Palpitations caused by a Seizure with Autonomic Features
Journal Title: Sultan Qaboos University Medical Journal - Year 2013, Vol 13, Issue 2
Abstract
Palpitations are a common symptom of presentation in medical practice. Tey are usually caused by cardiac arrhythmias, psychiatric problems or other miscellaneous causes, such as anaemia or endocrine causes. Tey are rarely due to autonomic seizures. We report a 55-year-old woman who presented at Sultan Qaboos University Hospital, Oman, with recurrent episodes of palpitations. Her associated symptoms included breathlessness and excessive sweating, followed by a sensation of dizziness. During subsequent episodes, she experienced symptoms of rising abdominal pain followed by a loss of consciousness. Positive electroencephalogram fndings, as well as the response of the symptoms to antiepileptic drugs, were strongly suggestive of temporal lobe epilepsy as the possible diagnosis. Te fact that the cardiac investigations, performed during an interictal period, were unremarkable also supports the hypothesis that the palpitations were linked to seizures. Epilepsy should be considered as a differential diagnosis of palpitations, especially if the palpitations are episodic.
Authors and Affiliations
Kawther T. El-Shafe| Department of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman
Epidemiology, Outcomes and Coronary Angiography Findings of Patients Following Out-of-Hospital Cardiac Arrest A single-centre experience from Oman
Objectives: Out-of-hospital cardiac arrests (OHCAs) are a leading cause of death worldwide. However, data regarding the management and outcomes of affected patients are lacking in the Middle East. Te current study aimed...
Fundamentals of Psychology
Duodenum Inversum Findings from an upper gastrointestinal series
Risky Driving Behaviours among Medical Students in Erbil, Iraq
Objectives: Tis study aimed to assess risky driving behaviours among medical students in Erbil, Iraq, and to explore the relationship between risky driving behaviours and perceptions of risky driving. Methods: Tis self...
Safety and Complications of Double-Lumen Tunnelled Cuffed Central Venous Dialysis Catheters Clinical and radiological perspective from a tertiary centre in Oman
Objectives: Tis study aimed to assess the technical success, safety and immediate and delayed complications of double-lumen tunnelled cuffed central venous catheters (TVCs) at the Sultan Qaboos University Hospital (SQ...