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Hypoglycemic encephalopathy as the initial presentation of hepatic tumor: a case report
Chi-Ieong Lau1, Han-Cheng Wang, Wei-Chih Hsu
1Department of Neurology, Skin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Background:
Hypoglycemia is a frequently encountered cause of altered mental status in clinical practice.
Objectives:
To report a rare case with hypoglycemia-induced coma as the sole and initial clinical manifestation of a hepatic tumor.
Case Report:
A previously healthy 32-year-old man presenting with acute change in consciousness was found to have hepatoma related hypoglycemia.
Conclusion:
This case highlights the importance of a hepatic evaluation in, otherwise, unexplained hypoglycemic coma in high prevalence areas of hepatocellular carcinoma such as the Asian-Pacific region.
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