Reversible brain cell damage due to hypoglycemia in a patient with insulinoma.

Acta Neurol Scand

Department of Clinical Chemistry, University Hospital, Uppsala, Sweden.

Published: January 1989

A case of an insulinoma with hypoglycemic attacks accompanied by episodes of unconsciousness in a 57-year-old woman is described. During the hypoglycemic spells the level of adenylate kinase (AK) in the cerebrospinal fluid (CSF) was elevated 6-fold above the normalized level obtained later from the patient being in a normoglycemic condition. CSF-AK was previously found to be a sensitive marker of subtle brain cell damage due to hypoxia. The increased efflux of AK into CSF during the insulinoma-induced hypoglycemia was most probably the result of a brain cell injury caused by shortage of glycolytic fuel.

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http://dx.doi.org/10.1111/j.1600-0404.1989.tb03713.xDOI Listing

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