A case of diabetic ketoacidosis with posterior cerebral artery territory ischemic stroke mimicking uncal herniation
- Author:
Jin Ho KIM
1
;
Kyo Un CHO
;
Min Sun KIM
;
Sun Jun KIM
Author Information
- Publication Type:Case Report
- From:Pediatric Emergency Medicine Journal 2020;7(2):135-139
- CountryRepublic of Korea
- Language:Korean
- Abstract: In diabetic ketoacidosis, hyperglycemia and ketosis result in cerebral vasculitis, which can cause cerebral edema and thrombosis. A previously healthy, 12-year-old girl visited the emergency department with a history of vomiting, polydipsia, polyuria, decreased mentality, and a 7 kg (12%) weight loss within 1 week. She showed laboratory features of severe diabetic ketoacidosis, stuporous mentality, respiratory failure, and unilateral fixed mydriasis with contralateral hemiparesis. However, brain magnetic resonance imaging showed multifocal ischemic stroke mainly involving the left posterior cerebral artery territory, instead of uncal herniation. This case highlights the possible occurrence of ischemic stroke in children with early-stage diabetes mellitus.
