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Neurocase: The Neural Basis of Cognition

Volume 15, Issue 6, 2009

Cerebral correlates of heart rate variations during a spontaneous panic attack in the fMRI scanner

Cerebral correlates of heart rate variations during a spontaneous panic attack in the fMRI scanner

DOI:
10.1080/13554790903066909
Kai Spiegelhaldera*, Magdolna Hornyakae, Simon David Kyleb, Dominik Paulc, Jens Blecherta, Erich Seifritzd, Jürgen Hennigc, Ludger Tebartz van Elsta, Dieter Riemanna & Bernd Feigea

pages 527-534

Available online: 14 Oct 2009

Abstract

We report the first published case study of a suddenly occurring panic attack in a patient with no prior history of panic disorder during combined functional magnetic resonance imaging (fMRI, 1.5 Tesla) and electrocardiogram (ECG) recording. The single case was a 46-year-old woman who developed a panic attack near the planned end of the fMRI acquisition session, which therefore had to be aborted. Correlational analysis of heart rate fluctuations and fMRI data revealed a significant negative association in the left middle temporal gyrus. Additionally, regions-of-interest (ROI) analyses indicated significant positive associations in the left amygdala, and trends towards significance in the right amygdala and left insula.

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Details

  • Citation information:
  • Available online: 14 Oct 2009

Author affiliations

  • a Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany
  • b Department of Psychological Medicine, University of Glasgow, Scotland
  • c Department of Diagnostic Radiology, Section of Medical Physics, University of Freiburg Medical Center, Germany
  • d University Hospital of Psychiatry, Bern, Switzerland
  • e Interdisciplinary Pain Center, University of Freiburg Medical Center, Germany

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