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Magnetic resonance imaging of cerebral fat embolism: a case report
G Citerio1, E Bianchini, L Beretta
1I. Servizio di Anestesia e Rianimazione, Monza (Milano), Italy.
Abstract:
Fat embolism syndrome (FES) is one of the most important causes of morbidity and mortality following multiple fractures. Neurological involvement (cerebral fat embolism) has been reported frequently. A case of cerebral fat embolism is reported. While CT scan revealed no abnormalities, MRI, performed in this patient 8 days after trauma, showed relative low-intensity areas on T1-weighted images and high intensity areas on T2-weighted images involving cerebral white matter, corpus callosum and basal ganglia. MRI follow-up (1 and 3 months post-trauma) showed nearly complete resolution of the abnormal signal. MRI seems to be a useful diagnostic tool for detecting and quantifying lesions in fat embolism syndrome.
Insights
Fat embolism syndrome (FES) is a significant cause of death after fractures. Magnetic resonance imaging (MRI) effectively detects and monitors cerebral fat embolism, showing lesion resolution over time.
Area of Science:
- Neurology
- Radiology
- Trauma Medicine
Background:
- Fat embolism syndrome (FES) is a critical complication following multiple fractures, often leading to significant morbidity and mortality.
- Neurological sequelae, specifically cerebral fat embolism, are frequently observed in FES patients.