A Case of 2-Month-Old Infant with Persistent Hyperinsulinemic Hypoglycemia Presenting as Atonic Seizure
Soonchunhyang Medical Science
;
: 56-59, 2014.
Artigo
em Coreano
| WPRIM
| ID: wpr-69010
ABSTRACT
Congenital hyperinsulinism is the most frequent cause of severe, persistent hypoglycemia in infancy and childhood. It is caused by an inappropriate insulin secretion from the pancreatic beta-cells secondary to various genetic disorders. Recognition of this entity becomes important due to the fact that hypoglycemia is very severe and frequent and that it may lead to severe neurological damage in the infant manifesting as mental or psychomotor retardation or even a life-threatening events if not recognized and treated effectively in time. Hypoglycemias can be detected by seizures, fainting, or any other neurological symptoms in the neonatal period or later, usually within the first two years of life. Hypoglycemias must be rapidly and intensively treated to prevent severe and irreversible brain damages. Next, a treatment to prevent the recurrence of hypoglycemia must be set, which may include frequent and glucose-enriched feeding, diazoxide and octreotide. We report a case of congenital hyperinsulinemia in a 2 months old infant presenting as atonic seizure which has been treated with diazoxide.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Recidiva
/
Convulsões
/
Síncope
/
Encéfalo
/
Octreotida
/
Hiperinsulinismo Congênito
/
Diazóxido
/
Hiperinsulinismo
/
Hipoglicemia
/
Insulina
Limite:
Humanos
/
Lactente
Idioma:
Coreano
Revista:
Soonchunhyang Medical Science
Ano de publicação:
2014
Tipo de documento:
Artigo
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