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James A. Zeese, MD
Dept of Neurol Univ Minnesota Univ Hospitals Minneapolis, MN 55455

Arch Neurol. 1979;36(1):61.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The report in the ARCHIVES by Rush et al titled "Paroxysmal Atrial Tachycardia and Frontal Lobe Tumor" (34:578-580, 1977) suggests that a 49-year-old male patient had symptoms secondary to paroxysmal atrial tachycardia (PAT) and that the PAT was secondary to seizure activity related to a frontal lobe glioma. Unfortunately, this report gives no documentation that the patient had PAT and, in addition, there is no evidence that his symptoms were in any way related to a change in cardiac function. Certainly, these symptoms cannot be explained by a pulse rate of 110 beats per minute.

It is possible that the patient's spells could have been partial seizures with an associated mild sinus tachycardia. Figure 1 showing four channels of EEG monitored during one of the patient's spells is small, making interpretation difficult. However, I see no clear electrical seizure activity, although this possibility cannot be ruled out . . . [Full Text PDF of this Article]

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