Perioperative management of massive fat embolism syndrome presenting as refractory status epilepticus

William Watson, Jack Louro, Roman Dudaryk

Research output: Contribution to journalArticle

Abstract

Fat embolism syndrome (FES) most commonly can occur after trauma in patients with long bone fractures. While the majority of FES cases present as a mild decrease in mental status, some may manifest as seizure activity. We describe a case of a young patient with traumatic fractures who developed FES leading to refractory status epilepticus and simultaneously required damage controlled orthopedic surgery. The role of imaging modalities including magnetic resonance imaging, transcranial Doppler, and transesophageal echocardiography in diagnosis is discussed, and a multidisciplinary approach to successful perioperative management is described.

Original languageEnglish (US)
Pages (from-to)107-110
Number of pages4
JournalInternational Journal of Critical Illness and Injury Science
Volume8
Issue number2
DOIs
StatePublished - Apr 1 2018

Fingerprint

Fat Embolism
Status Epilepticus
Doppler Echocardiography
Transesophageal Echocardiography
Bone Fractures
Orthopedics
Seizures
Magnetic Resonance Imaging
Wounds and Injuries

Keywords

  • Fat embolism syndrome
  • multidisciplinary care
  • perioperative management
  • refractory status epilepticus

ASJC Scopus subject areas

  • Emergency Medicine
  • Public Health, Environmental and Occupational Health
  • Critical Care and Intensive Care Medicine

Cite this

Perioperative management of massive fat embolism syndrome presenting as refractory status epilepticus. / Watson, William; Louro, Jack; Dudaryk, Roman.

In: International Journal of Critical Illness and Injury Science, Vol. 8, No. 2, 01.04.2018, p. 107-110.

Research output: Contribution to journalArticle

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