Vague behavioral and personality changes and a misdiagnosis of complex partial epilepsy

• Published in: Çukurova Üniversitesi tip fakültesi dergisi Vol. 39; no. 4; pp. 860 - 867
• Main Authors: Qalandar Kasnazan, Osama Shukir Muhammed Amin, Karzan Seerwan, Hiwa Abu Bakir, Bakhtiar Fayak, Hiza Qalandar Hussein
• Format: Journal Article
• Language: English
• Published: Cukurova University 01-08-2014
• Subjects: insulinoma; pancreatic islet cell tumor; complex partial seizures; behavioral changes; personality disorders
• ISSN: 0250-5150

Pancreatic insulinomas are rare endocrine tumors and their diagnosis needs a high index of suspicion. Several patients receive an initial misdiagnosis before the tumor is being finally detected. We report on two patients who presented with vague and bizarre personality and behavioral changes. One patient was initially diagnosed with hysteria and both eventually were diagnosed with complex partial epilepsy. They had not improved on anti-epileptic medications and their symptomatology continued to deteriorate. Their final diagnosis turned out to be pancreatic insulinoma. Because of the rarity of insulinomas as well as their diverse and non-pathognomonic symptoms, the diagnosis remains challenging and may quite well escape detection unless it is entertained. [Cukurova Med J 2014; 39(4.000): 860-867]