FUNCTIONAL DYSINSULINISM WITH EPILEPTIFORM SEIZURES

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Abstract
Since dysinsulinism due to organic pancreatic disease is now established1as a definite cause of epileptiform seizures, an account of the successful treatment of this syndrome when it is functional should be presented. Occasional loss of consciousness due to an overdose of insulin or to other causes of hypoglycemia is known, but we have seen cases in which typical recurring epileptiform seizures, of both grand mal and petit mal types, have occurred on the basis of a functional hypoglycemia. A successful treatment has also been evolved. In our nomenclature we are following precedent for the sake of nosology. To us it is not at all simple to determine on a rational classification for these cases. The patients suffering with this syndrome all have symptoms which might with equal propriety be classed as vagotonia, sympathicotonia, hyposuprarenalism or hyperinsulinism. The reasons for this are that patients with vagotonia have, of course,

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