HYPOGLYCEMIA IN NEUROPSYCHIATRY

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Abstract
Studies were made on 2 soldiers in whom the possibility of hypoglycemia had to be entertained in the differential diagnosis. The admitting diagnosis for one was post-traumatic psychosis. During carbohydrate metabolism studies the possibility of hypoglycemia was ruled out. The 2d soldier entered the hospital with the diagnosis of chronic syncope. He had experienced spells of partial to total loss of vision, associated with loss of consciousness, and followed by intense headaches, then dizziness. After 3 days of a provocative diet yielding 50 g. of available glucose, a glucose tolerance test was performed. On the 3d day the patient experienced his former symptoms and the blood sugar concn. was 43 mg. %. The diagnosis of functional hyper insulinism was made. On a diet high in protein and low in carbohydrate the patient had no further attacks. This study emphasizes the importance of keeping hypoglycemia in mind as a cause of bizarre groups of symptoms, symptoms of so-called "nervous" origin.
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