Hui A C F, Ozaki R, Kay R, Cockram C C
Department of Medicine and Therapeutics, Prince of Wales Hospital, Hong Kong, Shatin, NT, China.
Int J Clin Pract. 2002 Jan-Feb;56(1):63-4.
We report on a patient with clinical, electroencephalographic and radiological features of temporal lobe epilepsy, whose seizures were initially controlled with antiepileptic treatment. Five years after the onset of seizures, he developed more frequent and prolonged episodes of confusion, which were misinterpreted as secondary to temporal lobe epilepsy. Further investigation revealed the presence of hypoglycaemia and the eventual diagnosis of metastatic insulinoma.
我们报告了一名具有颞叶癫痫临床、脑电图和放射学特征的患者，其癫痫发作最初通过抗癫痫治疗得到控制。癫痫发作开始五年后，他出现了更频繁、持续时间更长的意识模糊发作，这些发作被误诊为颞叶癫痫继发。进一步检查发现存在低血糖症，最终诊断为转移性胰岛素瘤。
