Symptomatic cerebral swelling complicating diabetic ketoacidosis documented by intraventricular pressure monitoring: survival without neurologic sequela.
A six-year-old boy developed symptomatic cerebral swelling four hours after the initiation of treatment for newly diagnosed diabetes mellitus complicated by ketoacidosis. Ventriculostomy documented intracranial pressure over a two-day period. Increased intracranial pressure unresponsive to controlled hyperventilation and sedation was treated by administering a diuretic and by drainage via a ventriculostomy. Intracranial pressure monitoring was a useful adjunct in management of this rare, but often lethal, complication of diabetes mellitus. One year later, both school performance and the results of a neurologic examination were normal.
Wood
E G
EG
Department of Pediatrics, Cardinal Glennon Children's Hospital, St. Louis, Missouri 63104.
Go-Wingkun
J
J
Luisiri
A
A
Aceto
T
T
D001929:Brain Edema / Q000150:complications / Q000175:diagnosis / Q000209:etiology*; D002648:Child; D016883:Diabetic Ketoacidosis / Q000150:complications*; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology*; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D014696:Ventriculostomy