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Rare Encounter of Cerebral Fat Embolism Post Motor Vehicle Accident: A Case Report
Fat embolism syndrome (FES) is known to occur when fat macroglobules get embolized into the blood circulation, whereby they then get dispersed out to multiple organs including the brain. It’s typically diagnosed when the patient sustains a neurological dysfunction, respiratory insufficiency, and pet...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423621/ https://www.ncbi.nlm.nih.gov/pubmed/37581136 http://dx.doi.org/10.7759/cureus.41877 |
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author | Peram Singh, Deepak Singh Wei Yuan, Lim |
author_facet | Peram Singh, Deepak Singh Wei Yuan, Lim |
author_sort | Peram Singh, Deepak Singh |
collection | PubMed |
description | Fat embolism syndrome (FES) is known to occur when fat macroglobules get embolized into the blood circulation, whereby they then get dispersed out to multiple organs including the brain. It’s typically diagnosed when the patient sustains a neurological dysfunction, respiratory insufficiency, and petechial rash, the classical triad of FES. Cerebral fat embolism occurrence is rarely seen. In this case report, a 20-year-old male was admitted due to a closed left midshaft femur fracture from a motor vehicle accident, and sustained cerebral manifestation of fat embolism syndrome 32 hours post the incident. It was noted that the patient had the classical triad of FES and intubation was done for airway protection. MRI revealed features of cerebral fat embolism. Interlocking nail fixation of the left femur was done for this patient on day three after admission. On day 15 post trauma, the patient was successfully extubated. Adequate supportive management was given and the patient's prognosis improved. As a practitioner, it is important to recognize and diagnose cerebral fat embolism as early as possible so as to have a much better outcome and to avoid any unnecessary investigation. |
format | Online Article Text |
id | pubmed-10423621 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104236212023-08-14 Rare Encounter of Cerebral Fat Embolism Post Motor Vehicle Accident: A Case Report Peram Singh, Deepak Singh Wei Yuan, Lim Cureus Neurology Fat embolism syndrome (FES) is known to occur when fat macroglobules get embolized into the blood circulation, whereby they then get dispersed out to multiple organs including the brain. It’s typically diagnosed when the patient sustains a neurological dysfunction, respiratory insufficiency, and petechial rash, the classical triad of FES. Cerebral fat embolism occurrence is rarely seen. In this case report, a 20-year-old male was admitted due to a closed left midshaft femur fracture from a motor vehicle accident, and sustained cerebral manifestation of fat embolism syndrome 32 hours post the incident. It was noted that the patient had the classical triad of FES and intubation was done for airway protection. MRI revealed features of cerebral fat embolism. Interlocking nail fixation of the left femur was done for this patient on day three after admission. On day 15 post trauma, the patient was successfully extubated. Adequate supportive management was given and the patient's prognosis improved. As a practitioner, it is important to recognize and diagnose cerebral fat embolism as early as possible so as to have a much better outcome and to avoid any unnecessary investigation. Cureus 2023-07-14 /pmc/articles/PMC10423621/ /pubmed/37581136 http://dx.doi.org/10.7759/cureus.41877 Text en Copyright © 2023, Peram Singh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurology Peram Singh, Deepak Singh Wei Yuan, Lim Rare Encounter of Cerebral Fat Embolism Post Motor Vehicle Accident: A Case Report |
title | Rare Encounter of Cerebral Fat Embolism Post Motor Vehicle Accident: A Case Report |
title_full | Rare Encounter of Cerebral Fat Embolism Post Motor Vehicle Accident: A Case Report |
title_fullStr | Rare Encounter of Cerebral Fat Embolism Post Motor Vehicle Accident: A Case Report |
title_full_unstemmed | Rare Encounter of Cerebral Fat Embolism Post Motor Vehicle Accident: A Case Report |
title_short | Rare Encounter of Cerebral Fat Embolism Post Motor Vehicle Accident: A Case Report |
title_sort | rare encounter of cerebral fat embolism post motor vehicle accident: a case report |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423621/ https://www.ncbi.nlm.nih.gov/pubmed/37581136 http://dx.doi.org/10.7759/cureus.41877 |
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