Cerebral Proton Magnetic Resonance Spectroscopy in Children with Diabetic Ketoacidosis
S.L. Wootton-Gorgesb,
M.H. Buonocoreb,
N. Kuppermanna,c,
J.P. Marcina,
P.D. Barnese,
E.K. Neelyd,
J. DiCarlod,
T. McCarthya and
N.S. Glasera
a Department of Pediatrics, University of California, Davis School of Medicine, Sacramento, Calif
b Department of Radiology, University of California, Davis School of Medicine, Sacramento, Calif
c Department of Emergency Medicine, University of California, Davis School of Medicine, Sacramento, Calif
d Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif
e Department of Radiology, Stanford University School of Medicine, Stanford, Calif

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Fig 1. A 13-year-old girl with insulin-dependent diabetes mellitus. Spectra from the right basal ganglia during DKA episode and after recovery, demonstrating a lower NAA/Cr ratio during DKA.
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Fig 2. Relative (A) NAA/Cr and (B) Cho/Cr in the basal ganglia, occipital gray matter, and periaqueductal gray matter in study patients during DKA episode and after recovery.
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