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 language | English (US) |
|---|---|
| Pages (from-to) | 107-110 |
| Number of pages | 4 |
| Journal | International Journal of Critical Illness and Injury Science |
| Volume | 8 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 1 2018 |
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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 journal › Article
}
TY - JOUR
T1 - Perioperative management of massive fat embolism syndrome presenting as refractory status epilepticus
AU - Watson, William
AU - Louro, Jack
AU - Dudaryk, Roman
PY - 2018/4/1
Y1 - 2018/4/1
N2 - 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.
AB - 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.
KW - Fat embolism syndrome
KW - multidisciplinary care
KW - perioperative management
KW - refractory status epilepticus
UR - http://www.scopus.com/inward/record.url?scp=85049222230&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049222230&partnerID=8YFLogxK
U2 - 10.4103/IJCIIS.IJCIIS_63_17
DO - 10.4103/IJCIIS.IJCIIS_63_17
M3 - Article
AN - SCOPUS:85049222230
VL - 8
SP - 107
EP - 110
JO - International Journal of Critical Illness and Injury Science
JF - International Journal of Critical Illness and Injury Science
SN - 2229-5151
IS - 2
ER -