Salazar J A, Romero F, Padilla F, Arboleda J A, Fernández O
Servicio de Neurología, Hospital Regional de Málaga.
Neurologia. 1995 Feb;10(2):65-9.
Fat embolism is a frequent complication of long bone trauma. Although neurological signs are key elements in the diagnosis of this syndrome, little attention to them has been paid in the spanish literature. We present a retrospective study of 13 patients with fat embolism syndrome in which we focused on neurological manifestations and alterations in computerized tomography (CT) of the head. The most frequent symptom was impairment of consciousness of varying degrees. Three patients out of the 13 also presented focal signs (hemiparesis and partial seizures). CT revealed edema (4/7) and multiple low density foci (1/7). All but one patient recovered without sequelae. Our study does not allow us to establish either the physiopathology of fat embolism syndrome or the most effective treatment.
脂肪栓塞是长骨创伤常见的并发症。尽管神经学体征是该综合征诊断的关键要素，但西班牙文献中对其关注甚少。我们对13例脂肪栓塞综合征患者进行了一项回顾性研究，重点关注其神经学表现及头部计算机断层扫描（CT）的改变。最常见的症状是不同程度的意识障碍。13例患者中有3例还出现了局灶性体征（偏瘫和部分性癫痫发作）。CT显示水肿（4/7）和多个低密度灶（1/7）。除1例患者外，所有患者均康复且无后遗症。我们的研究无法确定脂肪栓塞综合征的病理生理学或最有效的治疗方法。
