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Congress: ECR25
Poster Number: C-21433
Type: Poster: EPOS Radiologist (scientific)
Authorblock: A. Perna, G. Guerri, D. Broglia, T. Verdolotti, C. Gullì, M. Benenati, M. L. Angeli, A. M. Costantini, S. Gaudino; Rome/IT
Disclosures:
Alessandro Perna: Nothing to disclose
Giulia Guerri: Nothing to disclose
Diana Broglia: Nothing to disclose
Tommaso Verdolotti: Nothing to disclose
Consolato Gullì: Nothing to disclose
Massimo Benenati: Nothing to disclose
Maria Luigia Angeli: Nothing to disclose
Alessandro Maria Costantini: Nothing to disclose
Simona Gaudino: Nothing to disclose
Keywords: Neuroradiology brain, CT, MR, Imaging sequences, Trauma
Purpose To describe the MRI and CT signs of cerebral fat embolism (CFE).
Read more Methods and materials CFE is a serious, potentially lethal complication of orthopedic and other procedures or trauma that occurs after the release of fat emboli into the bloodstream. Brain involvement may be isolated or associated with respiratory and skin symptoms and signs that characterize fat embolism syndrome (FES)MRI of the brain is the fundamental diagnostic tool and there is a correlation between MRI findings, the severity of symptoms and developmental stages (acute, subacute, and chronic phases).MRI patterns typically evolve in alignment with the...
Read more Results From 2017 to 2023, 7 cases of CFE were diagnosed in our center with an average age of 35.5 years (range: 19-85 years). Of these patients, 6 were male (86%) and 1 was female (14%). All patients were polytraumatized, with fractures of the lower limbs found in all cases at the time of access to the emergency room. In addition, 5 patients (71%) also had fractures of the upper limbs.At the time of admission, the CT scan of the skull...
Read more Conclusion Our study confirms the diagnostic value of brain MRI in supporting the clinical suspicion of CFE.In particular, when compared to the normal findings on CT of the skull in all patients under investigation, non-contrast MRI has proven to be an indispensable diagnostic tool. It enables the identification of key imaging features, including proton diffusivity restriction, vasogenic edema, and hemorrhagic petechiae, all of which are essential for the diagnosis of CFE.Moreover, the observation of cytotoxic edema and the mismatch between DWI...
Read more References Salimi Z, Ami Ali M, Tazi R, Mimouni Y, Hazim A, Aasfara J. A Rare Case of Cerebral Fat Embolism With No Respiratory or Dermatologic Involvement. Cureus. 2022 Feb 14;14(2):e22192. doi: 10.7759/cureus.22192. PMID: 35308671; PMCID: PMC8926028.Timon C, Keady C, Murphy CG. Fat Embolism Syndrome - A Qualitative Review of its Incidence, Presentation, Pathogenesis and Management. Malays Orthop J. 2021 Mar;15(1):1-11. doi: 10.5704/MOJ.2103.001. PMID: 33880141; PMCID: PMC8043637.Nguyen QL, Varajic B, Reynolds SB, El-Kersh K. Fat Embolism Syndrome With Cerebral Involvement: An...
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