Case report of a pancreatic insulinoma misdiagnosed as epilepsy.

A 55-year-old patient had spent 12 years with unexplained seizures, initially diagnosed as epilepsy and then as a psychiatric disorder. When she was admitted with hypoglycaemia, a fasting test was performed showing blood sugar levels as low as 1 mmol/L with symptoms of neuroglycopenia. Insulinoma was suspected and an MRI showed a large tumour in the tail region of the pancreas. A Dodecanetetraacetic acid-Tyr3-octreotate (DOTATATE) positron emission tomography CT indicated no malignancy and showed no signs of metastasis. The patient underwent surgery, leaving her asymptomatic. © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Citation

Barbara Anna Williams, Simon Lampart, Jürg Metzger, Stefan Fischli. Case report of a pancreatic insulinoma misdiagnosed as epilepsy. BMJ case reports. 2021 May 19;14(5)

Mesh Tags

PMID: 34011656

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