42. Acute stroke secondary to fat embolism post trauma: A case report and literature review

Pham Ngoc Truong, Hoang Bui Hai, Vu Viet Ha, Nguyen Anh Dung

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Abstract

Fatty embolism syndrome (FES) is a potentially life-threatening presentation in post-traumatic patients, commonly seen in closed fractures of long bones. Cerebral infarction due to fat embo-lism is one of its clinical manifestations. We reported a clinical case admitted to Hanoi Medical University Hospital because of a coma after a fall resulting in a right femoral neck fracture; Magnetic Resonance Imaging (MRI) revealed multifocal cerebral infarction. The patient was treated with corticosteroids, anticoagulation, and supportive care. The patient's state of con-sciousness gradually improved after therapies. Although there have been many cases reported around the world, there was no case recorded in Vietnam until this recorded event.

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References

1. Vetrugno L, Bignami E, Deana C, et al. Cerebral fat embolism after traumatic bone fractures: a structured literature review and analysis of published case reports. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2021;29(1):47.
2. Wang W, Chen W, Zhang Y, et al. Post-traumatic cerebral fat embolism syndrome with a favourable outcome: a case report. BMC Neurology. 2021;21(1):82.
3. Parizel PM, Demey HE, Veeckmans G, et al. Early diagnosis of cerebral fat embolism syndrome by diffusion-weighted MRI (starfield pattern). Stroke. 2001;32(12):2942-2944.
4. Kosova E, Bergmark B, Piazza G. Fat embolism syndrome. Circulation. 2015;131(3): 317-320.
5. Bulger EM, Smith DG, Maier RV, et al. Fat embolism syndrome. A 10-year review. Archives of surgery (Chicago, Ill: 1960). 1997;132(4):435-439.
6. Citerio G, Bianchini E, Beretta L. Magnetic resonance imaging of cerebral fat embolism: a case report. Intensive care medicine. 1995;21(8):679-681.
7. Stoeger A, Daniaux M, Felber S, et al. MRI findings in cerebral fat embolism. 1998;8:1590-1593.
8. Takahashi M, Suzuki R, Osakabe Y, et al. Magnetic resonance imaging findings in cerebral fat embolism: correlation with clinical manifestations. The Journal of trauma. 1999;46(2):324-327.
9. Mellor A, Soni N. Fat embolism. Anaesthesia. 2001;56(2):145-154.