title: Distal hypoglycemic neuropathy. An insulinoma-associated case, misdiagnosed as temporal lobe epilepsy.
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.
authors.affiliation: Department of Neurological Sciences, Epilepsy Center, "Federico II" University, Via Pansini 5, Naples 80131, Italy. sstriano@libero.it
authors.forename: S
authors.initials: S
authors.lastname: Striano
authors.forename: P
authors.initials: P
authors.lastname: Striano
authors.forename: F
authors.initials: F
authors.lastname: Manganelli
authors.forename: P
authors.initials: P
authors.lastname: Boccella
authors.forename: R
authors.initials: R
authors.lastname: Bruno
authors.forename: L
authors.initials: L
authors.lastname: Santoro
authors.forename: V
authors.initials: V
authors.lastname: Percopo
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D003929:Diabetic Neuropathies / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis*; D006801:Humans; D007340:Insulinoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology
chemical_list: D001786:Blood Glucose