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[Neuropsychiatric disorders in insulinoma]
1Centralsygehuset i Nykøbing Falster, medicinisk afdeling.
Ugeskrift for Laeger
|March 23, 1999
Summary
A young woman
Area of Science:
- Endocrinology
- Neuroscience
- Oncology
Background:
- A young female presented with severe mental health issues and neurological symptoms.
- Initial diagnosis was obsessive-compulsive disorder, with no neurological cause identified.
Observation:
- During an episode of prolonged somnolence, hypoglycemia was detected.
- Prolonged starvation tests revealed hypoglycemia linked to neuropsychiatric symptoms.
- Glucose administration resolved the symptoms, suggesting spontaneous hypoglycemia.
Findings:
- Two insulinomas were surgically removed from the pancreas.
- The patient fully recovered with normalized blood glucose and resolution of mental and neurological symptoms.
Implications:
- This case highlights the importance of considering insulinoma in patients with unexplained neuropsychiatric and neurological symptoms.
- Further investigation for Multiple Endocrine Neoplasia type 1 (MEN1) syndrome is ongoing due to the association with insulinoma.