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Insulinoma: Reversal of brain magnetic resonance imaging changes following resection
- Article from:
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Neurology India
- Article date:
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April 1, 2008
- Author:
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Copyright informationCopyright Medknow Publications Apr-Jun 2008. Provided by ProQuest LLC. (Hide copyright information)
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Insulinoma can present with disorders of cognition, consciousness, epilepsy, psychosis, dementia and neuropathy. [1],[2],[3],[4],[5] Misdiagnosis and delay in treatment are common and may lead to prolonged hypoglycemia with permanent neurological deficit or fatal coma. [3]
Diagnosis depends on inappropriately high insulin levels in presence of hypoglycemia which could occur spontaneously or during prolonged fast. [5] Surgical removal of the tumor corrects the hyperinsulinemia and restores euglycemia.
But there is little literature on whether neurological deficit due to hypoglycemia-induced cerebral damage, which persists after correction of hypoglycemia, improves after surgical removal of ...