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Case Report

An Unusual Presentation of Fat Embolism Syndrome as Cerebral Fat Embolism in Trauma: A Rare Clinical Entity

Vaibhav Gulati, PGY3, MEM{GWUUSA} Dept of Emergency Medicine, Max Super Specialty Hospital, Shalimar Bagh, New Delhi, Delhi 110088, India. , Nitish Dhand1 , Kishalay Datta2 , Vaibhav Gulati3 , Indranil Das4 , E.V. Balasubramanyam5 , Vikram Shah6

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Indian Journal of Emergency Medicine 3(2):p 316-318, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3217.32

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Abstract

Fat embolism syndrome is a rare clinical complication of fat embolism which occurs in almost 90% of long bone fractures. Incidence of FES is around 0.2 to 2.5 % in overall cases of fat embolism. Its diagnosis is mainly clinical characterized by triad of respiratory, dermatological and neurological manifestations. We are presenting a case of 20 year young male who suffered traumatic left femoral shaft fracture in RTA. After uneventful 24 hours patient suddenly developed altered sensorium in absence of any respiratory or dermatological manifestation. He was confirmed to have CFE after series of brain imaging and was then managed conservatively for the same to which he responded well.

Keywords: Cerebral Fat Embolism; Fat Embolism Syndrome; Major Trauma; Traumatic Brain Injury. 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3217.32

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