| Clinical and radiographic improvement following cerebral fat emboli. | |
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MedLine Citation:
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PMID: 20524081 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Cerebral fat embolism is a well-described complication associated with long-bone fracture. However, with contemporary imaging, there is a distinct magnetic resonance imaging (MRI) pattern emerging. METHODS: The authors describe a case and briefly review the proposed etiology, clinical and radiographic diagnosis, treatment and outcome of cerebral fat embolism. RESULTS: A 21-year-old male sustained a femur fracture after a motor vehicle accident and had delayed pulmonary and neurological deterioration 2 days following injury. MRI of the brain demonstrated a pattern of diffuse punctuate hyperintense signal on T2-weighted and diffusion weighted imaging. This "starfield" pattern reversed on follow-up MRI at 1 month, and occurred in conjunction with remarkable clinical recovery. CONCLUSION: This case highlights the MRI findings associated with fat embolism, their reversibility, and offers insight into the significant clinical improvement that may occur in such patients. |
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Authors:
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Anand I Rughani; Jeffrey E Florman; David B Seder |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Neurocritical care Volume: 15 ISSN: 1556-0961 ISO Abbreviation: Neurocrit Care Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-07-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101156086 Medline TA: Neurocrit Care Country: United States |
Other Details:
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Languages: eng Pagination: 190-3 Citation Subset: IM |
Affiliation:
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Division of Neurosurgery, University of Vermont, 111 Colchester Ave, Fletcher 507, Burlington, VT, 05401, USA, anand.rughani@mail.mcgill.ca. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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