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Panic attacks during MR imaging: treatment with i.v. diazepam. Export

AJNR Am J Neuroradiol, Vol. 11, No. 4. (g 1990), pp. 833-835.

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tobymart has 0 private notes and 1 public note for this article.

These are important data for the risk paper, but the target outcome is too narrow for aggregation. In other words, other patients among the 3000 may also have requested scan termination without showing panic symptoms. AT LEAST 1.5% of the 3000 quit due to distress.

tobymart (public note) - 2006-05-17 00:09:19

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This study includes 3000 patients undergoing MR imaging, all of them conscious, with no history of alcoholism, drug addiction, heart disease, or schizophrenia. During the course of the MR study, panic attacks occurred in 46 subjects, which prevented continuation of the examination. An IV bolus injection of diazepam was administered, which enabled completion of the examination in all 46 cases. The expected effects of a high blood level of diazepam, such as somnolence, slow reactions, overrelaxation, and inhibition of breathing, were not observed. The panic attacks disappeared rapidly after the injection. The patients agreed to a repeat MR examination under similar conditions, if necessary.


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