# Insulinoma in a Young Patient With Focal Seizures: A Case Report of a Neurological Diagnostic Challenge

## TL;DR

A young patient with focal seizures was found to have an insulinoma, highlighting the importance of checking for low blood sugar in similar cases.

## Contribution

This case report emphasizes the need to consider insulinoma in patients with fasting-associated focal seizures to avoid diagnostic delays.

## Key findings

- Insulinomas can present with symptoms similar to refractory epilepsy, causing misdiagnosis.
- Hypoglycemia should be evaluated in patients with fasting-associated focal seizures.
- Early diagnosis and surgical resection can cure insulinomas and reverse neurological symptoms.

## Abstract

Insulinomas can mimic refractory epilepsy, leading to diagnostic delays. Hypoglycemia should be ruled out in patients with fasting‐associated focal seizures. Timely diagnosis via Whipple's triad and surgical resection offers a complete cure and reversal of neuropsychiatric symptoms.