Symptomatic cerebral infarction in a child with severe diabetic ketoacidosis.

Background: Diabetic ketoacidosis (DKA) is a common initial presentation of pediatric type 1 diabetes mellitus. Intracerebral complications of DKA pose significant mortality and morbidity rates.

Objective: Our aim is to emphasize the importance of early identification, investigation, and treatment for patients who present with DKA and stroke.

Methods: Here, we report a case of a 4-year-old female patient who presented with ischemic-hemorrhagic stroke as a complication of DKA.

Conclusions: Cerebrovascular complications of DKA in children are a rare condition; however, higher risks take place in their youngest age. Clinicians should be aware of these complications so as to develop appropriate approach for its management.