Kassimi Mariam, Amriss Omar, Guerroum Hind, Habi Jihane, Salimi Zakaria, Mahi Mohamed
Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco.
20 Aout Radiology Department of Ibn Rochd University Hospital of Casablanca, Faculty of Medicine and Pharmacy-University Hassan II, Casablanca, Morocco.
Radiol Case Rep. 2021 Nov 25;17(2):283-285. doi: 10.1016/j.radcr.2021.10.060. eCollection 2022 Feb.
Cerebral fat embolism is a rare and potentially fatal condition that may occur following a long bone fracture. Its characterized by respiratory, neurological, and mucocutaneous signs. Isolated severe brain syndrome remains exceptional. We report a 21-year-old male patient admitted for the cerebral manifestation of a fat embolism syndrome due to a fracture of long bone after a traffic accident injury. Neurological deterioration after a free interval was seen with generalized tonic-clonic seizures. MRI of the brain was indicated which showed numerous multifocal hyperintensities involving the deep white matter of both hemispheres producing a "starfield" appearance. This pattern of cytotoxic cerebral edema, with lesions in the white matter rather than the grey matter, is indicative of the subacute stage of fat embolism. The patient was treated with comprehensive support in the intensive care unit, he returned to normal neurological function and was discharged after 3 weeks of hospitalization.
脑脂肪栓塞是一种罕见且可能致命的病症，可发生于长骨骨折后。其特征为呼吸、神经及黏膜皮肤体征。孤立的严重脑综合征仍较为罕见。我们报告一名21岁男性患者，因交通事故致长骨骨折后出现脂肪栓塞综合征的脑部表现而入院。在一段无异常期后出现神经功能恶化，并伴有全身强直阵挛发作。遂行脑部MRI检查，结果显示双侧半球深部白质有多处多灶性高信号，呈“星场”样表现。这种以白质而非灰质出现病变的细胞毒性脑水肿模式，提示为脂肪栓塞的亚急性期。该患者在重症监护病房接受了综合支持治疗，恢复了正常神经功能，住院3周后出院。
