Diabetic ketoacidosis presenting as a cerebral venous sinus thrombosis.
Cerebral venous sinus thrombosis is an uncommon condition with a variable clinical presentation, often resulting in a delayed diagnosis. The most common risk factors are pregnancy and puerperium, oral contraceptive use, head injury, dehydration, blood dyscrasias, malignancies, and systemic diseases. We present a nineteen-year-old female in whom a superior sagittal sinus thrombosis was caused by dehydration during diabetic ketoacidosis and led to the diagnosis of new-onset type 1 diabetes mellitus. To our knowledge this is the first published report of a cerebral venous sinus thrombosis in association with diabetic ketoacidosis in an adult.
De Keyzer
Kristel
K
Department of Neurology, Ghent University Hospital, Ghent, Belgium.
Paemeleire
Koen
K
De Clerck
Matti
M
Peeters
Dirk
D
De Reuck
Jacques L
JL
D000328:Adult; D001921:Brain / Q000473:pathology; D016883:Diabetic Ketoacidosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis*; D020246:Venous Thrombosis / Q000175:diagnosis