Affiliation:
1. Department of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan
2. Department of Emergency and Critical Care Medicine Kawaguchi Municipal Medical Center Saitama Japan
Abstract
AbstractBackgroundDiabetic ketoacidosis (DKA) is associated with a high mortality rate, especially if cerebral edema develops during the disease course. It is rarer and more severe in adults than in children. We present cases of two patients with cerebral edema‐related DKA.Case presentationThe first patient was a 38‐year‐old man with diabetes mellitus who presented with DKA‐related disturbed consciousness. Although glycemic correction was performed slowly, he showed pupil dilation 11 h later. He underwent emergency ventricular drainage, but died of cerebral herniation. The second patient was a 25‐year‐old woman who presented with impaired consciousness secondary to DKA. Head computed tomography showed subarachnoid hemorrhage and cerebral edema. No related intraoperative findings were observed; it was concluded that the first computed tomography scan revealed pseudo‐subarachnoid hemorrhage.ConclusionDiabetic ketoacidosis‐related cerebral edema develops despite treatment according to guidelines and is difficult to predict. Therefore, adult patients should be treated cautiously during DKA management.
Subject
Industrial and Manufacturing Engineering,Materials Science (miscellaneous),Business and International Management
Cited by
4 articles.
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