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

H S Lee1, J S Hwang

  • 1Department of Pediatrics, Ajou University School of Medicine, Ajou University Hospital, Suwon, Korea.

Diabetic Medicine : a Journal of the British Diabetic Association
|January 20, 2011
PubMed

Insights

Diabetic ketoacidosis in children with Type 1 diabetes can rarely cause cerebral infarction. Prompt evaluation and management of neurological complications are crucial for better outcomes.

Area of Science:

  • Pediatric Endocrinology
  • Neurology
  • Metabolic Disorders

Background:

  • Diabetic ketoacidosis (DKA) is a severe complication of Type 1 diabetes mellitus (T1DM) in children.
  • DKA results from insulin deficiency, leading to metabolic derangement.
  • Neurological complications, though rare, can occur during DKA management.

Observation:

  • A case of a newly diagnosed Type 1 diabetes mellitus patient presenting with DKA is described.
  • The patient developed cerebral infarction, a rare neurological complication.
  • Transient visual loss was observed in conjunction with the cerebral infarction.

Findings:

  • Cerebral infarction is an uncommon but serious neurological complication of DKA in pediatric T1DM.
  • DKA management requires vigilant monitoring for acute neurological events.
  • This case highlights a rare presentation of DKA with cerebral infarction and visual disturbances.

Implications:

  • Emphasizes the need for early recognition and management of intracranial complications in DKA.
  • Highlights the importance of a multidisciplinary approach involving endocrinologists and neurologists.
  • Underscores the potential for severe neurological sequelae in pediatric DKA, necessitating prompt intervention.
Abstract

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