• Diabet. Med. · May 2011

    Case Reports

    Cerebral infarction associated with transient visual loss in child with diabetic ketoacidosis.

    • H S Lee and J S Hwang.
    • Department of Pediatrics, Ajou University School of Medicine, Ajou University Hospital, Suwon, Korea.
    • Diabet. Med. 2011 May 1; 28 (5): 516-8.

    BackgroundDiabetic 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.Case ReportWe report a girl with a newly diagnosed Type 1 diabetes mellitus who presented with diabetic ketoacidosis and developed cerebral infarction with transient visual loss.ConclusionsOur findings emphasize the importance of prompt evaluation and proper management of intracranial crises in diabetic ketoacidosis.© 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK.

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