AJDRAJNR - American Journal of Neuroradiology

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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


Figure 1
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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.


Figure 2
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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.