Abstract

Introduction

Materials & Methods

Results

Discussion & Conclusion

References

Discussion
Board

Clinical history.

A 26-year-old woman, with symptoms of dizziness occurred over six month, recupered by to eat. After, headache, anxiety, visual disturbances, personality alterations, weakness,diaphoresis; Four days before of the revenue the headache is made but intensive, accompanied of confusion and depression; She had a father and 2 brothers with pulmonary silicosis; To eight years old had cranial traumatism without complications; Gravid 9 Para 9 with normal deliveries; Accomplished to her fallopian tubes surgical a year before without complications. Physical examination were within normal, Vital signs normals, The patient obese type; misled in time and place; with normal pupilar reflexes, normal eye fund, mild hemiparesia straight, Normal vital signs; Upon eating foods recovers the knowledge and the symptoms disappear, The symptoms was repeated continually overcoat in you fast. The results of laboratory samples were normal. The fast glucose was 40 mg in 3 you take different and with test of arginina 45 mg. The test of tolbutamida gave a glucose of 30 mg and the patient presented dizziness.

The insulin was reported in various hourly the following results: O min 60 min 120 min 180 min 240 min 300 min 44 U 90 U 200 U 144 U 140 U 108 U The insulin with test of tolbutamide to 10 minutes reported 275 mUs. Selective Coeliac arteriography showed artery desviation Figure 1. Figure 1

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