Cerebral injury in diabetic ketoacidosis: Is there a room for conservative management?

Abstract

Diabetic ketoacidosis is a manifestation of decompensated glycemic control. Two cases are outlined, representing severe cerebral edema in one case and multiple cerebral infarcts in the other. Favorable outcome was achieved in both cases with conservative management, excluding the immediate use of mannitol in the first patient and the use of thrombolytic or full anticoagulant therapy in the second.

Keywords

• diabetic ketoacidosis
• cerebral edema
• mannitol
• thrombolysis