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Published on: September 25, 2016
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Cerebral fat embolism diagnosed by cognitive disorder
Dilcan Kotan1, Zeynep Ozozen Ayas2, Saadet Sayan2
1Department of Neurology, Sakarya University Faculty of Medicine, Sakarya, Turkey.
The Eurasian Journal of Medicine
|January 23, 2015
Summary
Fat embolism syndrome, a rare complication of skeletal trauma, can cause neurological issues. This case highlights cerebral embolism following a tibial fracture, emphasizing varied neurological presentations.
Area of Science:
- Orthopedics
- Neurology
- Trauma Surgery
Background:
- Fat embolism syndrome (FES) is a rare but serious complication following skeletal trauma, particularly fractures of long bones.
- It occurs in 2-5% of lower extremity long bone fractures.
- The classic triad includes hypoxemia, petechial hemorrhages, and neurological deficits.
Observation:
- Neurological findings in FES are diverse and nonspecific, ranging from lethargy to coma.
- This report details a male patient who experienced acute cognitive disorder.
- The patient had a history of segmental tibial fracture.
Findings:
- The patient was diagnosed with cerebral embolism.
- This diagnosis was linked to the preceding tibial fracture.
- The cognitive disorder represented a significant neurological manifestation of FES.
Implications:
- This case underscores the importance of recognizing varied neurological presentations of FES.
- Early diagnosis and management of FES are crucial in trauma patients.
- Understanding FES is vital for improving outcomes in patients with skeletal injuries.
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