Cerebral Accidents in Pediatric Diabetic Ketoacidosis: Different Complications and Different Evolutions.

Abstract:

:Diabetic ketoacidosis (DKA) may be associated with neurologic complications: the most common is cerebral edema while the risk of venous and arterial stroke is rare. There is a pathogenetic link between DKA, hypercoagulability and stroke, whose risk is underestimated by clinicians. Our cases present a wide spectrum of cerebral accidents during DKA, the first one being diffuse cerebral edema, the second one venous stroke after 5 days of DKA resolution, while the third one multifocal edema suspected to be extrapontine myelinolysis although without electrolyte imbalance. Our cases suggest that DKA requires very accurate treatment, particularly at an early age, and it can be complicated by cerebral accidents even with appropriate medical care.

journal_name

Horm Res Paediatr

authors

Mozzillo E,D'Amico A,Fattorusso V,Carotenuto B,Buono P,De Nitto E,Falco M,Franzese A

doi

10.1159/000382016

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

139-44

issue

2

eissn

1663-2818

issn

1663-2826

pii

000382016

journal_volume

84

pub_type

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