Life-Threatening Cerebral Edema in Diabetes: A Preventable Complication?

1990 ◽  
pp. 9-15
Author(s):  
Arlan L. Rosenbloom
2020 ◽  
Vol 33 (2) ◽  
pp. 319-322
Author(s):  
Krzysztof Jeziorny ◽  
Arleta Waszczykowska ◽  
Dobromiła Barańska ◽  
Agnieszka Szadkowska ◽  
Wojciech Młynarski ◽  
...  

AbstractBackgroundCerebral edema (CE) is one of the most serious complications of diabetic ketoacidosis (DKA) and can result in central nervous system (CNS) disorders and even lead to death of the patient.Case presentationWe present the case of a 11-year-old boy with severe DKA in the course of newly diagnosed type 1 diabetes (T1D). The delay in the diagnosis of DKA and some therapeutic problems contributed to the development of CE and direct life-threatening conditions. Early diagnosis of CE development in the course of DKA using non-invasive methods such as pachymetry or transorbital ultrasound seems to be a very important prognostic factor.ConclusionsThis case highlights the importance of appropriate treatment according to the newest recommendations and presents the usefulness of new diagnostic methods to assess the risk of CE in children with newly diagnosed T1D.


2008 ◽  
Vol 23 (8) ◽  
pp. 889-894 ◽  
Author(s):  
Vijay Ramaswamy ◽  
Vivek Mehta ◽  
Mary Bauman ◽  
Lawrence Richer ◽  
Patti Massicotte ◽  
...  

2012 ◽  
Vol 36 (1) ◽  
pp. 272-275 ◽  
Author(s):  
Keitaro Sofue ◽  
Yoshito Takeuchi ◽  
Yasuaki Arai ◽  
Kazuro Sugimura

2019 ◽  
Vol 12 (3) ◽  
pp. 89-90
Author(s):  
John Henry Carson ◽  
Lindall E. Smith ◽  
Poornima Pandiyan ◽  
Priyank J Yagnik

The prevalence of diabetic ketoacidosis (DKA) in children with type 1 diabetes mellitus (T1DM) is 30% at the time of diagnosis.1 Cerebral edema is a rare, but life-threatening complication of DKA, occurring in only 0.3 - 1% of cases.2 Deep vein thrombosis and acute pancreatitis are other rare complications of DKA. Supraventricular tachycardia (SVT) as a complication of pediatric DKA has been reported.3 A unique case of a pediatric patient who had multiple rare complications of DKA including cerebral edema, venous thrombosis, and hypertriglyceridemia associated acute pancreatitis is presented.The SVT episode encountered during the admission was due to complications arising from a procedure and not due to DKA itself.


2021 ◽  
Vol 27 (6) ◽  
pp. S87
Author(s):  
L. Maria Belalcazar ◽  
Nicholas Gore ◽  
Deepam Joseph

2009 ◽  
Vol 15 (4) ◽  
pp. 181-184 ◽  
Author(s):  
Matt T. Bianchi ◽  
Catherine Lavigne ◽  
Farzaneh Sorond ◽  
Bonnie Bermas

Neurosurgery ◽  
2014 ◽  
Vol 74 (suppl_1) ◽  
pp. S151-S162 ◽  
Author(s):  
Pankaj K. Agarwalla ◽  
Christopher J. Stapleton ◽  
Christopher S. Ogilvy

Abstract Anterior and posterior circulation acute ischemic stroke carries significant morbidity and mortality as a result of malignant cerebral edema. Decompressive craniectomy has evolved as a viable neurosurgical intervention in the armamentarium of treatment options for this life-threatening edema. In this review, we highlight the history of craniectomy for stroke and discuss recent data relevant to its efficacy in modern neurosurgical practice.


2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ahmad M. Eltelety ◽  
Ahmed A. Nassar ◽  
Ahmed M. El Batawi ◽  
Sherif G. Ibrahim

Abstract Background Internal jugular vein (IJV) blowout after major oncologic resections in the head and neck is a rare fatal yet preventable complication. The condition is unregistered sufficiently in the literature. Results The records of patients who underwent oncologic neck surgery were retrospectively reviewed. The study included records between January 2014 and November 2019 at Kasr Al Ainy Educational Hospital. 275 patients underwent cervical ablative procedures. Ten patients developed IJV blowout. Six patients were saved. Four patients had diabetes mellitus with postoperative wound infection and dehiscence. Three patients were given primary radiotherapy; two of them developed flap necrosis. Eight patients acquired pharyngocutaneous fistula (PCF). Regional flap coverage was done in three patients. Sentinel hemorrhage occurred in all patients. Conclusions IJV blowout is a rare potentially life-threatening complication usually preceded by sentinel hemorrhage. The condition is essentially preventable by the prompt and structured response.


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