Diabetic ketoacidosis (DKA) induced cerebral edema complicating small chronic subdural hematoma/hygroma/ at Zewuditu memorial hospital: a case report

BMC Endocrine Disorders

卷:22

Mestet Yibeltal Shiferaw¹  Abenezer Tirsit Aklilu¹  Bethelhem Yishak Worku¹  Tsegazeab Laeke T/Mariam¹  Yemisirach Bizuneh Akililu¹ 

[1] Addis Ababa University, school of medicine;

关键词: Burr hole;    Cerebral edema;    Chronic subdural hematoma/Hygroma;    Diabetic ketoacidosis;    Diabetes mellitus;    Tight brain;   

DOI  :  10.1186/s12902-021-00916-1

来源: DOAJ

【 摘 要 】

Abstract Background While both DKA & CSDH/subdural hygroma/ are known to cause significant morbidity and mortality, there is no a study that shows the role & effect of DKA on CSDH/subdural hygroma/ & vice versa to authors’ best knowledge; hence this work will show how important relation does exist between DKA & CSDH/ hygroma. Case summary This study highlights the diagnostic & management challenges seen for a case of a 44 years old female black Ethiopian woman admitted with a diagnosis of newly diagnosed type 1 DM with DKA + small CSDH/subdural hygroma/ after she presented with sever global headache and a 3 month history of lost to her work. She needed burrhole & evacuation for complete clinical improvement besides DKA’s medical treatment. Conclusion DKA induced cerebral edema on the CSDH/subdural hematoma/ can have a role in altering any of the parameters (except the thickness of CSDH) for surgical indication of patients with a diagnosis of both CSDH +DM with DKA. Hence, the treating physicians should be vigilant of different parameters that suggests tight brain &/ cerebral edema (including midline shift, the status of cisterns, fissures & sulci) and should not be deceived of the thickness of the CSDH/subdural hygroma/alone; especially when there is a disproportionately tight brain for the degree of collection. Whether DKA induced cerebral edema causes a subdural hygroma is unknown and needs further study.

【 授权许可】

Unknown