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Published on: January 29, 2018
Imaging of the brain in children with type I diabetes mellitus
Sandra L Wootton-Gorges1, Nicole S Glaser
1Department of Radiology, UC Davis Children's Hospital, University of California, Davis Medical Center, Sacramento, CA, USA. sandra.gorges@ucdmc.ucdavis.edu
Insights
Type 1 diabetes mellitus (DM) impacts children
Area of Science:
- Pediatric neurology
- Endocrinology
- Radiology
Background:
- Type 1 diabetes mellitus (DM) is a prevalent childhood endocrine disorder.
- It affects multiple organ systems, with increasing focus on neurological complications.
- Brain structure and function can be significantly impacted by type 1 DM.
Purpose of the Study:
- To review key neuroimaging findings in pediatric patients with type 1 DM.
- To highlight the brain's response to acute metabolic disturbances and chronic disease.
- To discuss the spectrum of neurological effects associated with type 1 DM.
Main Methods:
- Review of current literature on neuroimaging in type 1 DM.
- Analysis of imaging features related to diabetic ketoacidosis and hypoglycemia.
- Examination of imaging findings in associated syndromes and long-term structural changes.
Main Results:
- Imaging reveals distinct brain alterations in children with type 1 DM during acute metabolic crises.
- Specific syndromes associated with type 1 DM present with characteristic neurological imaging findings.
- Long-term type 1 DM can lead to demonstrable structural changes in the developing brain.
Conclusions:
- Neuroimaging is crucial for understanding and managing brain complications in pediatric type 1 DM.
- Early detection of brain changes can inform therapeutic strategies.
- Further research is needed to elucidate the full impact of type 1 DM on brain development and function.
Abstract:
Type 1 diabetes mellitus (DM) affects about 1 in 500 children and can cause damage to multiple organ systems. In recent years, growing attention has been given to the effects of type 1 DM on the brain. In this article we review important imaging features of the brain in children with type 1 DM, including (1) imaging the child in diabetic ketoacidosis and the child with hypoglycemia, (2) syndromes associated with type 1 DM, and (3) long-term effects of type 1 DM on brain structure.
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