갈고리이랑탈출과 유사한 증상을 보인 후대뇌동맥 영역 허혈뇌졸중을 동반한 당뇨병케토산증 증례
A case of diabetic ketoacidosis with posterior cerebral artery territory ischemic stroke mimicking uncal herniation
김진호, 조교운, 김민선, 김선준,
소속 상세정보
김진호 ( Kim Jin-Ho )
Chonbuk National University Medical School Department of Pediatrics
조교운 ( Cho Kyo-Un )
Chonbuk National University Medical School Department of Pediatrics
김민선 ( Kim Min-Sun )
Chonbuk National University Medical School Department of Pediatrics
김선준 ( Kim Sun-Jun )
Chonbuk National University Medical School Department of Pediatrics
Abstract
In diabetic ketoacidosis, hyperglycemia and ketosis result in cerebral vasculitis, which can cause cerebral edema and thrombosis. A previously healthy, 12-year-old girl visited the emergency department with a history of vomiting, polydipsia, polyuria, decreased mentality, and a 7 kg (12%) weight loss within 1 week. She showed laboratory features of severe diabetic ketoacidosis, stuporous mentality, respiratory failure, and unilateral fixed mydriasis with contralateral hemiparesis. However, brain magnetic resonance imaging showed multifocal ischemic stroke mainly involving the left posterior cerebral artery territory, instead of uncal herniation. This case highlights the possible occurrence of ischemic stroke in children with early-stage diabetes mellitus.
키워드
Cerebral Infarction; Child; Diabetic Ketoacidosis; Infarction, Posterior Cerebral Artery; Stroke; Vasculitis, Central Nervous System
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