Hypoglycemic hemiplegia: insulinoma masquerading as stroke.
We report a patient with recurrent episodes of hemiplegia caused by hypoglycemia. Investigations revealed an insulinoma, which was surgically removed. After this, the blood glucose level normalized and the patient remained asymptomatic for 9 months. We discuss pathophysiological mechanisms whereby hypoglycemia might cause focal neurological deficit.
Shanmugam
V
V
Department of Neurological Sciences, Rush Medical College, Chicago, IL, USA.
Zimnowodzki
S
S
Curtin
J
J
Gorelick
P B
PB