Increase in optic nerve sheath diameter predicts early cerebral involvement in fat embolism syndrome

• 作者: Banerjee Arnab Aggarwal Richa dev Soni Kapil Tirkha Anjan
• 来源期刊: 中华创伤杂志英文版
• 关键词: Embolism, fat Optic nerve sheath diameter Cerebral fat embolism Ultrasonography
• 年，卷（期）: 2021,（3）
• 所属期刊栏目: Case Report
• 页码范围: 180-182
• 页数: 3页
• 语种: 中文
• DOI: 10.1016/j.cjtee.2021.02.004

摘要

Early diagnosis of cerebral fat embolism in a patient with contradiction to MRI is challenging. Here we report an interesting case, where the raised optic nerve sheath diameter helped us to predict the early cerebral involvement with fat emboli in a left femoral shaft fracture patient. MRI scan could not be performed due to the presence of a metallic implant in the patient from a previous surgery. He was later diagnosed as an atypical presentation of fat embolism syndrome. Optic nerve sheath monitoring also helped us to guide further management of the patient.