Lin Keng-Yi, Wang Kai-Chen, Chen Yao-Li, Lin Ping-Yi, Lin Kuo-Hua
Department of Surgery, Changhua Christian Hospital, No. 135, Nanxiao St, Changhua City, Changhua County Taiwan.
Indian J Surg. 2015 Apr;77(Suppl 1):46-8. doi: 10.1007/s12262-014-1109-3. Epub 2014 May 29.
Prognosis of deep coma caused by cerebral fat embolism syndrome (CFES) is rarely reported. We present a case of fulminant CFES which was induced by long bone fracture, with a Glasgow Coma Scale (GCS) of 3/15. The brain magnetic resonance imaging (MRI) revealed abnormal spotty lesions scattered over both cerebral hemispheres and the posterior fossa. Thirty days later, the patient regained consciousness with a GCS of 15/15.
脑脂肪栓塞综合征(CFES)所致深度昏迷的预后鲜有报道。我们报告一例由长骨骨折诱发的暴发性CFES病例,格拉斯哥昏迷量表(GCS)评分为3/15。脑部磁共振成像(MRI)显示双侧大脑半球和后颅窝散在异常斑点状病变。30天后,患者意识恢复,GCS评分为15/15。