Organic personality syndrome caused by insulin-related nocturnal hypoglycemia
Abstract
D. KRAHN,M.D. M.D.B. MACKENZIE,Diabetes ioralis frequentlybehavexcesin the change of an hybloodabnormalities.â Hypoglycemia, exogenous insulin, is commonly diagnosis of these relationship of hypoglycemiacaused by considered to behavioralmonths of decreasing attention to routine chores and difficulty staying awake during daily activities. She had not reported sweating, flushing, tachycardia, or anxiety.Evaluation by a licensed clinical psychologist with thedifferential theabnormalities.However,often organic poglycemia glucosedifficult to demonstrate. personality syndrome was level was undiagnosed determined.We report a case in which iatrogenic until the nocturnalWechsler Adult Intelligence Scale (WAIS) revealed a fullscale lO of 89 with a verbal 0 of 1 09 and a performance (0 of 85. thought to be consistent with mild right hemisphere dysfunction. Testing at this time with the Minnesota Multiphasic Personality Inventory (MMPI) resulted in a scale profile described as. consistent with individuals who are tense, rigid, with inability to appropriately interpret oversensitivity, suspicion and stubbornness. brood and ruminate about real and imaginedCase report A 58-year-old single resident of a group home was admitted to the neurology department for evaluation of a recent change in behavior. She had been diagnosed as mentally retarded at age 5 and had been placed in the first of a seriesof institutions at that time. No