Insulinoma with Early-Morning Abnormal Behavior

• Suzuki Keisuke

  Department of Neurology, Dokkyo Medical University

• Miyamoto Masayuki

  Department of Neurology, Dokkyo Medical University

• Miyamoto Tomoyuki

  Department of Neurology, Dokkyo Medical University

• Hirata Koichi

  Department of Neurology, Dokkyo Medical University

抄録

We report a 65-year-old man with insulinoma who initially developed stereotypical behaviors and then progressed to more complex behaviors occurring early in the morning. He could not remember the events during the episodes. Insulinoma was diagnosed based on fasting blood glucose level of 15 mg/dl, high fasting immunoreactive insulin/blood glucose ratio (more than 0.3), and a tumor in the pancreas head by abdominal CT. Hypoglycemia caused by insulinoma should be considered as one of the mechanisms underlying abnormal nocturnal behaviors since the symptoms are very similar to those of sleep-related epilepsy, parasomnia, and night delirium.<br>

収録刊行物

• Internal Medicine

  Internal Medicine 46 (7), 405-408, 2007

  一般社団法人 日本内科学会

キーワード

• hypoglycemia
• abnormal behavior
• insulinoma
• epilepsy
• night delirium

詳細情報

• CRID: 1390282679848326784
• NII論文ID: 130000078771
• DOI: 10.2169/internalmedicine.46.6071
• ISSN: 13497235
• ISSN: 09182918
• Web Site: http://www.jstage.jst.go.jp/article/internalmedicine/46/7/46_7_405/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007256213
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可