Abstract
A 16-year-old boy presented with tonic-clonic seizure after he woke up early in the morning. He had experienced 5-6 episodes of syncope, fatigue, weakness and somnolence one year before admission. On admission, physicial examination was normal and first line laboratory tests were normal except capillary blood glucose which was 16 mg/dl.
Similar content being viewed by others
References
Das CJ, Debnath J, Gupta AK, Das AK (2007) MR imaging appearance of insulinoma in an infant. Pediatr Radiol 37:581–583
Dizon AM, Kowalyk S, Hoogwerf BJ (1999) Neuroglycopenic and other symptoms in patients with insulinomas. Am J Med 106:307–310
Dolan JP, Norton JA (2000) Occult insulinoma. Br J Surg 87:385–387
Fajans SS, Vinik AI (1989) Insulin-producing islet cell tumors. Endocrinol Metab Clin North Am 18:45–74
Gama R, Teale JD, Marks V (2003) Clinical and laboratory investigation of adult spontaneous hypoglycaemia. J Clin Pathol 56:641–646
Jabri AL, Bayard C (2004) Nesidioblastosis associated with hyperinsulinemic hypoglycemia in adults: review of the literature. Eur J Intern Med 15:407–410
Oberg K, Eriksson B (2005) Endocrine tumours of the pancreas. Best Pract Res Clin Gastroenterol 19:753–781
Service FJ, McMahon MM, O'Brien PC et al (1991) Functioning insulinoma: incidence, recurrence, and long-term survival of patients—a 60-year study. Mayo Clin Proc 66:711–719
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ozen, S., Ulas Saz, E., Celik, A. et al. Many admissions to the emergency departments with recurrent syncope attacks and seizures in an adolescent boy. Eur J Pediatr 168, 761–763 (2009). https://doi.org/10.1007/s00431-009-0974-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00431-009-0974-4