Please use this identifier to cite or link to this item: http://cris.unibe.edu.do/handle/123456789/299
Title: Altered behavior with an organic cause: a case report
Autores: Mejía, D.
Contreras, R.
Molina, Guarina
Alcántara, Michael
Researchers (UNIBE): Molina, Guarina 
Affiliations: Facultad de Ciencias de la Salud 
Research area: Ciencias de la Salud
Keywords: Altered mental status; Insulinoma; Neuroendocrine tumor
Issue Date: 2019
Publisher: BioMed Central Ltd.
Source: Journal of Medical Case Reports, 13(1), 192
Journal: Journal of Medical Case Reports 
Volume: 13
Issue: 1
Start page: 192
Abstract: 
Background: Insulinomas are pancreatic endocrine tumors of rare incidence worldwide, the vast majority are of single occurrence and benign. These may not always present with the clear symptoms described in the literature and may be overlooked because their neuroglycopenic characteristics present in a fashion similar to some psychiatric conditions.
Case report: A 50-year-old Hispanic man referred severe psychomotor symptoms, described as anxiety, aggressiveness, agitation, weakness, diaphoresis, and decreased visual acuity. Laboratory testing performed during his last episode revealed increased insulin levels and C-peptide among other findings. Imaging, biopsy, and histopathologic analysis confirmed an insulinoma was the cause of the symptoms, proving the importance of ruling out organic causes of altered mental status prior to consideration of psychiatric disorders.
Conclusion: It is of critical importance to rule out organic causes of altered mental status prior to consideration of psychiatric disorders, as unusual diseases may be overlooked by physicians and be detrimental to the patient's progress.
URI: http://cris.unibe.edu.do/handle/123456789/299
DOI: 10.1186/s13256-019-2112-x
Appears in Collections:Publicaciones de la Facultad de Ciencias de la Salud

Files in This Item:
File Description SizeFormat
Altered behavior with an organic cause.pdfFull text [open access]1.49 MBAdobe PDFView/Open
Show full item record Recommend this item

Google ScholarTM

Citations

Altmetric

Mentions

Dimensions

Citations


This item is licensed under a Creative Commons License Creative Commons