Cerebral oedema with coning in diabetic keto-acidosis. Report of 2 survivors.

نویسندگان

  • N N Kalis
  • P L van der Merwe
  • J F Schoeman
  • R M Smith
چکیده

Two children presented with a first episode of diabetic ketoacidosis. Initially both patients made a good clinical and biochemical recovery, but suddenly developed neurological signs consistent with a diagnosis of tentorial herniation. Cranial computed tomography showed signs of cerebral oedema in both cases with evidence of uncal and tentorial herniation in 1 patient, which resolved after the appropriate treatment. The excellent neurological outcome emphasises the need for early recognition and treatment of sudden onset brain oedema in diabetic keto-acidosis.

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عنوان ژورنال:
  • South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde

دوره 79 12  شماره 

صفحات  -

تاریخ انتشار 1991