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Pediatric emergency care · Dec 1990
Case ReportsSymptomatic cerebral swelling complicating diabetic ketoacidosis documented by intraventricular pressure monitoring: survival without neurologic sequela.
- E G Wood, J Go-Wingkun, A Luisiri, and T Aceto.
- Department of Pediatrics, Cardinal Glennon Children's Hospital, St. Louis, Missouri 63104.
- Pediatr Emerg Care. 1990 Dec 1; 6 (4): 285-8.
AbstractA six-year-old boy developed symptomatic cerebral swelling four hours after the initiation of treatment for newly diagnosed diabetes mellitus complicated by ketoacidosis. Ventriculostomy documented intracranial pressure over a two-day period. Increased intracranial pressure unresponsive to controlled hyperventilation and sedation was treated by administering a diuretic and by drainage via a ventriculostomy. Intracranial pressure monitoring was a useful adjunct in management of this rare, but often lethal, complication of diabetes mellitus. One year later, both school performance and the results of a neurologic examination were normal.
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