Gandelman-Marton Revital, Segev Yoram, Theitler Jacques, Rabey Jose Martin, Pollak Lea
Department of Neurology, Assaf Harofeh Medical Center, Zerifin, Israel.
Neurologist. 2006 May;12(3):160-2. doi: 10.1097/01.nrl.0000215787.45207.1e.
Palpitations usually occur in patients with arrhythmias of cardiac origion, in conditions associated with increased catecholamine levels, and in psychiatric disorders. A rare etiology of palpitations is seizures with autonomic features.
We report a 24-year-old man with a several-week history of episodic palpitations, weakness, dizziness, and presyncopal phenomena. Subsequent events included loss of consciousness, with postevent confusion and tonic movements. A low-grade astrocytoma was diagnosed in the right frontal lobe.
This case emphasizes the importance of detailed history in the diagnosis of epilepsy.
