Evidence map›Paper›PMID 37346084›Full record

ArticleAcute medicine & surgery

Cerebral edema associated with diabetic ketoacidosis: Two case reports.

Kaoru Namatame, Yutaka Igarashi, Ryuta Nakae, Go Suzuki, Kohei Shiota, Nodoka Miyake, Hirotomo Ishii, Shoji Yokobori

Open access · goldAbstract readCase Reports
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Kaoru NamatameDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.
Yutaka IgarashiDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0000-0002-4305-2850
Ryuta NakaeDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.
Go SuzukiDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.
Kohei ShiotaDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.
Nodoka MiyakeDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.
Hirotomo IshiiDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.
Shoji YokoboriDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0000-0002-7409-704X
Nippon Medical School · JPNoguchi Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic ketoacidosis (DKA) is associated with a high mortality rate, especially if cerebral edema develops during the disease course. It is rarer and more severe in adults than in children. We present cases of two patients with cerebral edema-related DKA. Case presentation: The first patient was a 38-year-old man with diabetes mellitus who presented with DKA-related disturbed consciousness. Although glycemic correction was performed slowly, he showed pupil dilation 11 h later. He underwent emergency ventricular drainage, but died of cerebral herniation. The second patient was a 25-year-old woman who presented with impaired consciousness secondary to DKA. Head computed tomography showed subarachnoid hemorrhage and cerebral edema. No related intraoperative findings were observed; it was concluded that the first computed tomography scan revealed pseudo-subarachnoid hemorrhage. Conclusion: Diabetic ketoacidosis-related cerebral edema develops despite treatment according to guidelines and is difficult to predict. Therefore, adult patients should be treated cautiously during DKA management.

Indexed as

cerebral edemaconsciousnessdiabetesdiabetic ketoacidosisDKA

Identifiers

PMID37346084
PMCPMC10280603
OpenAlexW4381433865

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.