The lethargic diabetic: cerebral edema in pediatric patients in diabetic ketoacidosis.
Diabetic ketoacidosis (DKA) is the leading cause of hospitalizations for pediatric patients with diabetes mellitus. The most severe complication of DKA is cerebral edema that may lead to brain herniation. We present a case report that highlights the subclinical presentation of DKA-related cerebral edema in a pediatric patient and review the acute care management of suspected cerebral edema during transport.
Nationwide Children's Hospital, The Ohio State University, Columbus, OH. Electronic address: Samantha.Gee@nationwidechildrens.org.
Samantha W
SW
Gee
D001921:Brain / Q000000981:diagnostic imaging*; D001929:Brain Edema / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000628:therapy*; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000628:therapy*; D005440:Fluid Therapy / Q000379:methods; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D053609:Lethargy / Q000209:etiology / Q000628:therapy*; D008297:Male; D012462:Saline Solution, Hypertonic / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D007004:Hypoglycemic Agents; D007328:Insulin; D012462:Saline Solution, Hypertonic