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Ann Child Neurol > Volume 26(1); 2018 > Article
Journal of the Korean Child Neurology Society 2018;26(1):66-69.
DOI: https://doi.org/10.26815/jkcns.2018.26.1.66    Published online March 30, 2018.
Concurrence of Diabetic Ketoacidosis and Acute Ischemic Stroke due to Moyamoya Disease.
Hyeonju Lee, Juyeon Lee, Sorina Kim, Min su Oh, Kyoung Hee Han, Ki Soo Kang, Seunghyo Kim
Department of Pediatrics, Jeju National University Hospital, Jeju, Korea. shped@jejunu.ac.kr
Abstract
Although the etiology of moyamoya disease (MMD) remains unknown, autoimmunity is one of the proposed pathogeneses. Unlike other autoimmune disorders that are associated with cerebral arteritis, concurrence of MMD and diabetes mellitus (DM) is rare. However, we encountered a patient with concurrent diabetic ketoacidosis (DKA) and acute ischemic stroke due to MMD. Our patient was diagnosed with glutamic acid decarboxylase antibody-positive type 2 DM (T2DM) based on laboratory and physical examination findings. Brain magnetic resonance images revealed an acute ischemic stroke in the left cerebral hemisphere and bilateral diffuse stenosis/occlusion in the middle cerebral artery and multiple collaterals. Thus, here, we report a patient with both T2DM and MMD who developed an acute ischemic stroke that was complicated by DKA.
Key Words: Diabetic ketoacidosis, Type 2 diabetes mellitus, Moyamoya disease
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