Güven Ayla, Hancili Suna, Karatoprak Elif Y, Tasel Bülent
J Pediatr Endocrinol Metab. 2014 Sep;27(9-10):1001-4. doi: 10.1515/jpem-2014-0037.
Diabetic ketoacidosis (DKA) is a common initial presentation of pediatric type 1 diabetes mellitus. Intracerebral complications of DKA pose significant mortality and morbidity rates.
Our aim is to emphasize the importance of early identification, investigation, and treatment for patients who present with DKA and stroke.
Here, we report a case of a 4-year-old female patient who presented with ischemic-hemorrhagic stroke as a complication of DKA.
Cerebrovascular complications of DKA in children are a rare condition; however, higher risks take place in their youngest age. Clinicians should be aware of these complications so as to develop appropriate approach for its management.
糖尿病酮症酸中毒（DKA）是儿童1型糖尿病常见的初始表现。DKA的颅内并发症具有较高的死亡率和发病率。
我们的目的是强调对出现DKA和中风的患者进行早期识别、检查和治疗的重要性。
在此，我们报告一例4岁女性患者，该患者出现缺血性出血性中风，这是DKA的一种并发症。
儿童DKA的脑血管并发症是一种罕见情况；然而，在最年幼的年龄段风险更高。临床医生应意识到这些并发症，以便制定适当的管理方法。
