Cerebral Fat Embolism: Neuroprotective Goals in an Unusual Cause of Altered Mental Status
| Autor: | Premkumar Nattanamai, Keerthana Kuppamma Kumar |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
fat embolism brain Long bone intracranial pressure star field cerebral fat embolism Neuroprotection 03 medical and health sciences 0302 clinical medicine Altered Mental Status medicine 030212 general & internal medicine Fat embolism Intracranial pressure business.industry General Engineering cerebral tissue oxygenation medicine.disease medicine.anatomical_structure Neurology Anesthesia Orthopedic surgery Intracranial pressure monitoring cerebral Complication business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.3054 |
| Popis: | Cerebral fat embolism syndrome is a rare, but potentially lethal, complication that may arise from long bone fractures and/or orthopaedic surgery. Neurological symptoms are variable, and clinical diagnosis is difficult. We report the case of a 75-year-old woman who developed cerebral fat embolism four days after a right hip arthroplasty. Maintenance of intracranial pressure monitoring (ICP) within normal limits and cerebral tissue oxygenation monitoring (PbtO2) over 20 mmHg prevented secondary brain injury and resulted in a gradual improvement of the patient’s sensorium. This case demonstrates that the use of ICP and PbtO2 monitoring defines optimal neuroprotective goals. |
| Databáze: | OpenAIRE |
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