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Suggest Remedy For Panic Attack And Severe Anxiety
Question: I am a 41 year old male that unexpectedly presented with a Panic attack 14 months ago, and since suffer daily with extreme debilitating symptoms such as blurry and dim vision, severe anxiety, panic, dizzy, derealization, dissassociation, muscle twitching, strange head pressure and more. I generally feel "off" and it is constant. I get no relief. My family doctor feels is is anxiety, but I have never shown any sign of a mental illness in my life, and I live a very happy and secure life until this happened. I demanded an MRI and it showed 12 small foci. I am extremely concerned about these lesions and what they could mean. I see an MS specialist and was assured it is NOT Multiple Sclerosis. I have no other reason for these lesions. I never suffered headaches in my life either. The main thing I am wondering is if these lesions could explain my symptoms? I have attached a report showing both my Spine MRI and the last page shows the report from the brain MRI. I also had a follow MRI 5 months after this one and it showed zero changes. I am very concerned about what these lesions could ean, especially given my symptoms.
Brief Answer:
white mater microangiopathy
Detailed Answer:
Hello I have gone through your question and understand your concern.
According to your history you experienced a panic attack which is not associated with brain damage. After these attacks it is often reported anxiety and your symptoms correspond to anxiety, reason for which I would recommend appropriate treatment.
Concerning the white mater lesions, I need further MRI characteristics of these lesions, but given your age and the stability of these lesions on the radiologic follow up, I think this is a white mater microangiopathy. These lesions are normal findings after a certain age (over 60 age or earlier) and do not represent clinical significance. These are due to closing of small arterioles which are normal in these ages. The recommendations in these cases are general measures like controlling the blood pressure, checking cholesterol levels, avoiding risk factors like smoke.
Hope this answers your question, please feel free for further questions.
Wishing you good health.
white mater microangiopathy
Detailed Answer:
Hello I have gone through your question and understand your concern.
According to your history you experienced a panic attack which is not associated with brain damage. After these attacks it is often reported anxiety and your symptoms correspond to anxiety, reason for which I would recommend appropriate treatment.
Concerning the white mater lesions, I need further MRI characteristics of these lesions, but given your age and the stability of these lesions on the radiologic follow up, I think this is a white mater microangiopathy. These lesions are normal findings after a certain age (over 60 age or earlier) and do not represent clinical significance. These are due to closing of small arterioles which are normal in these ages. The recommendations in these cases are general measures like controlling the blood pressure, checking cholesterol levels, avoiding risk factors like smoke.
Hope this answers your question, please feel free for further questions.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Answered by
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