Symptom 10: Seizures
Seizures are among the most severe and alarming symptoms of insulinoma. They occur as a result of extremely low blood sugar levels, a condition known as severe hypoglycemia. When the brain is deprived of glucose, its primary energy source, it can lead to a loss of normal brain function, resulting in a seizure.
These seizures can vary in presentation, from minor episodes with brief lapses in awareness to major convulsions. They are a medical emergency and require immediate attention, as they can be life-threatening if not promptly addressed. The occurrence of a seizure in someone with insulinoma is a clear indication that their blood sugar levels are dangerously low and that their condition requires urgent medical management.
The management of seizures in insulinoma involves both acute and long-term strategies. Acutely, the immediate goal is to stabilize the patient’s blood sugar levels to stop the seizure. This may involve the administration of intravenous glucose or glucagon. Long-term management focuses on treating the insulinoma to prevent future episodes of severe hypoglycemia.
Preventing seizures in insulinoma patients requires careful monitoring of blood sugar levels and adherence to treatment plans, including medications, dietary adjustments, and possibly surgery. Educating patients and caregivers about the signs of severe hypoglycemia and how to respond is also crucial.
The occurrence of seizures in insulinoma patients is a stark reminder of the seriousness of the condition. It underscores the importance of early detection, effective management, and continuous monitoring to prevent such severe complications. (10)