Cerebral fat embolism: usefulness of magnetic resonance spectroscopy.
We report a case of cerebral fat embolism which occurred in a 33-year-old man after a diaphyseal femoral fracture without cranial traumatism. The initial examination showed an incomplete picture of coma with tetrapyramidal syndrome and cutaneomucous purpura. There was no respiratory damage. We present a magnetic resonance spectroscopy analysis of the cerebral lesions observed in the initial phase of the embolism, as well as follow-up, which has strengthened the clinical and imaging features for the diagnosis.
Guillevin
Rémy
R
Department of Neuroradiology, Neurologic Resuscitation, Pitié-Salpêtrière hospital, 47-83 Boulevard de l'Hôpital, 75651 Paris Cedex 13, France. remy.guillevin@psl.ap-hop-paris.fr
Vallée
Jean N
JN
Demeret
Sophie
S
Sonneville
Romain
R
Bolgert
Francis
F
Mont'alverne
Francisco
F
Deseilligny
Charles Pierrot
CP
Chiras
Jacques
J
D000328:Adult; D001224:Aspartic Acid / Q000031:analogs & derivatives* / Q000378:metabolism; D001931:Brain Mapping; D002794:Choline / Q000378:metabolism; D004620:Embolism, Fat / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging / Q000379:methods; D009682:Magnetic Resonance Spectroscopy / Q000379:methods*; D008297:Male
D001224:Aspartic Acid; C000179:N-acetylaspartate; D002794:Choline