脑脂肪栓塞：磁共振波谱分析的作用

Cerebral fat embolism: usefulness of magnetic resonance spectroscopy.

作者信息

Guillevin Rémy, Vallée Jean N, Demeret Sophie, Sonneville Romain, Bolgert Francis, Mont'alverne Francisco, Deseilligny Charles Pierrot, Chiras Jacques

机构信息

Department of Neuroradiology, Neurologic Resuscitation, Pitié-Salpêtrière hospital, 47-83 Boulevard de l'Hôpital, 75651 Paris Cedex 13, France.

出版信息

Ann Neurol. 2005 Mar;57(3):434-9. doi: 10.1002/ana.20388.

DOI:10.1002/ana.20388

PMID:15732115

Abstract

We report a case of cerebral fat embolism which occurred in a 33-year-old man after a diaphyseal femoral fracture without cranial traumatism. The initial examination showed an incomplete picture of coma with tetrapyramidal syndrome and cutaneomucous purpura. There was no respiratory damage. We present a magnetic resonance spectroscopy analysis of the cerebral lesions observed in the initial phase of the embolism, as well as follow-up, which has strengthened the clinical and imaging features for the diagnosis.

摘要

我们报告一例33岁男性在股骨干骨折后发生脑脂肪栓塞的病例，该患者无颅脑外伤史。初始检查显示为伴有四肢锥体束综合征和皮肤黏膜紫癜的不完全昏迷状态。无呼吸损伤。我们展示了在栓塞初始阶段观察到的脑损伤的磁共振波谱分析结果以及随访情况，这些结果强化了诊断的临床和影像学特征。