Azad Chandrika, Kaur Ravinder, Singh Dharmendra Kumar, Arya Adhi
Department of Pediatrics, Government Medical College and Hospital, Chandigarh 160030, India.
Department of Radiodiagnosis, Government Medical College and Hospital, Chandigarh 160030, India.
J Trop Pediatr. 2017 Aug 1;63(4):324-327. doi: 10.1093/tropej/fmw088.
Diabetic ketoacidosis (DKA) can present with various neurological complications, but stroke is rare. Here, we present three children with recent-onset diabetes with DKA, two of them had deep coma not responding to standard DKA regimen and the third one had seventh nerve palsy noted after recovering from coma. Computed tomography scan of head showed hemorrhage in the area of midbrain in one patient and infarcts in two patients. In any child of DKA with severe neurological impairment, possibility of stroke should be entertained.