Fat embolism syndrome and massive middle cerebral artery occlusion: a case report

Fat embolism syndrome (FES) is common with bones fractures. It often involves several symptoms like respiratory distress, neurological impairment, and cutaneous rash. The symptoms often start after several hours or days after the trauma or the bone reduction. Neurological damages can be seen better with MRI and the pattern is most of the time a diffuse one but changes according to timing. In our case, the symptoms started in the recovery ward and a complete flow interruption by adipose material was seen in the left middle cerebral artery.