A Case of Insulinoma Mimicking Complex Partial Seizure

J Korean Neurol Assoc > Volume 6(1); 1988 > Article

Journal of the Korean Neurological Association 1988;6(1): 101-109.

Complex Partial Seizure의 양상을 보였던 인슈린종 1예

윤병우, 이광우 , 노재규, 이상복, 명호진, 오승근, 함의근

서울대학교 신경과, 일반외과, 병리학.

A Case of Insulinoma Mimicking Complex Partial Seizure

Byung Woo Yoon, M.D., Kwang Woo Lee, M.D., Jae Kyu Roh, M.D., Sang Bok Lee, M.D., and Ho Jin Myung, M.D. Seung Keun Oh, M.D. Eui Keun Ham, M.D.

Department of Neurology, College of Medicine, Seoul National University Department of General Surgery, College of Medicine, Seoul National University Department of Pathology, College of Medicine, Seoul National University

Abstract

Insulinoma is a rare tumor occurring more often in the older age range. Because of the neuroglycopenic symptoms initial misdiagnosis or the delayed diagnosis are frequent. We recently experienced a case of insulinoma in a 50-year-old female with the symptoms of complex partial seizure, who had been treated with the antiepileptic drugs. Hypoglycemia was detected and the parenteral supplement of glucose rapidly reversed her symptoms, and the prolonged fasting test showed the pattern of insulinoma. Curative surgery was performed. So we report a case of insulinoma with the review of literature.