Indian Journal of PsychiatryIndian Journal of Psychiatry
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CASE REPORT
Year : 2008  |  Volume : 50  |  Issue : 3  |  Page : 197-199

Episodic confusional state: Due to insulinoma


Department of Psychiatry, Thanjavur Medical College, Thanjavur, India

Correspondence Address:
Sophie Dina Suresh Stelina
Department of Psychiatry, Thanjavur Medical College, Thanjavur - 4
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5545.43636

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This case report deals with 45-year-old male who came for consultation in the psychiatry department for the persisting symptoms, after consulting various departments with no relief. He had episodes of confusion with disorganized behavior, restlessness, and symptoms like talking irrelevantly once a week lasting up to 10-30 min in the preceding six months. Investigations like computerized tomography scan, electroencephalogram were not contributory. While under observation in our ward for evaluation and diagnosis, one such episode with intense sweating and clouding of consciousness was witnessed and helped in clinching the diagnosis of insulinoma. The case is reported for its rarity and as one of the causes of episodic confusional state.



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