Palpitations: could they be neurogenic? A case report
Revital Gandelman-Marton1, Yoram Segev, Jacques Theitler
1Department of Neurology, Assaf Harofeh Medical Center, Zerifin, Israel. revitalgm@hotmail.com
Background:
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.
Review Summary:
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.
Conclusion:
This case emphasizes the importance of detailed history in the diagnosis of epilepsy.
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