title: Cerebral fat embolism: usefulness of magnetic resonance spectroscopy.
abstract: 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.
authors.affiliation: 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
authors.forename: Rémy
authors.initials: R
authors.lastname: Guillevin
authors.forename: Jean N
authors.initials: JN
authors.lastname: Vallée
authors.forename: Sophie
authors.initials: S
authors.lastname: Demeret
authors.forename: Romain
authors.initials: R
authors.lastname: Sonneville
authors.forename: Francis
authors.initials: F
authors.lastname: Bolgert
authors.forename: Francisco
authors.initials: F
authors.lastname: Mont'alverne
authors.forename: Charles Pierrot
authors.initials: CP
authors.lastname: Deseilligny
authors.forename: Jacques
authors.initials: J
authors.lastname: Chiras
mesh_terms: 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
chemical_list: D001224:Aspartic Acid; C000179:N-acetylaspartate; D002794:Choline