Central brain herniation secondary to juvenile diabetic ketoacidosis.
نویسندگان
چکیده
We present the CT, MR, and autopsy findings of central brain herniation in a 9-year-old boy undergoing treatment for diabetic ketoacidosis (DKA). Severe cerebral edema resulting in central brain herniation is an uncommon complication of the treatment of DKA but carries with it high morbidity and mortality. Radiologic imaging and autopsy findings in this case revealed striking infarctions of central brain structures.
منابع مشابه
Cerebral oedema with coning in diabetic keto-acidosis. Report of 2 survivors.
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 ...
متن کاملCauses of Hospitalization for Children with Diabetes and the Principles of Dietary Guidelines
From 23,231 total admission to three children's hospitals in Teheran over 3years and 6 months to 8 years period, 83 patients were found to have diabetes, 23 per thousand. The incidence of diabetes in children increases with age and is maximum in adolescence. In 83 diabetic children 59 were male and 24 female (F /M:(0.4.) From 83 diabetic patients 25 (31.2p.c.) were admitted with ketoacid...
متن کاملA new scoring system for stratifying risk for cerebral edema in children suffering diabetic ketoacidosis
Background: Predicting adverse neurovascular complications due to diabetic ketoacidosis (DKA) particularly in children leads to more appropriately management of disease as well as achievement of acceptable patients' survival. Cerebral edema is a life-threatening adverse event following DKA responsible for high mortality rate. Recently, authors have focused introducing new risk assessment tools ...
متن کاملJuvenile diabetes mellitus masquerading as disseminated candidiasis.
Junvenile diabetes mellitus may present acutely as diabetic ketoacidosis or with a chronic history of polyuria, polydipsia and polyphagia. Uncommon presentations include unexplained fever and weight loss, abdominal pain and secondary enuresis. Pyogenic skin infections and monilial vaginitis in teenage girls and adults may be present at the time of diagnosis but are rarely the sole presenting fe...
متن کاملSimulated diabetic ketoacidosis therapy in vitro elicits brain cell swelling via sodium-hydrogen exchange and anion transport.
A common complication of type 1 diabetes mellitus is diabetic ketoacidosis (DKA), a state of severe insulin deficiency. A potentially harmful consequence of DKA therapy in children is cerebral edema (DKA-CE); however, the mechanisms of therapy-induced DKA-CE are unknown. Our aims were to identify the DKA treatment factors and membrane mechanisms that might contribute specifically to brain cell ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 20 10 شماره
صفحات -
تاریخ انتشار 1999