Duran Latif, Kayhan Servet, Kati Celal, Akdemir Hizir Ufuk, Balci Kemal, Yavuz Yucel
Department of Emergency Medicine, University of Ondokuz Mayıs, School of Medicine, Samsun, Turkey.
Department of Pulmonology, University of Ondokuz Mayıs, School of Medicine, Samsun, Turkey.
Indian J Crit Care Med. 2014 Mar;18(3):167-9. doi: 10.4103/0972-5229.128707.
Cerebral fat embolism syndrome is a lethal complication of long-bone fractures and clinically manifasted with respiratory distress, altered mental status, and petechial rash. We presented a 20-year-old male admitted with gun-shot wounds to his left leg. Twenty-four hours after the event, he had generalized tonic clonic seizures, decorticate posture and a Glascow Coma Scale of seven with localization of painful stimuli. Subsequent magnetic resonance imaging of the brain showed a star-field pattern defining multiple lesions of restricted diffusion. On a 4-week follow-up, he had returned to normal neurological function. Despite the severity of the neurological condition upon initial presentation, the case cerebral fat embolism illustrates that, cerebral dysfunction associated with cerebral fat embolism illustrates reversible.
脑脂肪栓塞综合征是长骨骨折的一种致命并发症，临床症状表现为呼吸窘迫、精神状态改变和瘀点皮疹。我们报告了一名20岁男性，因左腿枪伤入院。受伤24小时后，他出现全身性强直阵挛性癫痫发作、去皮质姿势，格拉斯哥昏迷量表评分为7分，疼痛刺激有定位反应。随后的脑部磁共振成像显示出星芒状图案，提示多个扩散受限的病灶。在4周的随访中，他的神经功能已恢复正常。尽管最初就诊时神经状况严重，但该例脑脂肪栓塞表明，与脑脂肪栓塞相关的脑功能障碍是可逆的。
