PT  - JOURNAL ARTICLE
AU  - Nikeghbalian, Saman
AU  - Bananzadeh, Alimohammad
AU  - Yarmohammadi, Hooman
TI  - Hypoglycemia, the first presenting sign of hepatocellular carcinoma
DP  - 2006 Mar 01
TA  - Saudi Medical Journal
PG  - 387--388
VI  - 27
IP  - 3
4099  - http://smj.org.sa/content/27/3/387.short
4100  - http://smj.org.sa/content/27/3/387.full
SO  - Saudi Med J2006 Mar 01; 27
AB  - Hypoglycemia is a well-known paraneoplastic manifestation of hepatocellular carcinoma usually occurring in the terminal stages of the disease. However, during initial presentation this manifestation is uncommon. We report a 77-year-old man who presented with signs and symptoms of severe hypoglycemia for example drowsiness. After clinical work-ups, we detected a large mass in the liver. Interestingly, after surgical excision of the tumor, the attacks of decreased level of consciousness and hypoglycemia seized.