Hyperinsulinism-hyperammonemia syndrome in two Peruvian children with refractory epilepsy.
Miguel Angel De Los Santos-La TorreCarlos Manuel Del Águila-VillarLuis Rómulo Lu-de LamaOswaldo Nuñez-AlmacheEliana Manuela Chávez-TejadaOscar Antonio Espinoza-RoblesPaola Marianella Pinto-IbárcenaMartha Rosario Calagua-QuispePamela Miluska Azabache-TafurRosa María Tucto-ManchegoPublished in: Journal of pediatric endocrinology & metabolism : JPEM (2022)
HI/HA syndrome went unnoticed, because hypoglycemia was missed and were considered partially controlled epilepsies. A failure to recognize hypoglycemic seizures will delay diagnosis and adequate treatment, so a proper investigation could avoid irreversible neurological damage.