Insulinoma presenting as alcoholic stupor.

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Insulinoma presenting as alcoholic stupor.

We report a case of prolonged loss of consciousness due to hypoglycaemia following ethanol abuse in a non-diabetic. The patient also reported symptoms compatible with hypoglycaemia following heavy manual work. Further investigations revealed a pancreatic insulinoma, which was successfully removed surgically. The patient remains asymptomatic 18 months later, despite occasional episodes of ethano...

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Insulinoma presenting as refractory seizure disorder

Hypoglycaemia can lead to acute disorders of cognition, consciousness, epilepsy, transient ischemia, psychosis and chronic disorders of dementia and neuropathy. Misdiagnosis and delay in treatment are common and prolonged hypoglycemia can lead to permanent neurological deficit or fatal coma. Hypoglycemia caused by an insulinoma is a readily treatable condition that should be considered in the d...

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Internal Carotid Artery Thrombosis Presenting as Catatonic Stupor—case Report

Catatonic stupor is a condition characterized by generalised inhibition of motor activities where sensibilities are impaired and the individual has little or no appreciation of his surroundings. Fisher (1954) reported eight cases of carotid occlusion who presented initially as dementia. He concluded that the association of dementia and carotid occlusion in these cases may be entirely fortuitous...

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Misdiagnosis of seizures: insulinoma presenting as adult-onset seizure disorder.

Once diagnosed with a refractory seizure disorder, patients often receive aggressive and escalating pharmacotherapy. However, a significant proportion of patients referred to neurologists do not have epilepsy. Toxic and metabolic causes of seizures should always be considered as they are potentially curable, and may be fatal if untreated. The following case report highlights the need for carefu...

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Insulinoma Presenting as Medically Intractable Temporal Lobe Epilepsy

We describe a female insulinoma patient who presented with recurrent attacks of abnormal behavior, confusion, and seizure. Her interictal EEG showed epileptiform discharges on the left temporal area, therefore she was initially misdiagnosed as temporal lobe epilepsy. In the video-EEG monitoring, hypoglycemic state was detected during the seizure attack, so the right diagnosis was made after the...

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ژورنال

عنوان ژورنال: Postgraduate Medical Journal

سال: 1987

ISSN: 0032-5473

DOI: 10.1136/pgmj.63.735.39