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J Korean Sleep Res Soc > Volume 7(2); 2010 > Article
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J Korean Sleep Res Soc. 2010;7(2):57-60.         doi: https://doi.org/10.13078/jksrs.10010
사건수면 양상으로 발현된 인슐린종
조한나, 최윤호, 조유나, 김원주
연세대학교 의과대학 강남세브란스병원 신경과학교실
 
Insulinoma Presenting as a Parasomnia Mimic Symptoms
Hanna Cho, Yoon Ho Choi, Yu Na Cho, Won-Joo Kim
Department of Neurology, Gangnam Severance Hospital,Yonsei University College of Medicine, Seoul, Korea
Corresponding Author: Won-Joo Kim ,Tel: +82-2-2019-3324, Fax: +82-2-3462-5904, Email: kzoo@yuhs.ac
Received: October 18, 2010   Accepted: December 12, 2010   Published online: December 31, 2010
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ABSTRACT
Parasomnia involve abnormal and unnatural movements, behaviors, emotions, perceptions, and dreams that occur while sleep. Chronic hypoglycemia causes neuroglycopenic symptoms such as mental confusion, abnormal behavior, personality change, diplopia, fatigue and headache without typical autonomic symptoms. We report a 59-year-old woman with hypoglycemia who initially developed parasomnia mimic symptoms in early morning sleep period and the final diagnosis was insulinoma. Abnormal nocturnal behaviors persist long duration in the fasting state or early morning, are considered as hypoglycemic symptoms of insulinoma.
Keywords: Insulinoma | Hypoglycemia | Parasomnia
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