The intersection of cerebral fat embolism syndrome and traumatic brain injury: a literature review and case series
| Autor: | Taron Davis, Alan Weintraub, Jeri E. Forster, Eric Spier, Michael Makley |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Traumatic brain injury Neuroscience (miscellaneous) Glasgow Outcome Scale Embolism Fat 03 medical and health sciences 0302 clinical medicine Intensive care Internal medicine Brain Injuries Traumatic Fat embolism syndrome Developmental and Educational Psychology medicine Humans Glasgow Coma Scale Acquired brain injury Retrospective Studies medicine.diagnostic_test business.industry Diffuse axonal injury Magnetic resonance imaging medicine.disease body regions Brain Injuries Orthopedic surgery Cardiology Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Brain Injury. 34:1127-1134 |
| ISSN: | 1362-301X 0269-9052 |
| DOI: | 10.1080/02699052.2020.1776898 |
| Popis: | To review the historical, clinical, radiographic, and outcome characteristics of individuals diagnosed with an acquired brain injury (ABI) due to cerebral fat embolism syndrome (CFES) with and without features of traumatic brain injury (TBI).A retrospective chart review of individuals with the diagnosis of CFES admitted to an ABI rehabilitation program. Cases were divided into two cohorts 1) individuals with evidence of classic features of CFES alone, and 2) individuals with evidence of CFES in conjunction with features of TBI.14 individuals were identified, seven individuals with diagnosis of CFES alone, and seven with CFES and TBI. Median initial GCS was 15 for the isolated CFES cohort and 8 for the dual diagnosis cohort (p =.006). There were clear qualitative differences in MRI findings with characteristic patterns between the two groups.The diagnosis of CFES is an important consideration for individuals who have new neurologic impairment following a trauma, especially in cases where initial GCS was high. MRI has an important role in differentiating lesions of CFES from TBI and should be utilized for prognostication and management decisions. Individuals with neurologic injury secondary to CFES had good functional recovery outcomes as measured by Glasgow Outcome Scale. |
| Databáze: | OpenAIRE |
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