Journal article
Diabetic ketoacidosis with cerebral hemorrhage and alpha coma in an adolescent female
Journal of pediatric endocrinology & metabolism : JPEM, v 26(5-6), pp 561-564
2013
PMID: 23515102
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Diabetic ketoacidosis (DKA) is one of the most common and harmful complications of type 1 diabetes in children. The neurologic morbidities, including seizure activity, motor/sensory deficit, and coma, can be seen secondary to cerebral edema, hemorrhage, or ischemia. Alpha-frequency is a normal 8-13 Hz physiologic electroencephalogram rhythm that is seen most prominently in the occipital region of awake people and is augmented by eye closure. In the comatose patient, alpha-rhythm is not usually seen. Alpha-frequency coma (AC) is a rare finding in comatose patients and is generally associated with a poor prognosis.
We report an adolescent with severe DKA, intraparenchymal cerebral hemorrhage, and AC, who had a rapid resolution of the neurologic symptoms.
Similar to other reported cases, our case suggests that the prognosis for patients with AC may not be always poor when it is associated with DKA.
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Details
- Title
- Diabetic ketoacidosis with cerebral hemorrhage and alpha coma in an adolescent female
- Creators
- Zohreh Shoar - St. Christopher's Hospital for ChildrenChristopher DunneWilliam YornsFrancesco De LucaGeoffrey Rezvani
- Publication Details
- Journal of pediatric endocrinology & metabolism : JPEM, v 26(5-6), pp 561-564
- Publisher
- De Gruyter
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000318500400023
- Scopus ID
- 2-s2.0-84879051759
- Other Identifier
- 991019168601604721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Endocrinology & Metabolism
- Pediatrics