Reversible global hypoperfusion in an adult patient with a mixed diabetic ketoacidosis/hyperglycemic hyperosmolar coma: A case report

Valentina Dafni Petroulia; Christoph Kurmann; Matthias Haenggi; Franca Wagner; Arsany Hakim

doi:10.1002/ccr3.5576

Reversible global hypoperfusion in an adult patient with a mixed diabetic ketoacidosis/hyperglycemic hyperosmolar coma: A case report

Clin Case Rep. 2022 Apr 4;10(4):e05576. doi: 10.1002/ccr3.5576. eCollection 2022 Apr.

Authors

Valentina Dafni Petroulia¹, Christoph Kurmann¹, Matthias Haenggi², Franca Wagner¹, Arsany Hakim¹

Affiliations

¹ University Institute of Diagnostic and Interventional Neuroradiology, Inselspital Bern University Hospital, and University of Bern Bern Switzerland.
² Department of Intensive Care Medicine, Inselspital Bern University Hospital, and University of Bern Bern Switzerland.

Abstract

Diabetic ketoacidosis is a severe complication of diabetes mellitus. We report a case of global hypoperfusion in an elderly patient on CT, with complete resolution shown on early MRI follow-up. Metabolic causes have always to be included in the differential diagnosis of diffuse hypoperfusion in the appropriate clinical setting.

Keywords: diabetes mellitus; diabetic ketoacidosis; global hypoperfusion; neuroimaging.

Publication types

Case Reports