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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...

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Autores principales: Peram Singh, Deepak Singh, Wei Yuan, Lim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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. 
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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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