Cerebral infarction associated with transient visual loss in child with diabetic ketoacidosis.
BACKGROUND
Diabetic ketoacidosis is a metabolic disorder caused by insulin deficiency and is the most important cause of mortality and morbidity in children with Type 1 diabetes mellitus. Acute neurological complications related to diabetic ketoacidosis include cerebral oedema, cerebral infarction, brain herniation, cortical venous thrombosis and cerebral haemorrhage. Cerebral infarction is rare in juvenile diabetic ketoacidosis.


METHODS
We report a girl with a newly diagnosed Type 1 diabetes mellitus who presented with diabetic ketoacidosis and developed cerebral infarction with transient visual loss.


CONCLUSIONS
Our findings emphasize the importance of prompt evaluation and proper management of intracranial crises in diabetic ketoacidosis.
Department of Pediatrics, Ajou University School of Medicine, Ajou University Hospital, Suwon, Korea.
H S
HS
Lee
J S
JS
Hwang
D002544:Cerebral Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000188:drug therapy*; D016883:Diabetic Ketoacidosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D007328:Insulin / Q000627:therapeutic use*; D011859:Radiography; D016896:Treatment Outcome; D014786:Vision Disorders / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*
D007328:Insulin