Insulinoma Presenting as a Complex Partial Seizure: Still a Possible Misleading Factor
Delayed diagnosis of insulinoma remains an intractable clinical challenge because the symptoms are in most cases misattributed to other disorders. In this study, a 64-year-old man presented with intermittent seizure episodes after being misdiagnosed with epilepsy and receiving anti-epileptic drugs f...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2020-01-01
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| Series: | Frontiers in Neuroscience |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fnins.2019.01388/full |
| _version_ | 1811286152627355648 |
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| author | Ziyou Qi Daojing Li Jinfeng Ma Peng Xu Yongnan Hao Aimei Zhang |
| author_facet | Ziyou Qi Daojing Li Jinfeng Ma Peng Xu Yongnan Hao Aimei Zhang |
| author_sort | Ziyou Qi |
| collection | DOAJ |
| description | Delayed diagnosis of insulinoma remains an intractable clinical challenge because the symptoms are in most cases misattributed to other disorders. In this study, a 64-year-old man presented with intermittent seizure episodes after being misdiagnosed with epilepsy and receiving anti-epileptic drugs for 4 years. During this period, the patient continued to suffer from repeated seizures. A starvation test, pancreatic enhancement CT, MRI scan, and pathological examination clinically diagnosed insulinoma, and the symptoms improved following surgical removal of the tumor. The appearance of unusual manifestations and insulinoma imaging makes it difficult to accurately diagnose the condition. This case emphasizes the need for careful reassessment of all atypical and refractory seizures for neurologists. |
| first_indexed | 2024-04-13T02:55:21Z |
| format | Article |
| id | doaj.art-cbf3ac4f85394de49a775ff07e259e21 |
| institution | Directory Open Access Journal |
| issn | 1662-453X |
| language | English |
| last_indexed | 2024-04-13T02:55:21Z |
| publishDate | 2020-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neuroscience |
| spelling | doaj.art-cbf3ac4f85394de49a775ff07e259e212022-12-22T03:05:41ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2020-01-011310.3389/fnins.2019.01388486460Insulinoma Presenting as a Complex Partial Seizure: Still a Possible Misleading FactorZiyou QiDaojing LiJinfeng MaPeng XuYongnan HaoAimei ZhangDelayed diagnosis of insulinoma remains an intractable clinical challenge because the symptoms are in most cases misattributed to other disorders. In this study, a 64-year-old man presented with intermittent seizure episodes after being misdiagnosed with epilepsy and receiving anti-epileptic drugs for 4 years. During this period, the patient continued to suffer from repeated seizures. A starvation test, pancreatic enhancement CT, MRI scan, and pathological examination clinically diagnosed insulinoma, and the symptoms improved following surgical removal of the tumor. The appearance of unusual manifestations and insulinoma imaging makes it difficult to accurately diagnose the condition. This case emphasizes the need for careful reassessment of all atypical and refractory seizures for neurologists.https://www.frontiersin.org/article/10.3389/fnins.2019.01388/fullinsulinomacomplex partial seizurehypoglycemianeuroglycopenicpancreas |
| spellingShingle | Ziyou Qi Daojing Li Jinfeng Ma Peng Xu Yongnan Hao Aimei Zhang Insulinoma Presenting as a Complex Partial Seizure: Still a Possible Misleading Factor Frontiers in Neuroscience insulinoma complex partial seizure hypoglycemia neuroglycopenic pancreas |
| title | Insulinoma Presenting as a Complex Partial Seizure: Still a Possible Misleading Factor |
| title_full | Insulinoma Presenting as a Complex Partial Seizure: Still a Possible Misleading Factor |
| title_fullStr | Insulinoma Presenting as a Complex Partial Seizure: Still a Possible Misleading Factor |
| title_full_unstemmed | Insulinoma Presenting as a Complex Partial Seizure: Still a Possible Misleading Factor |
| title_short | Insulinoma Presenting as a Complex Partial Seizure: Still a Possible Misleading Factor |
| title_sort | insulinoma presenting as a complex partial seizure still a possible misleading factor |
| topic | insulinoma complex partial seizure hypoglycemia neuroglycopenic pancreas |
| url | https://www.frontiersin.org/article/10.3389/fnins.2019.01388/full |
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