Cerebral fat embolism: usefulness of magnetic resonance spectroscopy.

Guillevin, Rémy; Vallée, Jean N; Demeret, Sophie; Sonneville, Romain; Bolgert, Francis; Mont'alverne, Francisco; Deseilligny, Charles Pierrot; Chiras, Jacques · Ann Neurol · 2005

case_report · Level V

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Abstract

We report a case of cerebral fat embolism which occurred in a 33-year-old man after a diaphyseal femoral fracture without cranial traumatism. The initial examination showed an incomplete picture of coma with tetrapyramidal syndrome and cutaneomucous purpura. There was no respiratory damage. We present a magnetic resonance spectroscopy analysis of the cerebral lesions observed in the initial phase of the embolism, as well as follow-up, which has strengthened the clinical and imaging features for the diagnosis.

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