Insulinoma: A Diagnostic Challenge!

Janet Prameela DSouza; Gabriel Sunil Rodrigues; Leena SequiraAmanda Varghese

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Insulinoma: A Diagnostic Challenge!

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Insulinoma is a common tumour arising from islets of Langerhans. Patients with insulinomas present with neuroglycopenic symptomssuch as repeated episodes of headache, blurred vision, diplopia and lethargy especially with fasting or exercise. Seizures, comaand permanent brain damage results from severe hypoglycaemia. The present report is of a female who got admitted with the chiefcomplaints of swaying on to one side since one month and slurring of speech, seizures and becoming drowsy for four days. Herlaboratory values indicated repeated episodes of hypoglycaemia in spite of repeated administration of intravenous dextrose. A CTscan of pancreas revealed insulinoma and was treated by surgical resection. After surgery, patient’s symptoms subsided and sherecovered well. The clinical manifestations of insulinoma mimic features of diabetes mellitus and neuropsychiatric disorders, hencea thorough investigation needs to be done to confrm the diagnosis.

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《journal of clinical and diagnostic research》 |2019年第1期|01-02|共2页
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Janet Prameela DSouza; Gabriel Sunil Rodrigues; Leena SequiraAmanda Varghese;
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Insulinoma: A Diagnostic Challenge!

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