title: Occult infarct with acute hemorrhagic stroke in juvenile diabetic ketoacidosis.
abstract: Diabetes ketoacidosis (DKA) is one of the common complications of type I insulin-dependent diabetes mellitus. Neurological deterioration during an episode of DKA is usually assumed to be caused by cerebral edema and cerebral vascular accidents. However, hemorrhagic stroke is a very rare complication of juvenile DKA. We describe a girl who had newly diagnosed insulin-dependent diabetes mellitus with juvenile DKA developed intracerebral hemorrhage.
authors.affiliation: Division of Pediatric Neurology, Department of Pediatrics, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 5 Fu-Shin Street, Kwei-Shan, Taoyuan 333, Taiwan.
authors.forename: Jainn-Jim
authors.initials: JJ
authors.lastname: Lin
authors.forename: Kuang-Lin
authors.initials: KL
authors.lastname: Lin
authors.forename: Huei-Shyong
authors.initials: HS
authors.lastname: Wang
authors.forename: Alex Mun-Ching
authors.initials: AM
authors.lastname: Wong
authors.forename: Shao-Hsuan
authors.initials: SH
authors.lastname: Hsia
mesh_terms: D001921:Brain / Q000378:metabolism / Q000473:pathology / Q000503:physiopathology; D020520:Brain Infarction / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*; D002536:Cerebral Arteries / Q000503:physiopathology; D002543:Cerebral Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*; D002675:Child, Preschool; D048909:Diabetes Complications / Q000378:metabolism / Q000473:pathology / Q000503:physiopathology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000378:metabolism / Q000503:physiopathology; D016883:Diabetic Ketoacidosis / Q000150:complications* / Q000378:metabolism / Q000503:physiopathology; D005260:Female; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D026741:Physical Therapy Modalities; D013786:Thalamic Diseases / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D013788:Thalamus / Q000378:metabolism / Q000473:pathology / Q000503:physiopathology; D016896:Treatment Outcome
chemical_list: D007328:Insulin