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- Title
Perioperative management of massive fat embolism syndrome presenting as refractory status epilepticus.
- Authors
Watson, William; Louro, Jack; Dudaryk, Roman
- 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.
- Subjects
FAT embolism; STATUS epilepticus; PERIOPERATIVE care; THERAPEUTICS
- Publication
International Journal of Critical Illness & Injury Science, 2018, Vol 8, Issue 2, p107
- ISSN
2229-5151
- Publication type
Case Study
- DOI
10.4103/IJCIIS.IJCIIS_63_17