Serial optic nerve sheath diameter ultrasonography during pediatric diabetic ketoacidosis management: A pilot study

Abstract Objective Intracranial hypertension is an infrequent but serious acute complication of pediatric diabetic ketoacidosis (DKA). Subclinical elevations of intracranial pressures however, may be more common, and can be indirectly evaluated with ultrasonography of the optic nerve sheath diameter (ONSD). In this pilot study, we report serial data on ONSD trajectories from five pediatric patients with DKA to generate hypotheses for future studies. Methods Five pediatric patients with type 1 diabetes presented to our emergency department with DKA and enrolled in our study