Cerebrovascular Disease in a Newly Diagnosed Diabetic Adolescent: Case Report

Abstract

DiscussionDeath due to thrombosis occurs in 80% of diabetic patients and 75% of these deaths is attributed to cardiovascular complications AbstractPaediatric stroke is a rare occurrence with an incidence ranging from 1.3-13/ 100,000 of children. Little is known about the association of diabetic ketoacidosis and stroke. Also, the frequency of stroke in diabetic ketoacidosis is not defined as there are no reported cases. We report a case of a right-handed 14 year-old male adolescent referred to Ekiti State University Teaching Hospital (EKSUTH) from a peripheral hospital where he was managed for typhoid sepsis, however at presentation he had clinical and laboratory features of diabetic ketoacidosis. Diabetic ketoacidosis was managed with insulin infusion and recommended intravenous fluids. When the patient became euglycaemic and regained consciousness, he was noticed to have developed features of left hemispheric cerebrovascular disease which was confirmed with cranial CT and patient was managed as such till discharge from the hospital.

Cerebrovascular Accident Complicating Diabetic Ketoacidosis in a Nigerian Adolescent: A Case Report and Review of the Literature

“…The clinical presentation of the index patient is similar to the report of Oludare et al [15] in Southwestern Nigeria. The cases were referred for higher-level management, but they developed focal neurological deficits, which alerted the clinicians to brain imaging.…”