Salazar ZA

Language: Spanish
References: 14
Page: 92-95
PDF size: 43.48 Kb.

ABSTRACT

Introduction. The clinical case of a 15 years old patient of the feminine sex is presented, she went accompanied of her parents to neurological consultation, clinical presentation with evolution since three years of age, after an accident of almost hanging at home, with moderate and little frequent slight attacks of panic during the childhood, becaming intense and frequent to 12 years of age. She referred panic attacks characterized by anguish, fear without apparent cause, sensation of sudden terror and repeatedly without no warning; imminent sensation of death, imminent sensation to become crazy, crisis of weakness, dizziness, perspiration and sensation of dismay in several moments of the day; the anguish was intense by not knowing in what time and place the crises of panic would present, easy weeping, irritability, sadness, depression, claustrophobia and agoraphobia. At the age of 12 years, in addition to the panic crises, she began to present diminution of the appetite, loss of weight in moderate form, lack of secondary sexual characters, without menstrual cycles, loss of stature and emaciation. These symptoms were accentuated a year ago before going to consultation.
Nervous anorexia caused by panic crisis was diagnosed, she was hospitalized in Hospital Notre Dame of Mexico, D.F., during five days, treatment with complex B in intravenous solution mixed, antidepressing tricyclic (clomipramine), anxioulitics (bromazepam) and betablocker (propranolol) in therapeutic doses oral route; and three months like external patient, time in which she was discharged from hospital for being cured. Contact with the patient has stayed from the time of discharge to date and she remains healthy.
Conclusions. Case report and literature review, to explain the mechanisms of molecular neuropsychiatry, that take part in the crises of panic and nervous anorexia. Also, in certain selected cases of nervous anorexia to avoid neurosurgical procedures of deep cerebral stimulation and/or cerebral psychosurgery.

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