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Diabetic ketoacidosis presenting as a cerebral venous sinus thrombosis
Kristel De Keyzer1, Koen Paemeleire, Matti De Clerck
1Department of Neurology, Ghent University Hospital, Ghent, Belgium.
Abstract:
Cerebral venous sinus thrombosis is an uncommon condition with a variable clinical presentation, often resulting in a delayed diagnosis. The most common risk factors are pregnancy and puerperium, oral contraceptive use, head injury, dehydration, blood dyscrasias, malignancies, and systemic diseases. We present a nineteen-year-old female in whom a superior sagittal sinus thrombosis was caused by dehydration during diabetic ketoacidosis and led to the diagnosis of new-onset type 1 diabetes mellitus. To our knowledge this is the first published report of a cerebral venous sinus thrombosis in association with diabetic ketoacidosis in an adult.
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