Bhalla Shubha, Punia Vps, Narang M, Kumari Pushpa, Gupta Saurabh
Senior Resident.
Professor of Medicine.
J Assoc Physicians India. 2017 Mar;65(3):104-105.
Hypoglycemia can cause multiple neuroglycopenic symptoms; seizures being one of them. Misdiagnosis and delay in treatment are common and prolonged hypoglycemia can lead to permanent neurological deficit or fatal coma. Hypoglycemia caused by an insulinoma is a readily treatable condition that should be considered in the differential diagnosis of intractable seizures. The following case report highlights the need for careful reassessment of all seizures that are atypical and refractory to medication.
低血糖可导致多种神经低血糖症状;癫痫发作就是其中之一。误诊和治疗延误很常见,长期低血糖可导致永久性神经功能缺损或致命性昏迷。胰岛素瘤引起的低血糖是一种易于治疗的病症,在难治性癫痫的鉴别诊断中应予以考虑。以下病例报告强调了对所有非典型且药物治疗无效的癫痫发作进行仔细重新评估的必要性。