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Yıl:2004; Cilt: 17; Sayı: 3>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2004;17(3):174-177
Psikiyatrik Tablolarla Ortaya Çıkan Kompleks Parsiyel Nöbetlere İlişkin Bir Olgu Sunumu: Panik Belirtili Nöbetler
E Erbek, N Üstün, O Gökbulut, N Eradamlar, RL Alpkan
Epileptik hastaların % 30'unda psikiyatrik bozukluklar gözlenmektedir, hatta bunların % 7'si psikiyatri kliniklerine yatırılarak tedavi edilmektedir. Non-konvulzif nöbetlerde bir gün ile bir hafta sürebilen mental belirtiler bazen nöbetin tek bulgusu olabilmekte ve bu nedenle epilepsi tanısı atlanabilmektedir. Epilepsi ve anksiyete bozukluklarında belirtilerin benzerliği şaşırtıcıdır. İktal kompleks parsiyel nöbetler sıklıkla benzerliklerinden dolayı panik nöbeti ile karışmaktadır. Bu tanı karmaşası sıklıkla uygun olmayan terapötik kararlar alınmasına neden olur. Bu makalede, benzer olgularda klinik ele alışı geliştirmek amacıyla, panik bozukluğu tanısıyla bir yıla yakın bir süre tedavi gören bir kompleks parsiyel nöbet olgusu sunulmuştur.
Complex Partial Seizures Presenting With Psychiatric Manifestations: A Case with Seizures of Panic Symptoms
30 percent of epileptic patients suffer from psychiatric problems and even 7 percent of these patients are admitted to psychiatric wards and receive medical treatment. In nonconvulsive seizures which can last from a day up to a week, mental symptoms can sometimes be the sole finding of the seizure and therefore epileptic disorder can be misdiagnosed. The symptoms of anxiety disorders and epilepsy are surprisingly similiar. Ictal complex partial seizures can usually be confused with panic attacks because of their similarities leading to an incorrect diagnosis. In this article, we aimed to illustrate a case experiencing complex partial seizures but which was diagnosed and treated as panic disorder over a [year].

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