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伪装成颈动脉短暂性缺血发作的胰岛素瘤。

Insulinoma masquerading as carotid transient ischaemic attacks.

作者信息

Illangasekera V L

出版信息

Postgrad Med J. 1981 Apr;57(666):232-4. doi: 10.1136/pgmj.57.666.232.

DOI:10.1136/pgmj.57.666.232
PMID:6270643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2425004/
Abstract

A patient who initially presented with classical internal carotid territory transient ischaemic attacks, on further investigations was found to have an insulinoma, the removal of which completely alleviated the symptoms. This appears to be an unusual form of presentation of a rare tumour. The possible mechanisms of focal neurological disturbances during hypoglycaemia are discussed.

摘要

一名最初表现为典型颈内动脉供血区短暂性脑缺血发作的患者,进一步检查发现患有胰岛素瘤,切除该肿瘤后症状完全缓解。这似乎是一种罕见肿瘤的不寻常表现形式。文中讨论了低血糖期间局灶性神经功能障碍的可能机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca4/2425004/70021b74aa68/postmedj00220-0033-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca4/2425004/786abc33e972/postmedj00220-0033-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca4/2425004/70021b74aa68/postmedj00220-0033-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca4/2425004/786abc33e972/postmedj00220-0033-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca4/2425004/70021b74aa68/postmedj00220-0033-b.jpg

相似文献

1
Insulinoma masquerading as carotid transient ischaemic attacks.伪装成颈动脉短暂性缺血发作的胰岛素瘤。
Postgrad Med J. 1981 Apr;57(666):232-4. doi: 10.1136/pgmj.57.666.232.
2
[Lipoma of the left ventricle and insulinoma of the pancreas].[左心室脂肪瘤与胰腺胰岛素瘤]
Z Kardiol. 1984 Dec;73(12):792-5.
3
[Diagnostic criteria of insulinoma].[胰岛素瘤的诊断标准]
Orv Hetil. 1983 Aug 21;124(34):2085-6.
4
[Insulinoma].[胰岛素瘤]
Med Sestra. 1984 Apr;43(4):9-11.
5
Psychiatric symptoms masking an insulinoma (a case report).隐匿胰岛素瘤的精神症状(病例报告)
Dis Nerv Syst. 1967 Jul;28(7 Pt 1):457-8.
6
[Benign form of pancreatic insuloma of 23 years' duration].[病程23年的胰腺胰岛素瘤良性型]
Wiad Lek. 1985 Nov 15;38(22):1600-2.
7
Malignant insulinoma: the problems of tumour localization and management. A case report.
S Afr Med J. 1983 Apr 23;63(17):662-4.
8
[Pancreatic insulinoma in a patient with Hodgkin's disease].
Pol Tyg Lek. 1985 Jan 21;40(3):73-4.
9
[Insulinoma in a female diabetic].[一名女性糖尿病患者的胰岛素瘤]
Ter Arkh. 1989;61(11):133-4.
10
[Case of pancreatic insulinoma in a 15-year-old girl].[一名15岁女孩患胰腺胰岛素瘤的病例]
Wiad Lek. 1983 Feb 1;36(3):235-40.

本文引用的文献

1
TRANSIENT "ISCHEMIC" ATTACKS PRODUCED BY CAROTID STENOSIS AND HYPOGLYCEMIA.颈动脉狭窄和低血糖引发的短暂性“缺血性”发作。
Neurology. 1965 Sep;15:830-2. doi: 10.1212/wnl.15.9.830.
2
Active transport of Diodrast and phenolsulfonphthalein from cerebrospinal fluid to blood.碘司特和酚磺酞从脑脊液到血液的主动转运。
Am J Physiol. 1961 Jan;200:1-10. doi: 10.1152/ajplegacy.1961.200.1.1.
3
Spontaneous hypoglycemia.自发性低血糖症
N Y State J Med. 1959 Jun 1;59(11):2190-205.
4
Endogenous hypoglycaemia.内源性低血糖症
Proc R Soc Med. 1958 Dec;51(12):979-90. doi: 10.1177/003591575805101201.
5
Localized cerebral hypoglycemia simulating stroke; a clinical and experimental study.模拟中风的局限性脑低血糖症:一项临床与实验研究。
Neurology. 1958 Aug;8(8):601-14. doi: 10.1212/wnl.8.8.601.
6
Neurologic diagnosis of pancreatic islet cell adenoma with hyperinsulinism.伴有高胰岛素血症的胰岛细胞瘤的神经学诊断
Neurology. 1957 Nov;7(11):793-7. doi: 10.1212/wnl.7.11.793.
7
Late cerebral changes incident to severe hypoglycemia (insulin shock); their relation to cerebral anoxia.
AMA Arch Neurol Psychiatry. 1957 Jul;78(1):1-14. doi: 10.1001/archneurpsyc.1957.02330370015001.
8
Review: Insulin (Hypoglycemic) reactions in diabetic patients.综述:糖尿病患者的胰岛素(低血糖)反应
Metabolism. 1953 Nov;2(6):485-99.
9
Medical aspects of hypoglycemia.低血糖的医学方面。
J Clin Endocrinol Metab. 1953 May;13(5):587-603. doi: 10.1210/jcem-13-5-587.
10
Insulinoma: clinical and diagnostic features of 60 consecutive cases.胰岛素瘤:60例连续病例的临床及诊断特征
Mayo Clin Proc. 1976 Jul;51(7):417-29.