Bilateral basal ganglion haemorrhage in diabetic ketoacidotic coma: case report.
We report bilateral oedema and haemorrhagic transformation in the basal ganglia of a 59-year old woman with severe diabetic ketoacidosis. Lack of cerebral vascular autoregulation, followed by blood-brain barrier disruption due to the so-called breakthrough mechanism is presumed to be the cause.
Ertl-Wagner
B
B
Department of Neuroradiology, University of Heidelberg School of Medicine, Im Neuenheimer Feld 400, D-69120 Heidelberg, Germany. 100610.1545@compuserve.com
Jansen
O
O
Schwab
S
S
Sartor
K
K
D001479:Basal Ganglia / Q000473:pathology; D020145:Basal Ganglia Hemorrhage / Q000175:diagnosis*; D001929:Brain Edema / Q000175:diagnosis; D003337:Corpus Callosum / Q000473:pathology; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis*; D003926:Diabetic Coma / Q000175:diagnosis*; D016883:Diabetic Ketoacidosis / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D014057:Tomography, X-Ray Computed