Stroke in Pediatric Diabetic Ketoacidosis: Case Series
Author(s) -
Chandrika Azad,
Ravinder Kaur,
Dharmendra Kumar Singh,
Adhi Arya
Publication year - 2016
Publication title -
journal of tropical pediatrics
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.464
H-Index - 51
eISSN - 1465-3664
pISSN - 0142-6338
DOI - 10.1093/tropej/fmw088
Subject(s) - medicine , diabetic ketoacidosis , coma (optics) , pediatrics , stroke (engine) , diabetes mellitus , surgery , mechanical engineering , engineering , endocrinology , optics , physics
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.
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