I have a patient that in his first consultation said that he suffered from many years from panic . Acording to him , his panic atacks lasted for 50 minutes to more than an hour. During this panic episodes, he had symptoms of despersonalization, desrealization, had an allucination that a poison was passing through all his veins, had involuntary movements of his lips and become extremely agitaded, nervous , angry and suicide ideas came up with all of these. I realized that this was not a real panic episode, and realized that this could be a non convulsional epileptic status. All his exams are unremarkable, except consideralble low dose of piridoxin. Has anyone heard in the literature lack of vitamin b causing symptoms similar to these ?. He said that he has been having problems with lack of vitamin b since adolescence and he usulaly needs to take supplents of vitamins
