胰腺胰岛素瘤误诊为癫痫八年：一例报告并文献复习

Pancreatic Insulinoma Misdiagnosed as Epilepsy for Eight Years: A Case Report and Literature Review.

作者信息

Ma Hong, Zhang Xuan-Pu, Zhang Yan, Lu Hua-Dong, Wang Jian-Teng, Zhang Yi, Wu Xiao-Bin

出版信息

Intern Med. 2015;54(12):1519-22. doi: 10.2169/internalmedicine.54.3708.

DOI:10.2169/internalmedicine.54.3708

Abstract

A 58-year-old Chinese man presented with intermittent seizure episodes after being misdiagnosed with epilepsy for eight years. MRI revealed an abnormally strong signal in the distal pancreas. The patient was subsequently diagnosed with pancreatic insulinoma based on the histological findings, and his symptoms improved following surgical removal of the tumor. The appearance of unusual manifestations of insulinoma makes it difficult to diagnose the condition. This disorder should be included in the differential diagnosis of epilepsy and mental illness.

摘要

一名58岁的中国男性在被误诊为癫痫8年后出现间歇性癫痫发作。磁共振成像（MRI）显示胰腺远端有异常强信号。随后根据组织学检查结果，该患者被诊断为胰腺胰岛素瘤，手术切除肿瘤后其症状有所改善。胰岛素瘤出现不寻常表现使得该病难以诊断。这种疾病应列入癫痫和精神疾病的鉴别诊断中。