Insulinoma presented as epileptic seizure for 10 years

For the past 10 years, a 52-year old female Saudi patient had repeated episods of convulsions. She was diagnosed as a case of epilepsy and treated accordingly, However, the patient's history and investigations indicated that her symptoms were related to insulin-secreting tumor [lnsulinoma]. It was successfully treated surgically. The presence of insulinoma should be considered in any patient with unusual or unexplained neurology picture especially when it was intermittent. The diagnosis can be confirmed by demonstration of an inappropriately high circulating insulin level for the ambient blood glucose concentration. The case of insulinoma in a Saudi patient is presented and insulinoma is briefly discussed