A Case of 2-Month-Old Infant with Persistent Hyperinsulinemic Hypoglycemia Presenting as Atonic Seizure.
- Author:
Ji Won KIM
1
;
Do Hyun KIM
;
Seung Soo KIM
Author Information
1. Department of Pediatrics, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. equalkss@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Congenital hyperinsulinism;
Hypoglycemia;
Seizures
- MeSH:
Brain;
Congenital Hyperinsulinism*;
Diazoxide;
Humans;
Hyperinsulinism;
Hypoglycemia;
Infant*;
Insulin;
Octreotide;
Recurrence;
Seizures*;
Syncope
- From:Soonchunhyang Medical Science
2014;20(1):56-59
- CountryRepublic of Korea
- Language:Korean
-
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.
