title: Stroke in Pediatric Diabetic Ketoacidosis: Case Series.
abstract: Diabetic ketoacidosis (DKA) can present with various neurological complications, but stroke is rare. Here, we present three children with recent-onset diabetes with DKA, two of them had deep coma not responding to standard DKA regimen and the third one had seventh nerve palsy noted after recovering from coma. Computed tomography scan of head showed hemorrhage in the area of midbrain in one patient and infarcts in two patients. In any child of DKA with severe neurological impairment, possibility of stroke should be entertained.
authors.affiliation: Department of Pediatrics, Government Medical College and Hospital, Chandigarh 160030, India.
authors.forename: Chandrika
authors.initials: C
authors.lastname: Azad
authors.affiliation: Department of Radiodiagnosis, Government Medical College and Hospital, Chandigarh 160030, India.
authors.forename: Ravinder
authors.initials: R
authors.lastname: Kaur
authors.affiliation: Department of Radiodiagnosis, Government Medical College and Hospital, Chandigarh 160030, India.
authors.forename: Dharmendra Kumar
authors.initials: DK
authors.lastname: Singh
authors.affiliation: Department of Pediatrics, Government Medical College and Hospital, Chandigarh 160030, India.
authors.forename: Adhi
authors.initials: A
authors.lastname: Arya
mesh_terms: D001929:Brain Edema / Q000000981:diagnostic imaging* / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D016883:Diabetic Ketoacidosis / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D020521:Stroke / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D007328:Insulin
keywords: children; diabetic ketoacidosis; stroke