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Case Reports
. 2011 Oct;14(4):313-5.
doi: 10.4103/0972-2327.91965.

Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma

Meena Gupta  1 , Amit Batra, Makarand Hirve, Debashish Chowdhury, Geeta A Khwaja, P K Mishra
Affiliations
Case Reports

Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma

Meena Gupta et al. Ann Indian Acad Neurol. 2011 Oct.

Abstract

Neurological syndromes are not an uncommon presentation with insulinomas. Recurrent hypoglycemia associated with it can present with a variety of neurological symptoms that may include disturbances of consciousness, seizures, stroke-like presentation, movement disorder, dementia and chronic neuropathy. The myriad of presentations, resemblance with other neurological conditions and episodic nature often lead to misdiagnosis and a delay in definitive treatment. Rare cases of insulinoma presenting as combination of abnormal movements have been described. We report a patient who presented with both hypoglycemia induced symptomatic seizures and paroxysmal non-kinesiogenic dystonic choreoathetosis. Insulinoma is a potentially treatable disorder and early definitive intervention can prevent long term neurological disability in patients.

Keywords: Hypoglycemia; insulinoma; movement disorder; seizures.

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Conflict of interest statement

Conflict of Interest: Nil.

Figures

Figure 1
Figure 1
Axial section CECT Abdomen showing hyperechoic mass in distal pancreas and head of pancreas
Figure 2
Figure 2
Axial section MRI Abdomen showing hypoechoic mass in distal pancreas
See this image and copyright information in PMC

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