Cerebral oedema in diabetic ketoacidosis.

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Fatal cerebral oedema in adult diabetic ketoacidosis.

In this report, a case of adult onset fatal cerebral oedema as a rare complication of diabetic ketoacidosis (DKA) is described and confirmed at post-mortem pathological examination. The pathogenesis of cerebral oedema due to DKA is still unknown. Potential mechanisms include the administration of sodium bicarbonate leading to intracellular acidosis, excessive fluid infusion causing swelling of ...

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Reversible cerebral oedema complicating diabetic ketoacidosis.

A young man with diabetic ketoacidosis developed the clinical features of cerebral oedema. This resolved without specific treatment. The mortality from ketoacidosis might be reduced if the syndrome was suspected and treated earlier.

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Hypopituitarism following cerebral oedema with diabetic ketoacidosis.

Clinical evidence of cerebral oedema occurs in approximately 1% of diabetic ketoacidosis episodes. Mortality from this serious complication is falling, but little is known of long term outcome. We describe hypopituitarism and executive dysfunction developing two years after cerebral oedema complicating diabetic ketoacidosis in a 12 year old with type 1 diabetes.

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A Case of Recurrent Cerebral Oedema in Diabetic Ketoacidosis

A 7-year-old girl presented with new onset type 1 diabetes, with moderate diabetic ketoacidosis. She developed clinical and radiologically confirmed cerebral oedema managed with mannitol. Despite slow normalisation of biochemical parameters and marked clinical improvement, she had a further episode of symptomatic cerebral oedema 50 hours following presentation.

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ژورنال

عنوان ژورنال: BMJ

سال: 1992

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.305.6865.1366-a