Cerebral Accidents in Pediatric Diabetic Ketoacidosis: Different Complications and Different Evolutions

Diabetic ketoacidosis(DKA) may be associated with neurologic complications: the most common is cerebral edemawhile the risk of venous and arterial stroke is rare. There is a pathogenetic link between DKA, hypercoagulability and stroke, whose risk is underestimated by clinicians. Our cases present a wide spectrum of cerebralaccidents during DKA, the first one being diffuse cerebral edema, the second one venous stroke after 5 days of DKA resolution, while the third one multifocal edemasuspected to be extrapontine myelinolysis although without electrolyte imbalance. Our cases suggest that DKA requires very accurate treatment, particularly at an early age, and it can be complicated by cerebralaccidents even with appropriate medical care.