Acute cerebral dysfunction in diabetic ketoacidosis: Survival followed by panhypopituitarism
| Autor: | Thomas J. Reagan, T. Yanagihara, Edward G. Lufkin, David H. Doan |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Diabetic ketoacidosis Endocrinology Diabetes and Metabolism Encephalopathy Brain Edema Hypopituitarism Diabetic Ketoacidosis Cerebral edema Endocrinology Atrophy Internal medicine medicine Humans Cerebral dysfunction Acidosis business.industry medicine.disease Ketoacidosis Anesthesia Acute Disease Female medicine.symptom business |
| Zdroj: | Metabolism. 26:363-369 |
| ISSN: | 0026-0495 |
| DOI: | 10.1016/0026-0495(77)90103-2 |
| Popis: | We report a unique case of a 15-yr-old diabetic patient who survived ketoacidosis complicated by acute severe encephalopathy, hypopituitarism, and optic atrophy. We reviewed our 25-yr experience with fatal diabetic ketoacidosis; three additional cases resembled the “cerebral edema” syndrome. We observed that (1) cerebral edema is not often documented in this syndrome, (2) the cause of the acute neuronal disturbance in these patients may be hypoxic, with cerebral edema a secondary development, and (3) development of encephalopathy was probably unrelated to overvigorous correction of acidosis and hyperglycemia in our cases. |
| Databáze: | OpenAIRE |
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