Case Reports
Insulinoma presenting as refractory seizure disorder
Authors:
- S PathmanthanEmail S Pathmanthan
- D U S Bulugahapitiya
- A S K Banagala
- H S K Ruwanpathirana
- G P Karunasekara
Abstract
Diagnosis of insulinoma may be delayed when symptoms are nonspecific. Rarely neuroglycopenic symptoms are the primary feature and these patients can be misdiagnosed as having epilepsy or neuropsychiatric disease. We report a case of insulinoma presenting as an adult-onset refractory seizure disorder. The time from onset of symptoms to diagnosis was 9 years. The atypical features of the episodes of hypoglycaemia, and the poor response to treatment led to a review of diagnosis. This case highlights the importance of considering hypoglycaemia in atypical neurological or psychiatric presentations.
DOI: http://dx.doi.org/10.4038/sjdem.v2i1.4336
Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2012; 1: 46-48
- Year: 2012
- Volume: 2 Issue: 1
- Page/Article: 46-48
- DOI: 10.4038/sjdem.v2i1.4336
- Published on 20 May 2012
- Peer Reviewed