Publication:

Insulinoma: is it still a diagnosis of exclusion? A case report

Few cases of hypoglycaemic peripheral neuropathy due to insulinoma have been reported in literature. We are reporting a case of insulinoma manifesting with chronic progressive encephalopathy, intractable seizures, and neuropathy-a triad of neurological features in insulinoma. The diagnosis was delayed as the repeated investigations including dual phase CECT abdomen was normal. This case report highlights the importance of evaluation of patients for insulinoma with high resolution CECT abdomen and FDG PET scan. A keen suspicion and investigation with appropriate modality can prevent the irreversible neuroglycopenic damage, as reported in this case.