期刊
PEDIATRIC DIABETES
卷 7, 期 2, 页码 116-121出版社
WILEY
DOI: 10.1111/j.1399-543X.2006.00151.x
关键词
DKA; pediatric; thrombosis; type 1 diabetes mellitus; stroke
Neurological deterioration in children with diabetic ketoacidosis (DKA) is commonly caused by cerebral edema. However, stroke should also be suspected when focal neurological deficits are apparent, because children with hyperglycemia and DKA are prone to thrombosis. We report three cases of pediatric stroke associated with new onset type 1 diabetes mellitus (T1DM). The first case presented with sinovenous thrombosis, and the other two cases presented in DKA and had a late diagnosis of ischemic stroke following neurological deterioration. Our recent experiences and review of the literature emphasize the importance of early diagnosis, investigation, and treatment for patients that present with new onset T1DM and stroke.
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