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Acute paediatrics
Cerebral venous thrombosis during diabetic ketoacidosis
  1. S Keane1,
  2. A Gallagher1,
  3. S Ackroyd2,
  4. M A McShane1,
  5. J A Edge1
  1. 1Department of Paediatrics, John Radcliffe Hospital, Oxford
  2. 2Paediatric Department, Cheltenham General Hospital, Cheltenham, UK
  1. Correspondence to:
    Dr J A Edge, Department of Paediatrics, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK;
    julie.edge{at}paediatrics.ox.ac.uk

Abstract

Neurological deterioration during an episode of diabetic ketoacidosis is usually assumed to be caused by cerebral oedema. We present a case of cerebral venous sinus thrombosis presenting in a similar manner, also associated with severe iron deficiency anaemia. Computed tomography scanning provided the correct diagnosis and allowed institution of anticoagulation with improvement in neurological outcome. Neuroimaging should always be performed in suspected cerebral oedema associated with diabetic ketoacidosis in order to exclude other pathologies.

  • diabetic ketoacidosis
  • cerebral venous thrombosis
  • cerebral oedema
  • CT, computed tomography
  • CVT, cerebral venous thrombosis
  • DKA, diabetic ketoacidosis

https://doi.org/10.1136/adc.86.3.204

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