Insulinoma presenting as refractory seizure disorder

Hypoglycaemia can lead to acute disorders of cognition, consciousness, epilepsy, transient ischemia, psychosis and chronic disorders of dementia and neuropathy. Misdiagnosis and delay in treatment are common and prolonged hypoglycemia can lead to permanent neurological deficit or fatal coma. Hypogly...

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Bibliographic Details
Main Authors: Correia, Pamela, Panchani, Roopal, Ranjan, Rajeev, Agrawal, Chandrashekhar
Format: Online
Language:English
Published: F1000Research 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3790603/
Description
Summary:Hypoglycaemia can lead to acute disorders of cognition, consciousness, epilepsy, transient ischemia, psychosis and chronic disorders of dementia and neuropathy. Misdiagnosis and delay in treatment are common and prolonged hypoglycemia can lead to permanent neurological deficit or fatal coma. Hypoglycemia caused by an insulinoma is a readily treatable condition that should be considered in the differential diagnosis of intractable seizures. The following case report highlights the need for careful reassessment of all seizures that are atypical and refractory to medication.