RT Journal Article
SR Electronic
T1 Cerebral venous thrombosis during diabetic ketoacidosis
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 204
OP 205
DO 10.1136/adc.86.3.204
VO 86
IS 3
A1 S Keane
A1 A Gallagher
A1 S Ackroyd
A1 M A McShane
A1 J A Edge
YR 2002
UL http://adc.bmj.com/content/86/3/204.abstract
AB 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.