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Patients with panic attacks and abnormal EEG results

Published Online:https://doi.org/10.1176/ajp.144.4.508

The authors describe a series of patients who presented with atypical panic attacks involving hostility, irritability, severe derealization, and social withdrawal. None had clear temporal lobe epilepsy but most had temporal EEG abnormalities. Although their response to treatment was unpredictable, some did well with carbamazepine or alprazolam.

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