Epilepsy-mimicking pancreatic insulinoma
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Keywords

Hyperinsulinism
Hypoglycemia
Insulinoma

How to Cite

Martínez-Montalvo, C. M., Muñoz-Delgado, D. Y., Rodríguez-Bolaños, J. H., Medina-Quintana, J. C., Tobón-Arango, J. M., Castiblanco-Cabezas, G. P., Conrado-Jiménez, H., & Siado, S. A. (2021). Epilepsy-mimicking pancreatic insulinoma. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 7(3), 194–198. https://doi.org/10.53853/encr.7.3.633

Abstract

An insulinoma is a rare secretory endocrine neoplasm that causes a hypoglycemic hyperinsulinemic state derived from the absence of endocrine regulation of insulin secretion. Its worldwide incidence is 1 to 5 cases per million individuals every year. Neuroglycopenic and sympathetic adrenal symptoms are the most common clinical manifestations. Also, diagnosis is established by Whipple’s triad, together with the finding of inappropriately high levels of insulin, C peptide, proinsulin, and beta-hydroxybutyrate. Surgical resection is the first line of management choices, given its benign features and high recovery rates. The aim of this report is to present the case of male patient with a history of misdiagnosed epilepsy refractory to anticonvulsant management, who presented with an episode of severe hypoglycemia and was subsequently diagnosed with insulinoma that improved with surgical management.

https://doi.org/10.53853/encr.7.3.633
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