Skip to main content

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

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.

    Google Scholar 

  • 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).

    Article  Google Scholar 

  • Christensen, N. J.: Vibratory function and blood flow in the feet of diabetics. Acta med. scand. 185, 553–559 (1969a).

    Article  PubMed  CAS  Google Scholar 

  • 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).

    Article  PubMed  CAS  Google Scholar 

  • DeJong, R. N.: The nervous system complications in diabetes mellitus with special reference to cerebrovascular changes. J. Nerv. Ment. Dis. 111, 181–206 (1950).

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Esmann, V., K. Lundbaek and P. H. Madsen: Types of exsudates in diabetic retinopathy. Acta med. scand. 174, 375–384 (1963).

    Article  PubMed  CAS  Google Scholar 

  • Fagerberg, S. E.: Diabetic neuropathy. Acta med. Scand., Suppl. 345 (1959).

    Google Scholar 

  • Greenfield, J. G.: Neuropathology. p. 245–247. E. Arnold, London 1960.

    Google Scholar 

  • Gregersen, G.: Diabetic neuropathy: Influence of age, sex, metabolic control and duration of diabetes on motor conduction velocity. Neurology 17, 972–980 (1967).

    Article  PubMed  CAS  Google Scholar 

  • Gregersen, G.: Vibratory perception threshold and motor conduction velocity in diabetics and non-diabetics. Acta med. Scand. 183, 61–65 (1968a).

    Article  PubMed  CAS  Google Scholar 

  • Gregersen, G.: Variations in motor conduction velocity produced by acute changes of the metabolic state in diabetic patients. Diabetologia 4, 273–277 (1968b).

    Article  PubMed  CAS  Google Scholar 

  • Joslin, E. P.: The treatment of diabetes mellitus. 10th Ed. Lea & Febiger, Philadelphia 1959.

    Google Scholar 

  • Lundbaek, K.: Long-term diabetes. E. Munksgaard, Kopenhagen 1953.

    Google Scholar 

  • Lundbaek, K.: Diabetic angiopathy. Lancet I, 377–379 (1954).

    Article  Google Scholar 

  • Lundbaek, K.: Das spätdiabetische Syndrom — Angiopathia diabetica. Ergebn. d. inn. Med. 8, 1–75. Springer-Verlag, Berlin-Göttingen-Heidelberg 1957.

    Google Scholar 

  • Marchal (De Calvi: Recherches sur les accidents diabétiques. Paris 1864.

    Google Scholar 

  • 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).

    CAS  Google Scholar 

  • Rafaelsen, O. J.: Studies on a direct effect of insulin on the central nervous system. Metabolism 10, 99–114 (1961).

    PubMed  CAS  Google Scholar 

  • 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).

    Article  Google Scholar 

  • Seegen, J.: Der Diabetes Mellitus. A. Hirschwald, Berlin 1893.

    Google Scholar 

  • Steen Olsen: The brain in uremia. E. Munksgaard, Kopenhagen 1961.

    Google Scholar 

  • Steiness, I.: Influence of diabetic status on vibratory perception during ischemia. Acta med. Scand. 170, 319–338 (1961).

    Article  PubMed  CAS  Google Scholar 

  • — Diabetic Neuropathy. Acta med. Scand., suppl. 394 (1963).

    Google Scholar 

  • Warren, S. and P. M. LeCompte: The pathology of diabetes mellitus. Lea & Febiger, Philadelphia 1952.

    Google Scholar 

  • Weinstein, E. A. and H. Dolger: External ocular muscle palsies occurring in diabetes mellitus. Arch. Neurol. Psych. 60, 597–603 (1948).

    Article  Google Scholar 

  • Williams, R. H. (Ed.): Diabetes by 54 authors. Paul B. Hoeber, New York 1960.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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

Publish with us

Policies and ethics