title: Temporal lobe epilepsy and postural orthostatic tachycardia syndrome (POTS).
abstract: We describe a 20-year-old woman suffering from right temporal epilepsy, behavioral disorder, and a complaint of paroxysmal palpitations accompanied by anxiety. Detailed cardiac evaluation revealed that the palpitations were due to episodes of marked sinus tachycardia secondary to a concomitant postural orthostatic tachycardia syndrome (POTS) and not of psychogenic origin as initially thought. Treatment with a beta-blocker resulted in the disappearance of palpitations and the associated anxiety. This is the first report of the coexistence of partial epilepsy and POTS. The recognition of such a syndrome in epileptic patients is important in order to offer appropriate therapy.
authors.affiliation: Presurgical Epilepsy Evaluation Laboratory, Program of "Functional Neurology and Neurosurgery" of the Universities Lausanne, Geneva, Switzerland
authors.forename: M
authors.initials: M
authors.lastname: Seeck
authors.forename: O
authors.initials: O
authors.lastname: Blanke
authors.forename: S
authors.initials: S
authors.lastname: Zaim