Author(s)

Ouadii Mouaqit, Ayman Boubouh, Lahcen Ifrine, El Hadj Omar El Malki, Raouf Mohsine, Abdelkader Belkouchi

Surgery Departement A, Ibn Sina University Hospital, Rabat, Morocco..

Insulinoma is a rare disease presenting with episodic neuroglycopenic and/or adrenergic symptoms. We describe the clinical case of a female subject, 44 years old, affected with insulinoma, misdiagnosed for two years as epilepsy, threaten with antiepileptics. Insuli-noma was diagnosed based on fasting blood glucose level of 15 mg/dl, high fasting immunoreactive insu-lin/blood glucose ratio (more than 0.3), and a tumor in the pancreas by abdominal CT. After surgical re-moval of the neoplasm, the blood glucose level and insulin level turned normal. A benign insulinoma was also confirmed by histopathological evaluation. The patient remained seizure-free during the 2-year follow up.

Insulinoma; Epilepsy; Convulsions; Hypoglycemia; Surgery

Mouaqit, O. , Boubouh, A. , Ifrine, L. , Malki, E. , Mohsine, R. and Belkouchi, A. (2012) Insulinoma misdiagnosed as epilepsy. Open Journal of Gastroenterology, 2, 28-30. doi: 10.4236/ojgas.2012.21006.