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Alimentary (Postgastrectomy) HypoglycemiaA Remediable Cause of Recurrent Seizures
Robert A. Burton, MD;
Neil H. Raskin, MD
Arch Neurol. 1970;23(1):14-17.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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ALIMENTARY hypoglycemia generally denotes the occurrence of low blood glucose levels 11/2 to 3 hours postprandially in a patient who has undergone gastrectomy. While seizures are a well-known manifestation of hypoglycemia due to pancreatic adenoma, it has remained unclear whether the postprandial hypoglycemias are ever sufficiently profound or rapid in evolution to compromise cerebral function.1-3 Two patients are presented whose alimentary hypoglycemic disorders have been thoroughly documented; a recurrent seizure disorder was the presenting manifestation of hypoglycemia in each case, and both patients have responded to dietary treatment. Because there are simple and often effective modes of therapy for this disorder which may resemble idiopathic epilepsy, it is important that physicians be alerted to this possibility in evaluating patients with recurrent seizures.
Report of Cases
CASE 1.—A 49-year-old white male merchant marine was in good health until 1960, at which time he developed symptoms of duodenal ulcer;
. . . [Full Text PDF of this Article]
Author Affiliations
San Francisco
From the Department of Neurology, School of Medicine, University of California, San Francisco.
Footnotes
Submitted for publication Jan 9, 1970; accepted Feb 21.
Reprint requests to Department of Neurology, School of Medicine, University of California, San Francisco 94122 (Dr. Raskin).
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