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Am J Psychiatry 1988; 145:442-449
Copyright © 1988 by American Psychiatric Association
Cerebral blood flow changes during sodium-lactate-induced panic attacks
RS Stewart, Sr Devous MD, AJ Rush, L Lane and FJ Bonte
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas 75235-9070.
Dynamic single-photon emission computed axial tomography (CAT) with inhaled
xenon-133 was used to measure regional cerebral blood flow in 10 drug-free
patients with DSM-III-diagnosed panic disorder and in five normal control
subjects. All subjects underwent regional cerebral blood flow studies while
at rest or during normal saline infusion and during sodium lactate
infusion. Six of the 10 patients and none of the control subjects
experienced lactate-induced panic attacks. Lactate infusion markedly raised
hemispheric blood flow levels in both control subjects and patients who did
not panic. Patients who did panic experienced either a minimal increase or
a decrease in hemispheric blood flow.
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