case_images: PMC11002118_01
case_images: The timeline.
case_images: fneur-15-1371055-g001.jpg
case_images: PMC11002118_01_fneur-15-1371055-g001.jpg
case_images: fig1
case_images: The timeline of disease development is summarized in Figure 1.
case_images: Clinical manifestation of insulinoma in our patient - seizures captured during video EEG. (A) Seizure 1 - Video-EEG: The seizure starts with rocking movements (0:12). At 0:32, the patient raises his right hand, throws his legs on the bed, and straightens his shirt sleeve. Rocking motions are repeated (0:54). After the nurse arrives, he says he wants to sleep. He counts aloud at the nurse's request but only to 2. Then he rocks again, sits up, and grabs the bed rails (1:24). He crosses his arms (2:54) and grunts. At the end of the seizure, he raises his head and hyperventilates (3:32). (B) Seizure 2 - Video-EEG: The seizure again begins with rocking movements. The patient raises his right hand and lifts his legs (0:33). He then kicks his feet from side to side and flexes his right leg (0:43). He rocks again (0:51), sits down, and makes loud noises, tossing his head up and down. He does not recognize the apple and says it is a hat (1:30). At 1:49. He rocks violently, squeals, flails his hands, and stops responding. The seizure ends with arm-stretching (2:10) and tense body posture (2:28).
case_images: fneur-15-1371055-g002.jpg
case_images: PMC11002118_01_fneur-15-1371055-g002.jpg
case_images: fig2
case_images: Two typical episodes were captured during video EEG monitoring (Figures 2A,B).