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Article
November 1937

HYPERINSULINISM: FINAL REPORT OF CASE INCLUDING NECROPSY OBSERVATIONS

Author Affiliations

LOS ANGELES, CALIF.

From the Department of Neurology and the Department of Surgery, the School of Medicine of the University of Southern California, the Department of Pathology, the Los Angeles County Hospital, and the Department of Pathology, the College of Medical Evangelists.

Arch Intern Med (Chic). 1937;60(5):753-771. doi:10.1001/archinte.1937.00180050020002
Abstract

The primary purpose of this paper is to record the subsequent progress and necropsy observations in the case of hyperinsulinism previously reported on.1 In addition, mention will be made of special studies in regard to the phosphate content of the blood, psychomotor tests and the sugar content and pressure of the spinal fluid.

REPORT OF CASE  A short résumé of the previous report is presented:A youth aged 19 was admitted in a state of coma to the Los Angeles County General Hospital on Sept. 8, 1930. For eighteen months he had had spells of weakness, headache, trembling and mental confusion which occurred at about noon. The sugar content of the blood was found to be 40 mg. per hundred cubic centimeters. He remained in coma for ten days. Right hemiparesis, anomial aphasia and apraxia and right hemianopia were present. The hemiparesis disappeared after three weeks; the aphasia, at

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