Alvarez-Silva S, Alvarez-Rodriguez J, Perez-Echeverria M J, Alvarez-Silva I
Servicio de Psiquiatria, Hospital Miguel Servet, Zaragoza, Spain.
J Anxiety Disord. 2006;20(3):353-62. doi: 10.1016/j.janxdis.2005.03.002. Epub 2005 Jun 13.
Research is presented to support a hypothesis that panic attacks, when they have the same clinical signs as the epileptic consciousness, should be diagnosed as partial seizures with a psychic content. After setting out the four clinical signs defining it (suddenness, automatic nature, great intensity and strangeness), an extensive review of the literature is made in search of scientific information to support the hypothesis, which reveals a wealth of concurring scientific evidence, at both the clinical and preclinical levels, to support the hypothesis presented here. In conclusion, new research is proposed with a view to drawing up interviews and clinical scales in order to quantify the four clinical signs objectively.
本文提出研究以支持一项假说,即惊恐发作若具有与癫痫意识相同的临床体征,应被诊断为具有精神内容的部分性发作。在阐述了定义惊恐发作的四个临床体征(突发性、自动性、高强度和怪异感)之后,对文献进行了广泛综述以寻找支持该假说的科学信息,结果发现在临床和临床前水平均有大量一致的科学证据支持此处提出的假说。总之,建议开展新的研究,以便拟定访谈和临床量表,从而客观地量化这四个临床体征。