Occult infarct with acute hemorrhagic stroke in juvenile diabetic ketoacidosis

Brain Dev. 2008 Jan;30(1):91-3. doi: 10.1016/j.braindev.2007.06.001. Epub 2007 Jul 16.

Abstract

Diabetes ketoacidosis (DKA) is one of the common complications of type I insulin-dependent diabetes mellitus. Neurological deterioration during an episode of DKA is usually assumed to be caused by cerebral edema and cerebral vascular accidents. However, hemorrhagic stroke is a very rare complication of juvenile DKA. We describe a girl who had newly diagnosed insulin-dependent diabetes mellitus with juvenile DKA developed intracerebral hemorrhage.

Publication types

  • Case Reports

MeSH terms

  • Brain / metabolism
  • Brain / pathology
  • Brain / physiopathology
  • Brain Infarction / etiology*
  • Brain Infarction / pathology
  • Brain Infarction / physiopathology*
  • Cerebral Arteries / physiopathology
  • Cerebral Hemorrhage / etiology*
  • Cerebral Hemorrhage / pathology
  • Cerebral Hemorrhage / physiopathology*
  • Child, Preschool
  • Diabetes Complications / metabolism
  • Diabetes Complications / pathology
  • Diabetes Complications / physiopathology*
  • Diabetes Mellitus, Type 1 / complications
  • Diabetes Mellitus, Type 1 / metabolism
  • Diabetes Mellitus, Type 1 / physiopathology
  • Diabetic Ketoacidosis / complications*
  • Diabetic Ketoacidosis / metabolism
  • Diabetic Ketoacidosis / physiopathology
  • Female
  • Humans
  • Insulin / therapeutic use
  • Magnetic Resonance Imaging
  • Physical Therapy Modalities
  • Thalamic Diseases / etiology
  • Thalamic Diseases / pathology
  • Thalamic Diseases / physiopathology
  • Thalamus / metabolism
  • Thalamus / pathology
  • Thalamus / physiopathology
  • Treatment Outcome

Substances

  • Insulin