Occult infarct with acute hemorrhagic stroke in juvenile diabetic ketoacidosis.
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.
Lin
Jainn-Jim
JJ
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.
Lin
Kuang-Lin
KL
Wang
Huei-Shyong
HS
Wong
Alex Mun-Ching
AM
Hsia
Shao-Hsuan
SH
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
D007328:Insulin