Clinical Case 14 A 38-year-old woman complained to her primary care physician of two separate attacks...
Clinical Case 14 A 38-year-old woman complained to her primary care physician of two separate attacks during which she experienced fear and anxiety. These occurred suddenly without waming or precipitation by any circumstance. These episodes were brief, lasting a minute or so each. She noted increasing levels of anxiety and irritability, even in between these attacks. Friends and family were concerned about her increasingly "odd" behavior and unprovoked outbursts of anger. There were brief episodes during which she became incoherent. There was concern about panic attacks or even a more severe psychiatric condition such as schizophrenia. The patient had another attack that was witnessed by a friend. There was a sudden feeling of fear and anxiety as in the prior attacks, accompanied by agitation and crude verbalizations. This quickly progressed to loss of responsiveness and convulsive activity that lasted for less than a minute. After this episode she had a neurologic evaluation and testing