Symptomatic cerebral swelling complicating diabetic ketoacidosis documented by intraventricular pressure monitoring: survival without neurologic sequela

Pediatr Emerg Care. 1990 Dec;6(4):285-8. doi: 10.1097/00006565-199012000-00009.


A six-year-old boy developed symptomatic cerebral swelling four hours after the initiation of treatment for newly diagnosed diabetes mellitus complicated by ketoacidosis. Ventriculostomy documented intracranial pressure over a two-day period. Increased intracranial pressure unresponsive to controlled hyperventilation and sedation was treated by administering a diuretic and by drainage via a ventriculostomy. Intracranial pressure monitoring was a useful adjunct in management of this rare, but often lethal, complication of diabetes mellitus. One year later, both school performance and the results of a neurologic examination were normal.

Publication types

  • Case Reports

MeSH terms

  • Brain Edema / complications
  • Brain Edema / diagnosis
  • Brain Edema / etiology*
  • Child
  • Diabetic Ketoacidosis / complications*
  • Humans
  • Intracranial Pressure / physiology*
  • Male
  • Monitoring, Physiologic / methods
  • Ventriculostomy