title: [A man with impaired consciousness after femur fractures].
abstract: A 23-year-old man presented with femur fractures after a car accident. He underwent intramedullary nail surgery. Afterwards consciousness deteriorated with concurrent respiratory distress followed by seizures. MRI-scan of the brain displayed multiple punctate lesions of restricted diffusion, a so-called starfield pattern, which confirmed the diagnosis of cerebral fat embolism syndrome.
authors.affiliation: Universitair Medisch Centrum Utrecht, Afd. Neurowetenschappen en Farmacologie, Utrecht, the Netherlands. A.M.Blokhuis@umcutrecht.nl
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Blokhuis
authors.forename: Marjolein
authors.initials: M
authors.lastname: Geurts
authors.forename: Dennis Johannes
authors.initials: DJ
authors.lastname: Nieuwkamp
mesh_terms: D000063:Accidents, Traffic; D001921:Brain / Q000473:pathology; D004620:Embolism, Fat / Q000175:diagnosis* / Q000209:etiology*; D005264:Femoral Fractures / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D015600:Glasgow Coma Scale; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D055815:Young Adult