Childhood insulinoma masquerading as seizure disorder

Authors

  • Kung-Ting Kao,

    Corresponding author
    1. Department of Paediatric Endocrinology and Diabetes, Monash Children's Hospital, Clayton, Australia
    • Correspondence: Dr Kung-Ting Kao, Monash Children's Hospital, Department of Paediatric Endocrinology and Diabetes, DACS, Level 4, 246 Clayton Road, Clayton, Vic. 3168, Australia. Fax: 61 3 95946067; email: jeff.kao@rch.org.au

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  • Peter J Simm,

    1. Department of Paediatric Endocrinology and Diabetes, Monash Children's Hospital, Clayton, Australia
    2. Royal Children's Hospital and Murdoch Children's Research Institute, Parkville, Victoria, Australia
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  • Justin Brown

    1. Department of Paediatric Endocrinology and Diabetes, Monash Children's Hospital, Clayton, Australia
    2. Department of Paediatrics, Monash University, Clayton, Australia
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  • Conflict of interest: None.

Abstract

A 9 year old girl presented with seizures, weight gain and early morning behavioural changes. She had been commenced on anticonvulsants and was subsequently diagnosed with hyperinsulinaemic hypoglycaemia. This case demonstrates the importance of blood glucose monitoring in children presenting with new-onset seizures and/or with early morning or fasting behavioural changes, the challenges in localizing the lesion, as well as the difficulties in achieving normoglycaemia prior to, and immediately following, surgery.

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