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Authors
Advisor(s)
Abstract(s)
Introdução: O distúrbio de pânico constitui um difícil diagnóstico diferencial da epilepsia do
lobo temporal, uma vez que a sua manifestação clínica pode ser igual. No entanto são
consideradas entidades de dois campos muito distintos, psiquiatria e neurologia
respetivamente.
Objetivo: Analisar ambas as patologias relativamente à clínica, terapêutica e exames
complementares de diagnóstico de forma a verificar se é possível terem uma base patológica
comum.
Métodos: De forma a responder à pergunta que originou esta dissertação, e concretizar os
objetivos da mesma, foi feita uma revisão da literatura médica existente que abrangesse as
áreas pretendidas. Assim, realizou-se uma pesquisa na base de dados científica internacional
PubMed (www.ncbi.nlm.nih.gov/pubmed). A pesquisa foi restrita a publicações nos idiomas
português, inglês e espanhol. Não foram aplicados critérios temporais à pesquisa dado o número
limitado de literatura na área. Foram excluídos todos os artigos não aplicáveis à espécie
humana ou que não fossem aplicáveis ao tema abordado.
Conclusão: Existem sobreposições entre ambas as patologias quer na sua apresentação clínica
quer nos exames complementares de diagnóstico. Este trabalho não nos permite assegurar que
ambas as patologias têm um substrato comum, no entanto ressalta a necessidade da realização
de mais estudos e mais complexos nesta população.
Introduction: Panic disorder is a difficult differential for temporal lobe epilepsy, given their clinical manifestations can be similar. Nonetheless, they are considered as a part of two very different fields of medicine, psychiatry and neurology respectively. Goal: Analyse both pathologies based on clinical presentation, therapeutic responses and complementary exams in order to find a common ground for the two disorders. Methods: To answer the question that originated this thesis and reach its goals we proceeded to the study of medical literature available regarding this subject. The database of choice was PubMed (www.ncbi.nlm.nih.gov/pubmed), an international and recognized scientific database. The search was restricted to three languages: English, Portuguese and Spanish. Time criteria was not applied since there was a limited number of available articles. We dismissed all the literature not applicable to humans and that did not fit the theme of this work. Conclusion: There are in fact some common features between the two disorders that cover clinical presentation, complementary exams and therapeutic response. Although this work doesn’t provide enough evidence to claim that the two disorders have in fact a common physiopathology, it empathizes the need for further and more complex studies of this population.
Introduction: Panic disorder is a difficult differential for temporal lobe epilepsy, given their clinical manifestations can be similar. Nonetheless, they are considered as a part of two very different fields of medicine, psychiatry and neurology respectively. Goal: Analyse both pathologies based on clinical presentation, therapeutic responses and complementary exams in order to find a common ground for the two disorders. Methods: To answer the question that originated this thesis and reach its goals we proceeded to the study of medical literature available regarding this subject. The database of choice was PubMed (www.ncbi.nlm.nih.gov/pubmed), an international and recognized scientific database. The search was restricted to three languages: English, Portuguese and Spanish. Time criteria was not applied since there was a limited number of available articles. We dismissed all the literature not applicable to humans and that did not fit the theme of this work. Conclusion: There are in fact some common features between the two disorders that cover clinical presentation, complementary exams and therapeutic response. Although this work doesn’t provide enough evidence to claim that the two disorders have in fact a common physiopathology, it empathizes the need for further and more complex studies of this population.
Description
Keywords
Eeg Epilepsia do Lobo Temporal e Distúrbio de Pânico Meg P300 Pet Spect