Schnadthorst PG, Rieder N, Springer M, Schulze C. [Cerebral fat embolism syndrome after polytrauma : Complication after fracture treatment of several long bones of the lower extremities].
Unfallchirurg 2021;
125:160-164. [PMID:
34110430 DOI:
10.1007/s00113-021-01011-9]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2021] [Indexed: 11/30/2022]
Abstract
In consequence of a car accident a 20-year-old woman with bilateral fractures of the femur and an unilateral lower leg fracture was treated with external fixation. Afterwards she was soporific with signs of impaired consciousness and required intubation and intensive medical care surveillance. A cerebral fat embolism syndrome could be detected as the reason, which was characterized by acute respiratory insufficiency, neurological symptoms and petechiae. Subsequently, definitive treatment was performed by intramedullary nailing. After neurological and orthopedic rehabilitation no performance inhibiting limitations remained.
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