Massive cerebral fat embolism leading to brain death: A rare
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Abstract :
Fat embolism syndrome (FES) typically consists of a triad of neurological, pulmonary, and cutaneous symptoms. There exist few case reports of FES involving central nervous system (CNS) only without pulmonary involvement. In most of such cases, CNS involvement is partial, and patients recover fully neurologically within days. We report a rare and unusual case of massive cerebral fat embolism that led to brain death in trauma patient.

Case :
A 26-year-old male presented to our Emergency Department after sustaining road traffic accident with complaints of pain and deformity in the right leg and abrasion over the forehead. He had no history of loss of consciousness, ENT bleed, vomiting, or convulsion. He was conscious, oriented with normal breathing and was hemodynamically stable but tachycardic. Initial resuscitation with fluids and blood was done. As per protocol, computed tomography (CT) head was done, which was normal. X-ray of the right lower limb revealed a closed segmental fracture shaft of the femur, fracture both bones right leg, and fracture of the 1st and 2nd distal phalanx for which closed traction was applied. He had no other injuries and was shifted to ward.......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687182/
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