2017年
Insulinoma with a History of Epilepsy: Still a Possible Misleading Factor in the Early Diagnosis of Insulinoma
INTERNAL MEDICINE
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- 巻
- 56
- 号
- 23
- 開始ページ
- 3199
- 終了ページ
- 3204
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.2169/internalmedicine.8932-17
- 出版者・発行元
- JAPAN SOC INTERNAL MEDICINE
A delayed diagnosis of insulinoma remains a clinical issue. Hypoglycemic symptoms can mimic neuropsychiatric disorders such as epilepsy. A 27-year-old woman with a history of epilepsy and anti-epileptic drugs (AEDs) developed repeated seizures and neuropsychiatric symptoms after a 9-year asymptomatic interval. She had received transient treatment with AEDs before the possibility of hypoglycemia was considered. Following a clinical diagnosis of insulinoma, distal pancreatectomy was performed; her seizures didn't occur again. The early diagnosis of insulinoma requires vigilance not only for hypoglycemia in patients with neuropsychiatric symptoms but also for the possible masking effects of a history of epilepsy and preceding AED usage.
- リンク情報
- ID情報
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- DOI : 10.2169/internalmedicine.8932-17
- ISSN : 0918-2918
- eISSN : 1349-7235
- PubMed ID : 29021465
- Web of Science ID : WOS:000417101700012