Stroke in Pediatric Diabetic Ketoacidosis: Case Series

J Trop Pediatr. 2017 Aug 1;63(4):324-327. doi: 10.1093/tropej/fmw088.

Abstract

Diabetic ketoacidosis (DKA) can present with various neurological complications, but stroke is rare. Here, we present three children with recent-onset diabetes with DKA, two of them had deep coma not responding to standard DKA regimen and the third one had seventh nerve palsy noted after recovering from coma. Computed tomography scan of head showed hemorrhage in the area of midbrain in one patient and infarcts in two patients. In any child of DKA with severe neurological impairment, possibility of stroke should be entertained.

Keywords: children; diabetic ketoacidosis; stroke.

Publication types

  • Case Reports

MeSH terms

  • Brain Edema / diagnostic imaging*
  • Brain Edema / etiology
  • Child
  • Child, Preschool
  • Diabetic Ketoacidosis / complications*
  • Diabetic Ketoacidosis / drug therapy
  • Female
  • Humans
  • Insulin / administration & dosage
  • Male
  • Stroke / complications*
  • Stroke / diagnostic imaging
  • Stroke / etiology*
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Insulin