Insulinoma: Un Diagnóstico Infravalorado de Hipoglucemia en Pacientes de Edad Avanzada
| Title: | Insulinoma: Un Diagnóstico Infravalorado de Hipoglucemia en Pacientes de Edad Avanzada |
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| Authors: | Pedro Gomes Santos, Ana Isabel Rodrigues, Mihail Mogildea, Cristina Sousa |
| Source: | Galicia Clínica, Vol 85, Iss 4, Pp 29-31 (2025) |
| Publisher Information: | Sociedade Galega de Medicina Interna, 2025. |
| Publication Year: | 2025 |
| Collection: | LCC:Medicine LCC:Internal medicine |
| Subject Terms: | insulinoma, hipoglucemia, deterioro cognitive, diazóxido, Medicine, Internal medicine, RC31-1245 |
| More Details: | Insulinoma is a rare pancreatic endocrine tumor, characterized by the inappropriate secretion of insulin, leading to episodes of hypoglycemia. During these hypoglycemic events, patients may experience autonomic and neuroglycopenic manifestations. However, it is important to note that insulinoma can also have long-term effects on cognitive function, even after hypoglycemia resolution. We present the case of an 89-year-old female with a gradual cognitive decline two years prior and recurrent episodes of stuporous level of consciousness in the preceding months. Insulinoma was confirmed through the measurement of plasma glucose, insulin, and C-peptide levels. Following the biochemical confirmation, a computed tomography (CT) scan successfully located the tumor. Surgical resection was considered high-risk. Nevertheless, after dietary modifications and the administration of diazoxide, the patient's hypoglycemic episodes were controlled. This case report highlights the importance of considering insulinoma as a potential cause of unexplained episodes of hypoglycemia, particularly in older patients with cognitive impairment. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English Spanish; Castilian Galician Portuguese |
| ISSN: | 0304-4866 1989-3922 |
| Relation: | https://ojs.galiciaclinica.info/gc/article/view/1432; https://doaj.org/toc/0304-4866; https://doaj.org/toc/1989-3922 |
| DOI: | 10.22546/75/4187 |
| Access URL: | https://doaj.org/article/4ca235d2369346f880ae3f51448b4281 |
| Accession Number: | edsdoj.4ca235d2369346f880ae3f51448b4281 |
| Database: | Directory of Open Access Journals |
| ISSN: | 03044866 19893922 |
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| DOI: | 10.22546/75/4187 |
| Published in: | Galicia Clínica |
| Language: | English Spanish; Castilian Galician Portuguese |