Open AccessParoxysmal dystonic choreoathetosis with symptomatic seizures secondary to hypoglycemia caused by insulinoma
Author(s) -
Mukesh Kumar Gupta,
Amit Batra,
Makarand Hirve,
Debashish Chowdhury,
Geeta Anjum Khwaja,
Prasanna K. Mishra
Publication year - 2011
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.91965
Subject(s) - choreoathetosis , medicine , hypoglycemia , pediatrics , insulinoma , athetosis , chorea , dystonia , movement disorders , presentation (obstetrics) , anesthesia , psychiatry , surgery , insulin , disease
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.