ArticleFrontiers in medicine2022
Fat embolism syndrome in a patient that sustained a femoral neck fracture: A case report.
Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 7 citations in OpenAlex.
- Pulmonary Fat Embolism After Fat Grafting.Diagnostics (Basel, Switzerland) · 2025Article
- Severe Traumatic Cerebral Fat Embolism Following Pelvic Fracture: A Case Report and Literature Review.Korean journal of neurotrauma · 2025Article
- Deterioration and Manifestation of Cerebral Fat Embolism Triggered by Bone Reaming During Femur Fracture Surgery: A Case Report.Clinical case reports · 2025Article
- The Use of Resuscitative Endovascular Balloon Occlusion of the Aorta in a Case of Suspected Septic Distributive Shock: A Case Report.Journal of the American College of Emergency Physicians open · 2025Article
- Case Report: Recovery of consciousness ahead of MRI image lesion information in cerebral fat embolism syndrome.Frontiers in medicine · 2025Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
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Abstract
Background: We present a case of a patient with a femoral neck fracture that shows neurological impairment and respiratory distress 1 day after trauma, caused by the Fat Embolism Syndrome with the presence of Cerebral Fat Embolisms. Case summary: A 75 year old female remained unresponsive after a hemi arthroplasty was performed because of a 1 day old femoral neck fracture. She rapidly developed respiratory insufficiency and an obstructive shock with right ventricle dilatation on transthoracic echocardiography. The diffusion-weighted MRI brain images showed the "Starfield" pattern, a radiologic phenomenon typical for FES. During 3 weeks of ICU admission the neurologic state slowly ameliorated. Conclusion: The rare FES is a clinical diagnosis with mainly respiratory, neurologic and dermatologic symptoms in the setting of a trauma patient. Fat embolisms are able to reach the brain without the presence of a patent foramen ovale to cause neurological symptoms. Diagnosing FES remains challenging but the distinctive "Starfield" pattern on MRI scans is promising.
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