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

William Watson, Jack Louro, Roman Dudaryk

Research output: Contribution to journalArticle


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
Issue number2
StatePublished - Apr 1 2018



  • 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

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