Citerio G, Bianchini E, Beretta L
I. Servizio di Anestesia e Rianimazione, Monza (Milano), Italy.
Intensive Care Med. 1995 Aug;21(8):679-81. doi: 10.1007/BF01711549.
Fat embolism syndrome (FES) is one of the most important causes of morbidity and mortality following multiple fractures. Neurological involvement (cerebral fat embolism) has been reported frequently. A case of cerebral fat embolism is reported. While CT scan revealed no abnormalities, MRI, performed in this patient 8 days after trauma, showed relative low-intensity areas on T1-weighted images and high intensity areas on T2-weighted images involving cerebral white matter, corpus callosum and basal ganglia. MRI follow-up (1 and 3 months post-trauma) showed nearly complete resolution of the abnormal signal. MRI seems to be a useful diagnostic tool for detecting and quantifying lesions in fat embolism syndrome.
脂肪栓塞综合征(FES)是多发性骨折后发病和死亡的最重要原因之一。神经受累(脑脂肪栓塞)的报道屡见不鲜。本文报道了一例脑脂肪栓塞病例。CT扫描未发现异常,但该患者在创伤8天后进行的MRI检查显示,T1加权图像上脑白质、胼胝体和基底节区呈相对低信号区,T2加权图像上呈高信号区。MRI随访(创伤后1个月和3个月)显示异常信号几乎完全消失。MRI似乎是检测和量化脂肪栓塞综合征病变的有用诊断工具。