Open Journal of Gastroenterology

Volume 2, Issue 1 (February 2012)

ISSN Print: 2163-9450   ISSN Online: 2163-9469

Google-based Impact Factor: 0.48  Citations  

Insulinoma misdiagnosed as epilepsy

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DOI: 10.4236/ojgas.2012.21006    4,551 Downloads   7,886 Views  Citations

ABSTRACT

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.

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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.

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[1] A non-typical Epileptic Reaction in a Patient with Insulinoma of the Pancreas: A Case Report
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[2] Insulinoma presenting as refractory seizure disorder
Sri Lanka Journal of Diabetes Endocrinology and Metabolism, 2012

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