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Muscatiello, N., Cuomo, R., Gentile, M., De Francesco, V., Stoppino, V., Contillo, A., Salcuni, A., Natale, C., Pa- nella, C. and Ierardi, E. (2003) En-doscopic ultrasound lo- calization of a solitary insulinoma of pancreatic tail mis- diagnosed as epilepsy: Case report. Abdo-minal Imaging, 28, 859-861. doi:10.1007/s00261-003-0039-5
has been cited by the following article:
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TITLE:
Insulinoma misdiagnosed as epilepsy
AUTHORS:
Ouadii Mouaqit, Ayman Boubouh, Lahcen Ifrine, El Hadj Omar El Malki, Raouf Mohsine, Abdelkader Belkouchi
KEYWORDS:
Insulinoma; Epilepsy; Convulsions; Hypoglycemia; Surgery
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.2 No.1,
February
16,
2012
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.