ABSTRACT
A 42-year-old right-handed woman began having attacks at 38 years of age. Seizures were characterized by a feeling of something warm flushing from her chest to the face. Then she lost consciousness and fell if she was standing up. No automatisms or other ictal signs were reported. Seizures occurred monthly, clustering around the time of her menses. Because her attacks were believed to be of cardiac origin, cardiological tests, including 24-hour electrocardiographic monitoring and autonomic investigations, were performed. These tests were normal. The patient was therefore referred to a neurologist.
