Hyperglycaemic hyperosmolar state and cerebral thrombophlebitis in paediatrics: A case report.
Maud InjeyanSabine BaronBenjamin LauzierBenedicte Gaillard-Le RouxManon DenisPublished in: Endocrinology, diabetes & metabolism (2023)
Emergency physicians should be aware of HHS in order to start the appropriate treatment as early as possible and to monitor the potential associated acute complications. This case highlights the importance of decreasing very gradually the osmolarity in order to avoid cerebral complications. Cerebral venous thrombosis in HHS paediatric patients is rarely described, and it is important to recognize that not all episodes of acute neurological deterioration in HHS or diabetic ketoacidosis are caused by cerebral oedema.
Keyphrases
- subarachnoid hemorrhage
- liver failure
- cerebral ischemia
- end stage renal disease
- emergency department
- respiratory failure
- chronic kidney disease
- brain injury
- ejection fraction
- type diabetes
- public health
- risk factors
- intensive care unit
- drug induced
- peritoneal dialysis
- cerebral blood flow
- risk assessment
- human health
- combination therapy
- climate change