Original ArticlePalpitations: Could They Be Neurogenic? A Case ReportGandelman-Marton, Revital MD*; Segev, Yoram MD†; Theitler, Jacques MD*; Rabey, Jose Martin MD*; Pollak, Lea MD* Author Information From the *Department of Neurology, Assaf Harofeh Medical Center, Zerifin, Israel; and the †Department of Radiology, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler School of Medicine, Tel-Aviv University, Israel. Reprints: Revital Gandelman-Marton, MD, Neurology Department, Assaf- Harofeh Medical Center, Zerifin, 70300, Israel. E-mail: [email protected]. The Neurologist: May 2006 - Volume 12 - Issue 3 - p 160-162 doi: 10.1097/01.nrl.0000215787.45207.1e Buy Metrics Abstract 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. © 2006 Lippincott Williams & Wilkins, Inc.