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Symptomatic cerebral infarction in a child with severe diabetic ketoacidosis

Ayla Güven, Suna Hancili, Elif Y Karatoprak

    Journal of Pediatric Endocrinology & Metabolism : JPEM
    |May 15, 2014
    PubMed

    Insights

    Diabetic ketoacidosis (DKA) can cause serious brain complications like stroke in children. Early recognition and treatment are crucial for managing these rare but severe cerebrovascular events.

    Area of Science:

    • Pediatric Neurology
    • Endocrinology
    • Critical Care Medicine

    Background:

    • Diabetic ketoacidosis (DKA) is a frequent initial presentation of type 1 diabetes in children.
    • Intracerebral complications associated with DKA carry substantial mortality and morbidity risks.

    Observation:

    • A case report details a 4-year-old female presenting with ischemic-hemorrhagic stroke.
    • The stroke occurred as a direct complication of diabetic ketoacidosis.

    Findings:

    • Cerebrovascular complications, including stroke, are rare in pediatric DKA.
    • Younger children with DKA face elevated risks for these neurological events.

    Implications:

    • Highlights the importance of early identification and prompt management of DKA-related strokes in pediatric patients.
    • Emphasizes the need for clinical awareness regarding potential cerebrovascular complications in children with DKA.
    Abstract

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