Cerebral fat embolism syndrome

Case contributed by Dr Andrew Dixon

Presentation

Trauma patient with proximal femoral fracture. Not waking up on day 5 off sedation.

Patient Data

Age: 50
Gender: Male
MRI

Typical "starfield pattern" of cerebral fat embolism syndrome with bilateral tiny T2 and DWI hyperintense foci within white-matter and grey matter with some bias towards the deep watershed and cortical watershed regions. Several of the foci within the middle cerebellar peduncles and cerebellum show subtle blooming on the gradient sequence likely representing secondary microhaemorrhage. 

X-ray

Comminuted and displaced left proximal femoral fracture. 

Case Discussion

A case of cerebral fat embolism syndrome with the typical "starfield pattern" of bilateral tiny T2 and DWI hyperintense foci within white-matter and grey-matter with some bias towards the deep watershed and cortical watershed regions. 

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Case information

rID: 39034
Case created: 17th Aug 2015
Last edited: 24th Nov 2015
Inclusion in quiz mode: Included

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