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Cerebral edema before onset of therapy in newly diagnosed type 2 diabetes
Author(s) -
Morales Alba E,
Daniels Kerri A
Publication year - 2009
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/j.1399-5448.2008.00461.x
Subject(s) - medicine , diabetic ketoacidosis , cerebral edema , diabetes mellitus , edema , type 2 diabetes , medical record , hypertonic saline , pediatrics , institutional review board , brain edema , type 1 diabetes , anesthesia , surgery , endocrinology
To discuss the management of a rare case of cerebral edema before initiation of therapy in an adolescent with new‐onset type 2 diabetes. The University of Arkansas for Medical Sciences Institutional Review Board approved the review of medical records. A previously healthy obese adolescent female suffered diabetic ketoacidosis (DKA)‐related cerebral edema before initiation of therapy. Prompt management was associated with complete recovery. DKA‐related cerebral edema before treatment can occur in patients with new‐onset type 2 diabetes. Use of mannitol and hypertonic saline solution should be considered in the management of DKA‐related cerebral edema.