Cerebral oedema with coning in diabetic keto-acidosis. Report of 2 survivors

Kalis N.N. ; Van Der Merwe P.-L. ; Schoeman J.F. ; Smith R.M.L. (1991)

Article

The original publication is available at http://www.samj.org.za

Article

Two children presented with a first episode of diabetic keto-acidosis. Initially both patients made a good clinical and biochemical recovery, but suddenly developed neurological signs consistent with a diagnosis of tentorial herniation. Cranial computed tomography showed signs of cerebral oedema in both cases with evidence of uncal and tentorial herniation in 1 patient, which resolved after the appropriate treatment. The excellent neurological outcome emphasises the need for early recognition and treatment of sudden onset brain oedema in diabetic keto-acidosis.

Please refer to this item in SUNScholar by using the following persistent URL: http://hdl.handle.net/10019.1/7321
This item appears in the following collections: