{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:42Z","timestamp":1756339542971,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,6,6]]},"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>A female patient in her early sixties had problems of recurrent syncopal attacks and panic attacks over the last 5\u2009years. She had been initially managed for an anxiety disorder with psychiatric medications. During one of those episodes, she was brought to our hospital in an unconscious state with a low blood sugar level of 43\u2009mg\/dL. She was suspected to have a neuroendocrine tumour and diagnosis was established by supervised fasting up to 72\u2009hours and imaging. Her recorded blood sugar during fasting was 37\u2009mg\/dL. She underwent surgery and presently remains asymptomatic. Physicians should have a high suspicion of insulinoma in patients presenting with repeated episodes of hypoglycaemic symptoms in the absence of any cognizable cause.<\/jats:p>","DOI":"10.1136\/bcr-2022-249698","type":"journal-article","created":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T11:37:01Z","timestamp":1655206621000},"page":"e249698","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Pancreatic neuroendocrine tumour\u2014insulinoma masquerading as a psychiatric illness"],"prefix":"10.1136","volume":"15","author":[{"given":"Jnanaprakash B","family":"Karanth","sequence":"first","affiliation":[{"name":"General Medicine, Shripad Hegde Institute of Medical Sciences, Sirsi, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishwas","family":"Pai","sequence":"additional","affiliation":[{"name":"Oncosurgery, Shripad Hegde Institute of Medical Sciences, Sirsi, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran","family":"Maribashetti","sequence":"additional","affiliation":[{"name":"Internal Medicine, Army Hospital Research and Referral, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,6,14]]},"reference":[{"key":"2025082709221356000_15.6.e249698.1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i6.829"},{"key":"2025082709221356000_15.6.e249698.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)62083-7"},{"key":"2025082709221356000_15.6.e249698.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199504273321707"},{"key":"2025082709221356000_15.6.e249698.4","doi-asserted-by":"publisher","DOI":"10.1159\/000098010"},{"key":"2025082709221356000_15.6.e249698.5","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006-1430"},{"key":"2025082709221356000_15.6.e249698.6","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-07-0117"},{"key":"2025082709221356000_15.6.e249698.7","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-007-0045-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-249698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:22:19Z","timestamp":1756311739000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-249698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":7,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,6,14]]},"published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1136\/bcr-2022-249698"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-249698","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}