Abstract
De Jong in 1950 published a case of juvenile long-term diabetes with severe clinical and histological central nervous system abnormalities and coined the term “diabetic encephalopathy”. Apart from this paper very little has been published on the histology of the brain in diabetes during the last decades, and modern textbooks — with the exception of Henke-Lubarsch’s (Bodechtel and Erbslöh, 1958) — either ignore the brain or state that there are no cerebral abnormalities in diabetes mellitus (Warren and LeCompte, 1952; Joslin, 1959; Williams, 1960). Bodechtel and Erbslöh (1958), discussing cerebral changes in diabetic coma, state that “a specific diabetic encephalopathy does not exist, not even a characteristic histological pattern”. Under the heading “Diabetic Vascular Disease and Softening of the Brain” they mention a special clinical type of juvenile diabetes with multiple cerebral insults, quoting De Jong’s patient (1950) and briefly summarizing some clinical and histological findings in three personally observed cases.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literature
Bodechtel, G. und F. Erbslöh: Die Veränderungen des Zentralnervensystems beim Diabetes mellitus. In: Henke, F., O. Lubarsch und R. Rössle: Hdb. d. spez. path. Anat. u. Histol. 13/2, 1717–1739. Springer-Verlag, Berlin-Göttingen-Heidelberg 1958.
Butterfield, W. J. H., M. E. Abrams, R. A. Sells, G. Sterby and M. J. Wichelow: Insulin sensitivity of the human brain. Lancet I, 557 (1966).
Christensen, N. J.: Vibratory function and blood flow in the feet of diabetics. Acta med. scand. 185, 553–559 (1969a).
Christensen, N. J.: Spontaneous variations in resting blood flow, postischemic peak flow and vibratory perception in the feet of diabetics. Diabetologia 5, 171–178 (1969 b).
DeJong, R. N.: The nervous system complications in diabetes mellitus with special reference to cerebrovascular changes. J. Nerv. Ment. Dis. 111, 181–206 (1950).
Erbslöh, F. und H. Bochnik: Symmetrische Pseudokalk-und Kalkablagerungen im Gehirn. In Henke, F., O. Lubarsch und R. Rössle: Hdb. d. spez. path. Anat. u. Histol. 13/2, 1769 bis 1809. Springer-Verlag, Berlin-Göttingen-Heidelberg 1958.
Esmann, V., K. Lundbaek and P. H. Madsen: Types of exsudates in diabetic retinopathy. Acta med. scand. 174, 375–384 (1963).
Fagerberg, S. E.: Diabetic neuropathy. Acta med. Scand., Suppl. 345 (1959).
Greenfield, J. G.: Neuropathology. p. 245–247. E. Arnold, London 1960.
Gregersen, G.: Diabetic neuropathy: Influence of age, sex, metabolic control and duration of diabetes on motor conduction velocity. Neurology 17, 972–980 (1967).
Gregersen, G.: Vibratory perception threshold and motor conduction velocity in diabetics and non-diabetics. Acta med. Scand. 183, 61–65 (1968a).
Gregersen, G.: Variations in motor conduction velocity produced by acute changes of the metabolic state in diabetic patients. Diabetologia 4, 273–277 (1968b).
Joslin, E. P.: The treatment of diabetes mellitus. 10th Ed. Lea & Febiger, Philadelphia 1959.
Lundbaek, K.: Long-term diabetes. E. Munksgaard, Kopenhagen 1953.
Lundbaek, K.: Diabetic angiopathy. Lancet I, 377–379 (1954).
Lundbaek, K.: Das spätdiabetische Syndrom — Angiopathia diabetica. Ergebn. d. inn. Med. 8, 1–75. Springer-Verlag, Berlin-Göttingen-Heidelberg 1957.
Marchal (De Calvi: Recherches sur les accidents diabétiques. Paris 1864.
Olsson, Y., J. Säve-Söderbergh, P. Sourander and L. Angervall: A patho-anatomical study of the central and peripheral nervous system in diabetes of early onset and long duration. Path. Europ. 3, 62–79 (1968).
Rafaelsen, O. J.: Studies on a direct effect of insulin on the central nervous system. Metabolism 10, 99–114 (1961).
Reske-Nielsen, E. and K. Lundbaek: Pathological changes in the central and peripheral nervous system in young long-term diabetics. I. Diabetic encephalopathy. Diabetologia 1, 233–41 (1965).
Seegen, J.: Der Diabetes Mellitus. A. Hirschwald, Berlin 1893.
Steen Olsen: The brain in uremia. E. Munksgaard, Kopenhagen 1961.
Steiness, I.: Influence of diabetic status on vibratory perception during ischemia. Acta med. Scand. 170, 319–338 (1961).
— Diabetic Neuropathy. Acta med. Scand., suppl. 394 (1963).
Warren, S. and P. M. LeCompte: The pathology of diabetes mellitus. Lea & Febiger, Philadelphia 1952.
Weinstein, E. A. and H. Dolger: External ocular muscle palsies occurring in diabetes mellitus. Arch. Neurol. Psych. 60, 597–603 (1948).
Williams, R. H. (Ed.): Diabetes by 54 authors. Paul B. Hoeber, New York 1960.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1971 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Reske-Nielsen, E., Lundbaek, K. (1971). Diabetic Encephalopathy. In: Pfeiffer, E.F. (eds) Pathophysiologie und Klinik / Pathophysiology and Clinical Considerations. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-47669-3_28
Download citation
DOI: https://doi.org/10.1007/978-3-642-47669-3_28
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-47671-6
Online ISBN: 978-3-642-47669-3
eBook Packages: Springer Book Archive