title: Paroxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma.
abstract: 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.
authors.affiliation: Department of Neurology, GB Pant Hospital, JLN Marg, New Delhi, India.
authors.forename: Meena
authors.initials: M
authors.lastname: Gupta
authors.forename: Amit
authors.initials: A
authors.lastname: Batra
authors.forename: Makarand
authors.initials: M
authors.lastname: Hirve
authors.forename: Debashish
authors.initials: D
authors.lastname: Chowdhury
authors.forename: Geeta A
authors.initials: GA
authors.lastname: Khwaja
authors.forename: P K
authors.initials: PK
authors.lastname: Mishra