Document Detail

Panic disorder in otoneurological experience.
MedLine Citation:
PMID:  16419696     Owner:  NLM     Status:  MEDLINE    
The evaluation of cochleovestibular dysfunction in psychiatric patients often causes a difficult problem in neurootological experience. The authors discuss here the neurobiological basis of panic disorders and cochleovestibular dysfunction. In this multicenter study, we examined 63 patients with vertigo and panic disease. Twenty patients with primary panic disease and consecutive vertigo composed group 1, whereas group 2 comprised 43 vertiginous patients with secondary panic disease. The most interesting question is whether the patients have an organic vestibular lesion, which would explain why vertigo alone is the problematic symptom in these panic patients, whereas in other patients, panic disease can cause other severe symptoms that resemble heart attack, dyspnea, or abdominal crisis. Vertigo has a bidirectional connection with psychiatric disorders. The panic disorder can be superimposed on chronic vertigo, and psychiatric patients with a cochleovestibular lesion have diminished chances for complete recovery. The examination of psychiatric patients with vertigo is very time consuming and requires much more empathy than does examination of vertiginous patients with a normal mental state. Anxiety provokes somatic and behavioral symptoms in most such patients. The treatment of vertigo in panic patients and of the panic disorder in vertiginous patients requires cooperation between neurootologist and psychiatrist.
Agnes Szirmai; Mihály Kisely; Györgyi Nagy; Zsolt Nedeczky; Eva M Szabados; Agnes Tóth
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  The international tinnitus journal     Volume:  11     ISSN:  0946-5448     ISO Abbreviation:  Int Tinnitus J     Publication Date:  2005  
Date Detail:
Created Date:  2006-01-19     Completed Date:  2007-03-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612993     Medline TA:  Int Tinnitus J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-80     Citation Subset:  IM    
Semmelweis University, Department of Otorhinolaryngology and Head and Neck Surgery, H-1083, Szigony u 36, Budapest, Hungary.
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MeSH Terms
Evoked Potentials, Auditory, Brain Stem / physiology
Labyrinth Diseases / complications,  physiopathology
Medical History Taking
Mental Disorders / complications,  physiopathology
Panic Disorder / complications*,  physiopathology
Psychiatric Status Rating Scales
Reflex, Vestibulo-Ocular / physiology
Retrospective Studies
Vertigo / complications*,  physiopathology
Vestibular Function Tests

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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