| Case Report： An insulinoma with clinical and electroencephalographic features resembling complex partial seizures |
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| 作者姓名： | Wang S Hu HT Wen SQ Wang ZJ Zhang BR Ding MP |
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| 作者单位： | Shuang WANG（Department of Neurology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China） ;
Hai-tao HU（Department of Neurology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China） ;
Shu-qun WEN（Department of Neurology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China） ;
Zhong-jin WANG（Department of Neurology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China） ;
Bao-rong ZHANG（Department of Neurology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China） ;
Mei-ping DING（Department of Neurology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China） ; |
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| 摘 要： |
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| 关 键 词： | 胰岛瘤 治疗方法 临床分析 脑电图 |
| 收稿时间： | 8 April 2002 |
An insulinoma with clinical and electroencephalographic features resembling complex partial seizures |
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| Wang S,Hu HT,Wen SQ,Wang ZJ,Zhang BR,Ding MP.An insulinoma with clinical and electroencephalographic features resembling complex partial seizures[J].Journal of Zhejiang University Science,2008,9(6):496-499. |
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| Authors: | Wang Shuang Hu Hai-tao Wen Shu-qun Wang Zhong-jin Zhang Bao-rong Ding Mei-ping |
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| Institution: | Department of Neurology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China |
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| Abstract: | We described a female patient with insulinoma who experienced recurrent episodes of automatism, confusion and convulsion. Furthermore, her electroencephalography (EEG) findings resembled the pattern in complex partial seizures with secondary generalization. The interictal EEG showed spikes and sharp waves, as well as focal slowing over the left temporal lobe, and the ictal EEG revealed generalized spikes and sharp waves associated with diffused slowing. She was initially misdiagnosed as pharmacoresistant epilepsy. After the insulinoma was found and surgically removed, her EEG turned normal and she was seizure-free during the 4-year follow-up. This report highlights the need for careful reassessment of all seizures refractory to medication, even for the patients associated with epileptiform discharges on EEG. |
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| Keywords: | Insulinoma Hypoglycemia Electroencephalography (EEG) Seizure |
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