Article Diabetic ketoacidosis Expressive aphasia Glasgow coma scale Ischaemic/ haemorrhagic cerebral injury Quadriparesis Stroke aphasia bolus injection brain hemorrhage brain infarction brain ischemia case report child clinical article computer assisted tomography dehydration diabetic ketoacidosis disease severity drowsiness endotracheal intubation extubation female fluid therapy frontal lobe human insulin insulin dependent diabetes mellitus insulin infusion limb weakness