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

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 neuropat...

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Autores principales: Gupta, Meena, Batra, Amit, Hirve, Makarand, Chowdhury, Debashish, Khwaja, Geeta A., Mishra, P. K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271477/
https://www.ncbi.nlm.nih.gov/pubmed/22346027
http://dx.doi.org/10.4103/0972-2327.91965
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author Gupta, Meena
Batra, Amit
Hirve, Makarand
Chowdhury, Debashish
Khwaja, Geeta A.
Mishra, P. K.
author_facet Gupta, Meena
Batra, Amit
Hirve, Makarand
Chowdhury, Debashish
Khwaja, Geeta A.
Mishra, P. K.
author_sort Gupta, Meena
collection PubMed
description 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.
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spelling pubmed-32714772012-02-15 Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma Gupta, Meena Batra, Amit Hirve, Makarand Chowdhury, Debashish Khwaja, Geeta A. Mishra, P. K. Ann Indian Acad Neurol Case Report 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. Medknow Publications & Media Pvt Ltd 2011 /pmc/articles/PMC3271477/ /pubmed/22346027 http://dx.doi.org/10.4103/0972-2327.91965 Text en Copyright: © Annals of Indian Academy of Neurology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gupta, Meena
Batra, Amit
Hirve, Makarand
Chowdhury, Debashish
Khwaja, Geeta A.
Mishra, P. K.
Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma
title Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma
title_full Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma
title_fullStr Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma
title_full_unstemmed Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma
title_short Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma
title_sort paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271477/
https://www.ncbi.nlm.nih.gov/pubmed/22346027
http://dx.doi.org/10.4103/0972-2327.91965
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