Bilateral cerebral infarction in diabetic ketoacidosis and bilateral internal carotid artery occlusion: A case report and review of literature

Figure 1 Brain magnetic resonance imaging of the first stroke before admission. A: The diffusion weighted imaging shows left corona radiata, bilateral frontal lobe, and parietal lobe infarction (orange arrow); B: The magnetic resonance angiography presents bilateral internal carotid artery occlusion.

Figure 2 Brain magnetic resonance imaging of the second stroke after diabetic ketoacidosis. A: The diffusion weighted imaging shows: (1) Acute infarction over the bilateral middle cerebral artery and bilateral anterior cerebral artery territory with brain swelling of infarction lesions and midline shift; and (2) Occlusion of bilateral internal carotid artery; B: The magnetic resonance angiography also presents bilateral internal carotid artery occlusion.

Figure 3 Timeline of this patient. DKA: Diabetic ketoacidosis; ACA: Anterior cerebral artery; MCA: Middle cerebral artery.