Case report of a pancreatic insulinoma misdiagnosed as epilepsy
| Autor: | Simon Lampart, Barbara Anna Williams, Stefan Fischli, Jürg Metzger |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
Pancreatic Insulinoma
medicine.medical_specialty Case Report 030204 cardiovascular system & hematology Malignancy Asymptomatic 03 medical and health sciences Epilepsy 0302 clinical medicine Medicine Humans 030212 general & internal medicine Diagnostic Errors Insulinoma medicine.diagnostic_test business.industry Neuroglycopenia General Medicine Middle Aged medicine.disease Pancreatic Neoplasms medicine.anatomical_structure Positron emission tomography Female Radiology medicine.symptom business Pancreas Tomography X-Ray Computed |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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