Cerebral oedema with coning in diabetic keto-acidosis : report of 2 survivors
Two children presented with a first episode of diabetic ketoacidosis. Initially both patients made a good clinical and biochemical recovery, but suddenly developed neurological signs consistent with a diagnosis of tentorial herniation. Cranial computed tomography showed signs of cerebral oedema in b...
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| Veröffentlicht in: | South African medical journal 1991-06, Vol.79 (12), p.727-731 |
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| container_title | South African medical journal |
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| creator | KALIS, N. N VAN DER MERWE, P.-L SCHOEMAN, J. F SMITH, R. M. L |
| description | Two children presented with a first episode of diabetic ketoacidosis. Initially both patients made a good clinical and biochemical recovery, but suddenly developed neurological signs consistent with a diagnosis of tentorial herniation. Cranial computed tomography showed signs of cerebral oedema in both cases with evidence of uncal and tentorial herniation in 1 patient, which resolved after the appropriate treatment. The excellent neurological outcome emphasises the need for early recognition and treatment of sudden onset brain oedema in diabetic keto-acidosis. |
| format | Article |
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N ; VAN DER MERWE, P.-L ; SCHOEMAN, J. F ; SMITH, R. M. L</creator><creatorcontrib>KALIS, N. N ; VAN DER MERWE, P.-L ; SCHOEMAN, J. F ; SMITH, R. M. L</creatorcontrib><description>Two children presented with a first episode of diabetic ketoacidosis. Initially both patients made a good clinical and biochemical recovery, but suddenly developed neurological signs consistent with a diagnosis of tentorial herniation. Cranial computed tomography showed signs of cerebral oedema in both cases with evidence of uncal and tentorial herniation in 1 patient, which resolved after the appropriate treatment. The excellent neurological outcome emphasises the need for early recognition and treatment of sudden onset brain oedema in diabetic keto-acidosis.</description><identifier>ISSN: 0256-9574</identifier><identifier>PMID: 1904633</identifier><identifier>CODEN: SAMJAF</identifier><language>eng</language><publisher>Pinelands: Medical Association of South Africa</publisher><subject>Associated diseases and complications ; Biological and medical sciences ; Brain - diagnostic imaging ; Brain Edema - diagnostic imaging ; Brain Edema - etiology ; Child ; Diabetes. Impaired glucose tolerance ; Diabetic Ketoacidosis - complications ; Endocrine pancreas. 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F</creatorcontrib><creatorcontrib>SMITH, R. M. L</creatorcontrib><title>Cerebral oedema with coning in diabetic keto-acidosis : report of 2 survivors</title><title>South African medical journal</title><addtitle>S Afr Med J</addtitle><description>Two children presented with a first episode of diabetic ketoacidosis. Initially both patients made a good clinical and biochemical recovery, but suddenly developed neurological signs consistent with a diagnosis of tentorial herniation. Cranial computed tomography showed signs of cerebral oedema in both cases with evidence of uncal and tentorial herniation in 1 patient, which resolved after the appropriate treatment. The excellent neurological outcome emphasises the need for early recognition and treatment of sudden onset brain oedema in diabetic keto-acidosis.</description><subject>Associated diseases and complications</subject><subject>Biological and medical sciences</subject><subject>Brain - diagnostic imaging</subject><subject>Brain Edema - diagnostic imaging</subject><subject>Brain Edema - etiology</subject><subject>Child</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Ketoacidosis - complications</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Tomography, X-Ray Computed</subject><subject>Tropical medicine</subject><issn>0256-9574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j81KxDAYRbNQxnH0EYQsxF0h_23dyeAfjLjRdfmSfNVo29SkHfHtHbC4ulzO4cI9ImsmtClqXaoTcprzBzt0XZsVWfGaKSPlmjxtMaFN0NGIHnug32F6py4OYXijYaA-gMUpOPqJUyzABR9zyPSaJhxjmmhsqaB5TvuwjymfkeMWuoznS27I693ty_ah2D3fP25vdsXINZsKBHSuFMx5WXLjvC55LavWV5aD5bJS3HvBBWcgrOW64qYGoVovjVHeay835Opvd0zxa8Y8NX3IDrsOBoxzbipmmNGaH8SLRZxtj74ZU-gh_TTL_wO_XDhkB12bYHAh_2tKibpklfwFp2Vh-g</recordid><startdate>19910615</startdate><enddate>19910615</enddate><creator>KALIS, N. N</creator><creator>VAN DER MERWE, P.-L</creator><creator>SCHOEMAN, J. F</creator><creator>SMITH, R. M. L</creator><general>Medical Association of South Africa</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19910615</creationdate><title>Cerebral oedema with coning in diabetic keto-acidosis : report of 2 survivors</title><author>KALIS, N. N ; VAN DER MERWE, P.-L ; SCHOEMAN, J. F ; SMITH, R. M. L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p150t-eaecc720cd3716cd571938fd8b1ab13841dd21210a2bb158169a24fd3664dd5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Associated diseases and complications</topic><topic>Biological and medical sciences</topic><topic>Brain - diagnostic imaging</topic><topic>Brain Edema - diagnostic imaging</topic><topic>Brain Edema - etiology</topic><topic>Child</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Ketoacidosis - complications</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Tomography, X-Ray Computed</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KALIS, N. N</creatorcontrib><creatorcontrib>VAN DER MERWE, P.-L</creatorcontrib><creatorcontrib>SCHOEMAN, J. F</creatorcontrib><creatorcontrib>SMITH, R. M. 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L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral oedema with coning in diabetic keto-acidosis : report of 2 survivors</atitle><jtitle>South African medical journal</jtitle><addtitle>S Afr Med J</addtitle><date>1991-06-15</date><risdate>1991</risdate><volume>79</volume><issue>12</issue><spage>727</spage><epage>731</epage><pages>727-731</pages><issn>0256-9574</issn><coden>SAMJAF</coden><abstract>Two children presented with a first episode of diabetic ketoacidosis. Initially both patients made a good clinical and biochemical recovery, but suddenly developed neurological signs consistent with a diagnosis of tentorial herniation. Cranial computed tomography showed signs of cerebral oedema in both cases with evidence of uncal and tentorial herniation in 1 patient, which resolved after the appropriate treatment. The excellent neurological outcome emphasises the need for early recognition and treatment of sudden onset brain oedema in diabetic keto-acidosis.</abstract><cop>Pinelands</cop><pub>Medical Association of South Africa</pub><pmid>1904633</pmid><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | South African medical journal, 1991-06, Vol.79 (12), p.727-731 |
| issn | 0256-9574 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Associated diseases and complications Biological and medical sciences Brain - diagnostic imaging Brain Edema - diagnostic imaging Brain Edema - etiology Child Diabetes. Impaired glucose tolerance Diabetic Ketoacidosis - complications Endocrine pancreas. Apud cells (diseases) Endocrinopathies Female Humans Medical sciences Tomography, X-Ray Computed Tropical medicine |
| title | Cerebral oedema with coning in diabetic keto-acidosis : report of 2 survivors |
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