{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T10:00:02Z","timestamp":1776506402711,"version":"3.51.2"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T00:00:00Z","timestamp":1641945600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T00:00:00Z","timestamp":1641945600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Endocr Disord"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While both DKA &amp; CSDH\/subdural hygroma\/ are known to cause significant morbidity and mortality, there is no a study that shows the role &amp; effect of DKA on CSDH\/subdural hygroma\/ &amp; vice versa to authors\u2019 best knowledge; hence this work will show how important relation does exist between DKA &amp; CSDH\/ hygroma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>This study highlights the diagnostic &amp; management challenges seen for a case of a 44\u2009years old female black Ethiopian woman admitted with a diagnosis of newly diagnosed type 1 DM with DKA\u2009+\u2009small CSDH\/subdural hygroma\/ after she presented with sever global headache and a 3\u2009month history of lost to her work. She needed burrhole &amp; evacuation for complete clinical improvement besides DKA\u2019s medical treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DKA induced cerebral edema on the CSDH\/subdural hematoma\/ can have a role in altering any of the parameters (except the thickness of CSDH) for surgical indication of patients with a diagnosis of both CSDH +DM with DKA. Hence, the treating physicians should be vigilant of different parameters that suggests tight brain &amp;\/ cerebral edema (including midline shift, the status of cisterns, fissures &amp; sulci) and should not be deceived of the thickness of the CSDH\/subdural hygroma\/alone; especially when there is a disproportionately tight brain for the degree of collection. Whether DKA induced cerebral edema causes a subdural hygroma is unknown and needs further study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12902-021-00916-1","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T12:02:53Z","timestamp":1641988973000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Diabetic ketoacidosis (DKA) induced cerebral edema complicating small chronic subdural hematoma\/hygroma\/ at Zewuditu memorial hospital: a case report"],"prefix":"10.1186","volume":"22","author":[{"given":"Mestet Yibeltal","family":"Shiferaw","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsegazeab","family":"Laeke T\/Mariam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abenezer Tirsit","family":"Aklilu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yemisirach Bizuneh","family":"Akililu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethelhem Yishak","family":"Worku","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,1,12]]},"reference":[{"issue":"8","key":"916_CR1","doi-asserted-by":"publisher","first-page":"1631","DOI":"10.2337\/dc17-1379","volume":"41","author":"D Desai","year":"2018","unstructured":"Desai D, Mehta D, Mathias P, Menon G, Ulrich K. Schubart Health Care Utilization and Burden of Diabetic Ketoacidosis in the U.S. Over the Past Decade: A Nationwide Analysis. Diabetes Care. 2018;41(8):1631\u20138. https:\/\/doi.org\/10.2337\/dc17-1379.","journal-title":"Diabetes Care"},{"issue":"4","key":"916_CR2","doi-asserted-by":"publisher","first-page":"196","DOI":"10.2176\/nmc.41.196","volume":"41","author":"S Kuwahara","year":"2001","unstructured":"Kuwahara S, Kawada M, Uga S. Chronic subdural hematoma with vasogenic edema in the cerebral hemisphere--case report. Neurol Med Chir (Tokyo). 2001;41(4):196\u2013200. PMID: 11381678. https:\/\/doi.org\/10.2176\/nmc.41.196.","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"916_CR3","doi-asserted-by":"publisher","first-page":"5043752","DOI":"10.1155\/2018\/5043752","volume":"2018","author":"CW Meaden","year":"2018","unstructured":"Meaden CW, Kushner BJ, Barnes S. A Rare and Lethal Complication: Cerebral Edema in the Adult Patient with Diabetic Ketoacidosis. Article ID. 2018;2018:5043752. https:\/\/doi.org\/10.1155\/2018\/5043752.","journal-title":"Article ID"},{"key":"916_CR4","doi-asserted-by":"publisher","first-page":"5917459","DOI":"10.1155\/2020\/5917459","volume":"2020","author":"S Natarajan","year":"2020","unstructured":"Natarajan S, Kulkarni R, Tangri A, et al. Fatal Cerebral Edema in a Young Adult with Diabetic Ketoacidosis: Blame the Bicarbonate. Case Rep Crit Care. 2020;2020:5917459, 4 pages. https:\/\/doi.org\/10.1155\/2020\/5917459.","journal-title":"Case Rep Crit Care"},{"key":"916_CR5","doi-asserted-by":"publisher","unstructured":"Rose KL, Watson AJ, Drysdale TA, Cepinskas G, Chan M, Rupar CA, et al. Simulated diabetic ketoacidosis therapy in vitro elicits brain cell swelling via sodium-hydrogen exchange and anion transport. 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A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"All authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"6"}}