Cerebral fat embolism syndrome after long bone fracture: A case report
Cerebral fat embolism is a rare and potentially fatal condition that may occur following a long bone fracture. Its characterized by respiratory, neurological, and mucocutaneous signs. Isolated severe brain syndrome remains exceptional. We report a 21-year-old male patient admitted for the cerebral m...
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Elsevier
2022
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oai:doaj.org-article:fcc53ac602484b609bd3ab532bef24f92021-11-26T04:26:28ZCerebral fat embolism syndrome after long bone fracture: A case report1930-043310.1016/j.radcr.2021.10.060https://doaj.org/article/fcc53ac602484b609bd3ab532bef24f92022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007767https://doaj.org/toc/1930-0433Cerebral fat embolism is a rare and potentially fatal condition that may occur following a long bone fracture. Its characterized by respiratory, neurological, and mucocutaneous signs. Isolated severe brain syndrome remains exceptional. We report a 21-year-old male patient admitted for the cerebral manifestation of a fat embolism syndrome due to a fracture of long bone after a traffic accident injury. Neurological deterioration after a free interval was seen with generalized tonic-clonic seizures. MRI of the brain was indicated which showed numerous multifocal hyperintensities involving the deep white matter of both hemispheres producing a “starfield” appearance. This pattern of cytotoxic cerebral edema, with lesions in the white matter rather than the grey matter, is indicative of the subacute stage of fat embolism. The patient was treated with comprehensive support in the intensive care unit, he returned to normal neurological function and was discharged after 3 weeks of hospitalization.Mariam KassimiOmar AmrissHind GuerroumJihane HabiZakaria SalimiMohamed MahiElsevierarticleCerebral fat embolismMRIlong bone fractureMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 2, Pp 283-285 (2022) |
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Cerebral fat embolism MRI long bone fracture Medical physics. Medical radiology. Nuclear medicine R895-920 |
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Cerebral fat embolism MRI long bone fracture Medical physics. Medical radiology. Nuclear medicine R895-920 Mariam Kassimi Omar Amriss Hind Guerroum Jihane Habi Zakaria Salimi Mohamed Mahi Cerebral fat embolism syndrome after long bone fracture: A case report |
| description |
Cerebral fat embolism is a rare and potentially fatal condition that may occur following a long bone fracture. Its characterized by respiratory, neurological, and mucocutaneous signs. Isolated severe brain syndrome remains exceptional. We report a 21-year-old male patient admitted for the cerebral manifestation of a fat embolism syndrome due to a fracture of long bone after a traffic accident injury. Neurological deterioration after a free interval was seen with generalized tonic-clonic seizures. MRI of the brain was indicated which showed numerous multifocal hyperintensities involving the deep white matter of both hemispheres producing a “starfield” appearance. This pattern of cytotoxic cerebral edema, with lesions in the white matter rather than the grey matter, is indicative of the subacute stage of fat embolism. The patient was treated with comprehensive support in the intensive care unit, he returned to normal neurological function and was discharged after 3 weeks of hospitalization. |
| format |
article |
| author |
Mariam Kassimi Omar Amriss Hind Guerroum Jihane Habi Zakaria Salimi Mohamed Mahi |
| author_facet |
Mariam Kassimi Omar Amriss Hind Guerroum Jihane Habi Zakaria Salimi Mohamed Mahi |
| author_sort |
Mariam Kassimi |
| title |
Cerebral fat embolism syndrome after long bone fracture: A case report |
| title_short |
Cerebral fat embolism syndrome after long bone fracture: A case report |
| title_full |
Cerebral fat embolism syndrome after long bone fracture: A case report |
| title_fullStr |
Cerebral fat embolism syndrome after long bone fracture: A case report |
| title_full_unstemmed |
Cerebral fat embolism syndrome after long bone fracture: A case report |
| title_sort |
cerebral fat embolism syndrome after long bone fracture: a case report |
| publisher |
Elsevier |
| publishDate |
2022 |
| url |
https://doaj.org/article/fcc53ac602484b609bd3ab532bef24f9 |
| work_keys_str_mv |
AT mariamkassimi cerebralfatembolismsyndromeafterlongbonefractureacasereport AT omaramriss cerebralfatembolismsyndromeafterlongbonefractureacasereport AT hindguerroum cerebralfatembolismsyndromeafterlongbonefractureacasereport AT jihanehabi cerebralfatembolismsyndromeafterlongbonefractureacasereport AT zakariasalimi cerebralfatembolismsyndromeafterlongbonefractureacasereport AT mohamedmahi cerebralfatembolismsyndromeafterlongbonefractureacasereport |
| _version_ |
1718409943233593344 |