![]() Physiol Behav 91:240–249Īmerican Academy of Sleep Medicine (2005) International classification of sleep disorders: diagnostic and coding manual, 2nd edn. Tkacs NC, Pan Y, Sawhney G, Mann GL, Morrison AR (2007) Hypoglycemia activates arousal-related neurons and increases wake time in adult rats. N Engl J Med 338:1657–1662īendtson I, Gade J, Thomsen CE, Rosenfalck A, Wildschiødtz G (1992) Sleep disturbances in IDDM patients with nocturnal hypoglycemia. Jones TW, Porter P, Sherwin RS et al (1998) Decreased epinephrine responses to hypoglycemia during sleep. Indian J Pathol Microbiol 47:540–541Ĭryer PE (2005) Mechanisms of hypoglycemia-associated autonomic failure and its component syndromes in diabetes. Neurophysiol Clin 33:223–227ĭhume VM, Amarapurkar AD, Rege JD, Kandalkar BM, Varthakavi P (2004) Insulinoma-a case report. An insulinoma-associated case, misdiagnosed as temporal lobe epilepsy. Striano S, Striano P, Manganelli F, Boccella P, Bruno R, Santoro L, Percopo V (2003) Distal hypoglycemic neuropathy. Groselj LD, Butinar D (2008) Insulinoma presenting itself as a night paroxysmal disorder with spontaneous recovery. Jaladyan V, Darbinyan V (2007) Insulinoma misdiagnosed as juvenile myoclonic epilepsy. O’Sullivan SS, Redmond J (2005) Insulinoma presenting as refractory late-onset epilepsy. J Neurol Neurosurg Psychiatry 75:1091–1092 Graves TD, Gandhi S, Smith SJM, Sisodiya SM, Conway GS (2004) Misdiagnosis of seizures: insulinoma presenting as adult-onset seizure disorder. Neurology 56:817–818ĭion MH, Cossette P, St-Hilaire JM, Rasio E, Nguyen DK (2004) Insulinoma misdiagnosed as intractable epilepsy. J Endocrinol Invest 6:758–761īazil CW, Pack A (2001) Insulinoma presenting as seizure disorder. Piovesan A, Pia A, Visconti G et al (2003) Proinsulin-secreting neuroendocrine tumor of the pancreas. Electroencephalogr Clin Neurophysiol 66:579–582 Salinsky M, Sutula T, Roscoe D (1987) Representation of sleep stages by color density spectral array. US Department of Health, Education, and Welfare Public Health Service, NIH publication no. Rechtschaffen A, Kales A (eds) (1968) A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Thorpy MJ (2005) Which clinical conditions are responsible for impaired alertness? Sleep Med 6:S13–S20ĭizon AM, Kowalyk S, Hoogwerf BJ (1999) Neuroglycopenic and other symptoms in patient with insulinomas. Clinicians should keep in mind that neuroglycopenia should be considered in the differential diagnosis of patients with hypersomnia, particularly if the clinical scenario does not conform to standard criteria. The clinical picture of insulinoma presenting with paroxysmal disorders has been previously described however, whereas hypersomnia is uncommon, in the current case it represents the main symptom. The described symptoms disappeared, and 5 years later the findings of a complete clinical and neurophysiological examination were negative. The diagnosis of insulinoma was then assumed CT scan showed a hypodense mass into the pancreatic tail, and a partial pancreasectomy was performed. During the episode, EEG showed theta–delta diffuse activity, and blood glucose level was 32 mg dl −1. A video-PSG monitoring was performed and the patient showed unresponsiveness and drowsiness at 7 a.m. ![]() During ambulatory polysomnography (PSG), the patient presented an episode characterized by loss of consciousness and jerking of the four limbs. We report the case of a 32-year-old woman with a history of increased sleep need and difficulty waking up the diagnosis of idiopathic hypersomnia was hypothesized. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |