Cerebral metabolic abnormalities suggesting cerebral injury in a child with diabetic ketoacidosis

Proton magnetic resonance spectroscopy in a 13-year-old girl with DKA. Spectra from the right basal ganglia reveal a lower NAA/Cr ratio during the DKA episode (A), compared with recovery (B). The lower NAA/Cr ratio during the DKA episode suggests cerebral hypoperfusion.

DKA: diabetic ketoacidosis; NAA: N-acetylaspartate; Cr: creatinine.

Republished with permission of the American Society of Neuroradiology, from Wootton-Gorges SL, Buonocore MH, Kuppermann N, et al. Cerebral proton magnetic resonance spectroscopy in children with diabetic ketoacidosis. Am J Neuroradiol 2007; 28(5):895. Permission conveyed through Copyright Clearance Center, Inc.

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Cerebral metabolic abnormalities suggesting cerebral injury in a child with diabetic ketoacidosis