J Neuropsychiatry Clin Neurosci 1997; 9:198-207
Copyright © 1997 by American Neuropsychiatric Association
The neuroanatomy of 5-HT dysregulation and panic disorder
G Grove, JD Coplan and E Hollander
College of Physicians and Surgeons of Columbia University, New York State Psychiatric Institute, NY 10032, USA.
The advent of highly effective antipanic medications with specific
serotonin reuptake inhibition as a mechanism of action has prompted the
need for new pathophysiological models of panic disorder. The authors
attempt an integration of the emerging basic science literature regarding
the neuro-anatomy and physiology of the mammalian central serotonin nervous
system, its influence on neural substrates that underlie fear and defense
responses, and the clinical literature pertaining to serotonin-related
abnormalities in panic disorder. A neuro-anatomical model for the potential
sites of action of the specific serotonin reuptake inhibitors in panic
disorder is proposed.
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