Fat Embolism Syndrome: A Case Report and Review Literature
Nattaphol Uransilp1, Sombat Muengtaweepongsa2, Nuttawut Chanalithichai3
1Fellowship in Cerebrovascular Disease and Neurovascular Ultrasound, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.
Abstract:
Fat embolism syndrome (FES) is a life-threatening complication in patients with orthopedic trauma, especially long bone fractures. The diagnosis of fat embolism is made by clinical features alone with no specific laboratory findings. FES has no specific treatment and requires supportive care, although it can be prevented by early fixation of bone fractures. Here, we report a case of FES in a patient with right femoral neck fracture, which was diagnosed initially by Gurd's criteria and subsequently confirmed by typical appearances on magnetic resonance imaging (MRI) of the brain. The patient received supportive management and a short course of intravenous methylprednisolone.
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