Distal hypoglycemic neuropathy. An insulinoma-associated case, misdiagnosed as temporal lobe epilepsy

S. Striano; P. Striano; F. Manganelli; P. Boccella; R. Bruno; L. Santoro; V. Percopo

doi:10.1016/j.neucli.2003.08.001

Distal hypoglycemic neuropathy. An insulinoma-associated case, misdiagnosed as temporal lobe epilepsy

S. Striano, P. Striano, F. Manganelli, P. Boccella, R. Bruno, L. Santoro, V. Percopo

Istituto "Giannina Gaslini"

Research output: Contribution to journal › Article › peer-review

Abstract

Peripheral distal neuropathy associated with hypoglycemia secondary to insulinoma is quite rare. So far, less than 40 cases have been reported in literature. In this report, we describe a 50-year-old patient with insulinoma-polineuropathy and neuropsychiatric symptoms, interpreted as temporal lobe epilepsy, over the preceding 7 years. Due to the variability of the clinical presentation, diagnostic mistakes are frequent, and diagnosis of insulinoma is often delayed. Thus, the hypoglycemic nature of neuropathy can be lately recognized.

Original language	English
Pages (from-to)	223-227
Number of pages	5
Journal	Neurophysiologie Clinique / Clinical Neurophysiology
Volume	33
Issue number	5
DOIs	https://doi.org/10.1016/j.neucli.2003.08.001
Publication status	Published - Nov 2003

Keywords

Distal neuropathy
Hpoglycemia
Insulinoma

ASJC Scopus subject areas

Clinical Neurology
Neuroscience(all)

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10.1016/j.neucli.2003.08.001

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AU - Striano, P.

AU - Manganelli, F.

AU - Boccella, P.

AU - Bruno, R.

AU - Santoro, L.

AU - Percopo, V.

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AB - Peripheral distal neuropathy associated with hypoglycemia secondary to insulinoma is quite rare. So far, less than 40 cases have been reported in literature. In this report, we describe a 50-year-old patient with insulinoma-polineuropathy and neuropsychiatric symptoms, interpreted as temporal lobe epilepsy, over the preceding 7 years. Due to the variability of the clinical presentation, diagnostic mistakes are frequent, and diagnosis of insulinoma is often delayed. Thus, the hypoglycemic nature of neuropathy can be lately recognized.

KW - Distal neuropathy

KW - Hpoglycemia

KW - Insulinoma

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