We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Panic Attack, Severe Hypophosphatemia and Rhabdomyolysis in the Setting of a Motor Functional Neurological Disorder.
- Authors
Schneider, Thibault; Broc, Nicolas; Leemann, Beatrice; Schnider, Armin; Nicastro, Nicolas
- Abstract
(1) Background: panic attack is often regarded as a benign disorder with variable physical and psychological symptoms. (2) Case Presentation: We here report the case of a 22-year-old patient known for an episode of motor functional neurological disorder a year earlier who presented a panic attack with hyperventilation causing severe hypophosphatemia and rhabdomyolysis, as well as mild tetraparesis. Electrolyte disturbances quickly resolved after phosphate substitution and rehydration. However, clinical signs suggesting a relapse of a motor functional neurological disorder appeared (improved walking with dual tasks). Diagnostic workup, including brain and spinal magnetic resonance imaging, as well as electroneuromyography and genetic testing for hypokalemic periodic paralysis, was unremarkable. Tetraparesis, lack of endurance, and fatigue eventually improved after several months. (3) Conclusions: the present case report highlights the intertwined relationship between a psychiatric disorder, leading to hyperventilation and acute metabolic disturbances, and functional neurological manifestations.
- Subjects
NEUROLOGICAL disorders; PANIC attacks; HYPOPHOSPHATEMIA; SYMPTOMS; HYPERVENTILATION; DUAL-task paradigm; MENTAL illness
- Publication
Brain Sciences (2076-3425), 2023, Vol 13, Issue 5, p726
- ISSN
2076-3425
- Publication type
Case Study
- DOI
10.3390/brainsci13050726