Cerebral fat embolism

Case contributed by Dr Rajesh Shanklesha

Presentation

Trauma. Developed neurological deficit few days later.

Patient Data

Age: 30 years
Gender: Male
CT

Normal examination. 

MRI

There are multiple punctate non-confluent hyperintensities seen involving basal ganglia, periventricular white matter and grey matter-white matter junction throughout the cerebrum on T2WI and FLAIR.

On DWI shows innumerable foci of diffusion restriction in multiple vascular distributions giving typical starfield pattern. No blooming foci were noted on GRE images,

X-ray

Displaced left femoral midshaft fracture. 

Case Discussion

There are multiple punctate non-confluent hyperintensities seen involving basal ganglia, periventricular white matter and the grey matter-white matter junction throughout the cerebrum and cerebellum on T2WI and FLAIR in a traumatic patient. These appearances are typical of cerebral fat embolism.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.