Sporadic Insulinoma Presenting as Early Morning Night Terrors.

Citation data:

Pediatrics, ISSN: 1098-4275, Vol: 139, Issue: 6, Page: e20162007

Publication Year:
2017
Usage 315
Abstract Views 292
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PMID:
28562256
DOI:
10.1542/peds.2016-2007
Author(s):
Beisang, Daniel, Forlenza, Gregory P, Luquette, Mark, Sarafoglou, Kyriakie
Publisher(s):
American Academy of Pediatrics (AAP)
Tags:
Medicine
article description
A 16-year-old boy with a recent diagnosis of night terrors was evaluated for recurrent early morning hypoglycemia after an early morning seizure. Evaluation in clinic with critical laboratories identified hyperinsulinemic hypoglycemia. Additional investigation revealed a sporadic insulinoma as the etiology of his hypoglycemia and all symptoms were resolved after pancreaticoduodenectomy. The importance of obtaining critical laboratory samples is highlighted and appropriate radiologic, medical, and pathologic testing is discussed. We additionally review the medical and surgical management of hyperinsulinemic hypoglycemia. A discussion of multiple endocrine neoplasia type 1 associated insulinomas is included as well. This case highlights the importance of considering hypoglycemia in the evaluation of night terrors and new-onset seizures.

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