RT Journal Article
SR Electronic
T1 Severe intermittent anxiety attacks
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 51
OP 55
DO 10.17712/nsj.2017.1.20160284
VO 22
IS 1
A1 Alshomrani, Abdulaziz T.
A1 Zaidan, Radwan M.
A1 Abdulmalik, Yosef T.
A1 Alrahili, Nader M.
YR 2017
UL http://nsj.org.sa/content/22/1/51.abstract
AB Psychiatric symptoms are frequently reported with epilepsy. Anxiety symptoms are the most common psychiatric expressions of temporal lobe epilepsy (TLE). Longer duration of the epileptic manifestation can be mistaken for psychiatric diseases, particularly when psychiatric symptoms are the only manifestations of the disorder. Here we introduce a case of a 27-year-old Saudi man presented to our clinic with a history of sudden and severe anxiety attacks over the prior 2 years, each lasting for 2-3 days. The attacks recurred monthly without clear triggers, and he recovered his normal clinical state between them. His condition worsened with antidepressants and improved with antiepileptic. Later follow ups and work ups supported the diagnosis of temporal lobe epilepsy. Diagnosis after such presentation may be challenging and we tried, in this case, to enhance awareness of such an unusual presentation.