Objective: The purpose of this study was to measure the response of ba
silar artery blood flow to hyperventilation in patients with panic dis
order. Method: Transcranial Doppler ultrasonography teas used to measu
re basilar artery flow during vest and after hyperventilation in 16 pa
tients with panic disorder and eight normal comparison subjects. The s
ubjects rated their dizziness at each phase. Results: The patients wit
h panic disorder demonstrated greater reduction in flow rates and grea
ter increases in dizziness than the normal comparison subjects. Conclu
sions: The greater basilar artery sensitivity to hyperventilation show
n by panic disorder patients suggests a possible mechanism for the dev
elopment of neurological symptoms during panic attacks.