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Cerebral fat embolism: usefulness of magnetic resonance spectroscopy. 2005
Rémy Guillevin, and
Jean N Vallée, and
Sophie Demeret, and
Romain Sonneville, and
Francis Bolgert, and
Francisco Mont'alverne, and
Charles Pierrot Deseilligny, and
Jacques Chiras
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
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.
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