 'Panic Attack'
Autor: | Julia R Schneider, Derek J Chong, John A. Boockvar, Bidyut Pramanik, Ralph Rahme, Kay O Kulason |
---|---|
Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Adolescent behavioral disciplines and activities Temporal lobe Ganglioglioma 03 medical and health sciences Epilepsy 0302 clinical medicine Neuroimaging medicine Humans 030212 general & internal medicine Diagnostic Errors business.industry Brain Neoplasms Panic disorder Dysembryoplastic Neuroepithelial Tumor Panic medicine.disease Dermatology Pediatric patient Epilepsy Temporal Lobe Panic Disorder Surgery Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | World neurosurgery. 111 |
ISSN: | 1878-8769 |
Popis: | Background Ganglioglioma is a rare, benign, intraaxial glioneuronal tumor but a relatively common cause of pharmacoresistant temporal lobe epilepsy (TLE). Given its often nonspecific neuropsychiatric manifestations and frequently negative electroencephalographic workup, TLE can be easily misdiagnosed as a psychiatric disorder, particularly panic attacks. Case Description We present a case of a 17-year-old boy who was found to have lesional TLE secondary to a left temporal ganglioglioma, 5 years after having been misdiagnosed with panic disorder and having undergone ineffective and unnecessary psychotherapy. He was successfully cured by surgery. Although a few similar cases of TLE masquerading as a panic disorder have been previously reported in the literature, this is the youngest and only pediatric patient described to date. Conclusion This report underscores the challenges in making an accurate clinical diagnosis of TLE and the importance of timely brain imaging whenever an atypical or medically refractory panic disorder is encountered. |
Databáze: | OpenAIRE |
Externí odkaz: |