Heckmann J G, Dietrich W, Hohenberger W, Klein P, Hanke B, Neundörfer B
Department of Neurology, University Erlangen-Nürnberg, Schwabachanlage 6, 91054 Erlangen, Germany.
Muscle Nerve. 2000 Dec;23(12):1891-4. doi: 10.1002/1097-4598(200012)23:12<1891::aid-mus17>3.0.co;2-y.
Hypoglycemia-induced peripheral neuropathy due to insulinoma is unusual and, as far as we know, has previously been reported in only 34 patients. In this case report, we describe the clinical features, electrophysiological features, and pathological findings in a 37-year-old patient with polyneuropathy from repeated hypoglycemic episodes over a 9-year period that related to an insulinoma. The literature is discussed. The reported case is of special interest because the peripheral neuropathy led to the correct diagnosis.
胰岛素瘤所致低血糖性周围神经病较为罕见,据我们所知,此前仅有34例相关报道。在本病例报告中,我们描述了一名37岁患者的临床特征、电生理特征及病理 findings,该患者在9年时间里因胰岛素瘤反复出现低血糖发作,进而引发了多发性神经病。文中对相关文献进行了讨论。该报道病例具有特殊意义,因为周围神经病促成了正确诊断。 (注:原文中“pathological findings”未给出具体内容,暂用“findings”表示)