[Neurologic manifestations of fat embolism].
Neurologic manifestations are usual and variable during post-traumatic fat embolism. The pathogenesis of these lesions continues to be a source of considerable controversy. Thirteen cases of post-traumatic fat embolism with neurologic signs were treated in a surgical intensive care unit. All patients had impaired consciousness. Focal neurologic disorders were reported in 5 cases [hemiplegia (2), tetraplegia (2), aphasia (1)]. The aspects on brain CT scan seemed to be related to ischemic lesions (1 case), appeared normal in ten cases, or revealed post-traumatic hemorrhagic lesions (2 cases). The outcome at 2-4 weeks was spontaneously good, with complete resolution, without neurologic sequellae, in 11/13 patients. Two deaths were related to brain trauma severity (one case) and nosocomial pneumonia (one case).
Bouaggad
A
A
Service d'Anesthésie-Réanimation, CHU Ibn Rochd, Casablanca, Maroc.
Harti
A
A
Elmouknia
M
M
Bouderka
M A
MA
Barrou
H
H
Abassi
O
O
Benaguida
M
M
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D004620:Embolism, Fat / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D009422:Nervous System Diseases / Q000175:diagnosis / Q000209:etiology*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014947:Wounds and Injuries / Q000150:complications*
Manifestations neurologiques de l'embolie graisseuse.