Nonconvulsive status in the trauma centre: Think of cerebral fat embolism

Chatterjee, Rudrarpan; Nagar, Vidya; Sajjan, Basavaraj; Patel, Kruti

doi:10.4103/0028-3886.217950

Cited by 3 publications

(1 citation statement)

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“…There are only two previous reports of patients with EEG confirmed NCSE complicating fat embolism [8, 9]. This means it is either underreported, underdetected, or extremely unusual.…”

Section: Discussionmentioning

confidence: 99%

Fat Embolism and Nonconvulsive Status Epilepticus

Arencibia

Kinaga

et al. 2018

Case Reports in Neurological Medicine

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Fat embolism syndrome (FES) typically occurs following orthopedic trauma and may present with altered mental status and even coma. Nonconvulsive status epilepticus is an electroclinical state associated with an altered level of consciousness but lacking convulsive motor activity and has been reported in fat embolism. The diagnosis is clinical and is treated with supportive care, antiepileptic therapy, and sedation. A 56-year-old male presented with altered mental status following internal fixation for an acute right femur fracture due to a motor vehicle accident 24 hours earlier. Continued neuromonitoring revealed nonconvulsive status epilepticus. Magnetic resonance imaging of the brain showed multiple bilateral acute cerebral infarcts with a specific pattern favoring the diagnosis of fat embolism syndrome. He was found to have a significant right to left intracardiac shunt on a transesophageal echocardiogram. He improved substantially over time with supportive therapy, was successfully extubated on day 6, and discharged to inpatient rehabilitation on postoperative day 15. Fat embolisms can result in a wide range of neurologic manifestations. Nonrefractory nonconvulsive status epilepticus that responds to antiepileptic drugs, sedation, and supportive therapy can have a favorable outcome. A high index of suspicion and early recognition reduces the chances of unnecessary interventions and may improve survival.

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“…There are only two previous reports of patients with EEG confirmed NCSE complicating fat embolism [8, 9]. This means it is either underreported, underdetected, or extremely unusual.…”

Section: Discussionmentioning

confidence: 99%

Fat Embolism and Nonconvulsive Status Epilepticus

Arencibia

Kinaga

et al. 2018

Case Reports in Neurological Medicine

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Neurologic Complications of Fat Embolism Syndrome

Morales-Vidal

2019

Curr Neurol Neurosci Rep

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Fat embolism syndrome after trauma: What you need to know

Kwon,

Coimbra

2024

J Trauma Acute Care Surg

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Fat embolism syndrome refers to a systemic condition caused by the circulation of fat droplets in the bloodstream, reaching various target organs typically after major bone fractures or related surgical procedures. Although most cases resolve spontaneously, severe instances can lead to significant respiratory failure, neurological damage, and even mortality. Therefore, appropriate prevention, timely diagnosis, and management are crucial for trauma patients at risk. The objective of this review article is to explore the definition, epidemiology, risk factors, clinical presentation, and pathophysiology of fat embolism syndrome. Furthermore, it aims to examine current recommendations for the accurate diagnosis, prevention, and treatment of it, providing a comprehensive guide for the effective management of patients prone to this condition.

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Nonconvulsive status in the trauma centre: Think of cerebral fat embolism

Cited by 3 publications

References 0 publications

Fat Embolism and Nonconvulsive Status Epilepticus

Fat Embolism and Nonconvulsive Status Epilepticus

Neurologic Complications of Fat Embolism Syndrome

Fat embolism syndrome after trauma: What you need to know

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