Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy
Pancreatic insulinomas are rare endocrine tumors and their diagnosis needs a high index of suspicion. Several patients receive an initial misdiagnosis before the tumor is being finally detected. We report on two patients who presented with vague and bizarre personality and behavioral changes. One pa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cukurova University
2014-08-01
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| Series: | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=158954 |
| _version_ | 1797907421652320256 |
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| author | Qalandar Kasnazan Osama Shukir Muhammed Amin Karzan Seerwan Hiwa Abu Bakir Bakhtiar Fayak Hiza Qalandar Hussein |
| author_facet | Qalandar Kasnazan Osama Shukir Muhammed Amin Karzan Seerwan Hiwa Abu Bakir Bakhtiar Fayak Hiza Qalandar Hussein |
| author_sort | Qalandar Kasnazan |
| collection | DOAJ |
| description | Pancreatic insulinomas are rare endocrine tumors and their diagnosis needs a high index of suspicion. Several patients receive an initial misdiagnosis before the tumor is being finally detected. We report on two patients who presented with vague and bizarre personality and behavioral changes. One patient was initially diagnosed with hysteria and both eventually were diagnosed with complex partial epilepsy. They had not improved on anti-epileptic medications and their symptomatology continued to deteriorate. Their final diagnosis turned out to be pancreatic insulinoma. Because of the rarity of insulinomas as well as their diverse and non-pathognomonic symptoms, the diagnosis remains challenging and may quite well escape detection unless it is entertained. [Cukurova Med J 2014; 39(4.000): 860-867] |
| first_indexed | 2024-04-10T10:36:26Z |
| format | Article |
| id | doaj.art-3e3610ad230041cfad68fe1c9cbaf6f3 |
| institution | Directory Open Access Journal |
| issn | 0250-5150 |
| language | English |
| last_indexed | 2024-04-10T10:36:26Z |
| publishDate | 2014-08-01 |
| publisher | Cukurova University |
| record_format | Article |
| series | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| spelling | doaj.art-3e3610ad230041cfad68fe1c9cbaf6f32023-02-15T16:20:48ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502014-08-01394860867158954Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsyQalandar Kasnazan0Osama Shukir Muhammed Amin1Karzan Seerwan2Hiwa Abu Bakir3Bakhtiar Fayak4Hiza Qalandar Hussein5Department of surgery, Shorsh Military General Hospital, Sulaimaniya, Iraq Department of neurology and stroke, Shorsh Military General Hospital (formerly Sulaimaniya general teaching hospital), Sulaimaniya, Iraq Department of surgery, Shorsh Military General Hospital, Sulaimaniya, Iraq Department of surgery, Shorsh Military General Hospital, Sulaimaniya, Iraq Department of surgery, Shorsh Military General Hospital, Sulaimaniya, Iraq Department of surgery, Shorsh Military General Hospital, Sulaimaniya, IraqPancreatic insulinomas are rare endocrine tumors and their diagnosis needs a high index of suspicion. Several patients receive an initial misdiagnosis before the tumor is being finally detected. We report on two patients who presented with vague and bizarre personality and behavioral changes. One patient was initially diagnosed with hysteria and both eventually were diagnosed with complex partial epilepsy. They had not improved on anti-epileptic medications and their symptomatology continued to deteriorate. Their final diagnosis turned out to be pancreatic insulinoma. Because of the rarity of insulinomas as well as their diverse and non-pathognomonic symptoms, the diagnosis remains challenging and may quite well escape detection unless it is entertained. [Cukurova Med J 2014; 39(4.000): 860-867]http://www.scopemed.org/fulltextpdf.php?mno=158954insulinoma; pancreatic islet cell tumor; complex partial seizures; behavioral changes; personality disorders |
| spellingShingle | Qalandar Kasnazan Osama Shukir Muhammed Amin Karzan Seerwan Hiwa Abu Bakir Bakhtiar Fayak Hiza Qalandar Hussein Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy Çukurova Üniversitesi Tıp Fakültesi Dergisi insulinoma; pancreatic islet cell tumor; complex partial seizures; behavioral changes; personality disorders |
| title | Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy |
| title_full | Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy |
| title_fullStr | Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy |
| title_full_unstemmed | Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy |
| title_short | Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy |
| title_sort | vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy |
| topic | insulinoma; pancreatic islet cell tumor; complex partial seizures; behavioral changes; personality disorders |
| url | http://www.scopemed.org/fulltextpdf.php?mno=158954 |
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