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Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery
A young male with multiple lower limb fractures admitted to our Intensive Care Unit was diagnosed with cerebral fat embolism syndrome (FES) based on clinical features and initial magnetic resonance imaging (MRI) which showed multiple hyperintensities on T2-weighted imaging, involving bilateral cereb...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687178/ https://www.ncbi.nlm.nih.gov/pubmed/26730120 http://dx.doi.org/10.4103/0972-5229.169350 |
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author | Sethi, Divya Kajal, Shveta Saxena, Anupriya |
author_facet | Sethi, Divya Kajal, Shveta Saxena, Anupriya |
author_sort | Sethi, Divya |
collection | PubMed |
description | A young male with multiple lower limb fractures admitted to our Intensive Care Unit was diagnosed with cerebral fat embolism syndrome (FES) based on clinical features and initial magnetic resonance imaging (MRI) which showed multiple hyperintensities on T2-weighted imaging, involving bilateral cerebral and cerebellar hemispheres, predominantly in the watershed territory. The serial MRI done at 3 weeks showed more prominent and larger sized lesions which were in line with the patient's initial low Glasgow Coma Score and indicated severe cerebral insult. The patient responded well to supportive intensive care therapy; his neurological recovery though slow was consistent as he could return to his full functional status after 6 months. The follow-up MRI showed resolution of the most of earlier lesions. This indicates potentially good outcomes even in severe cases of cerebral FES with appropriate medical care. |
format | Online Article Text |
id | pubmed-4687178 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-46871782016-01-04 Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery Sethi, Divya Kajal, Shveta Saxena, Anupriya Indian J Crit Care Med Case Report A young male with multiple lower limb fractures admitted to our Intensive Care Unit was diagnosed with cerebral fat embolism syndrome (FES) based on clinical features and initial magnetic resonance imaging (MRI) which showed multiple hyperintensities on T2-weighted imaging, involving bilateral cerebral and cerebellar hemispheres, predominantly in the watershed territory. The serial MRI done at 3 weeks showed more prominent and larger sized lesions which were in line with the patient's initial low Glasgow Coma Score and indicated severe cerebral insult. The patient responded well to supportive intensive care therapy; his neurological recovery though slow was consistent as he could return to his full functional status after 6 months. The follow-up MRI showed resolution of the most of earlier lesions. This indicates potentially good outcomes even in severe cases of cerebral FES with appropriate medical care. Medknow Publications & Media Pvt Ltd 2015-11 /pmc/articles/PMC4687178/ /pubmed/26730120 http://dx.doi.org/10.4103/0972-5229.169350 Text en Copyright: © Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Sethi, Divya Kajal, Shveta Saxena, Anupriya Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery |
title | Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery |
title_full | Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery |
title_fullStr | Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery |
title_full_unstemmed | Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery |
title_short | Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery |
title_sort | neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687178/ https://www.ncbi.nlm.nih.gov/pubmed/26730120 http://dx.doi.org/10.4103/0972-5229.169350 |
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