This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

James C. Grotta, MD
Department of Neurology University of Texas Health Science Center at Houston 6431 Fannin Houston, TX 77225

Arch Neurol. 1987;44(8):795-796.

	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.

—I was interested in Feldmann and Posner'^s series of patients with episodic neurologic dysfunction after successful treatment of Hodgkin's disease I would add radiation-induced conduction disturbance in the heart to their list of possible causes. I recently saw a patient with crescendo attacks resembling complex partial seizures. His electroencephalogram showed rhythmic temporal slowing misleading me, at first, into thinking these were indeed seizures. Screening vascular and cardiac workup were negative except for right bundle-branch block on the electrocardiogram. When the patient did not respond to anticonvulsant therapy, he was hospitalized and, during a typical spell, had a cardiac arrest from which he was, fortunately, successfully resuscitated. Subsequent evaluation confirmed the presence of intermittent complete heart block due to radiation damage. His spells disappeared after insertion of a pacemaker. Admittedly, Feldman and Posner's patients may have had other causes for their spells, but this occult yet . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?