Kasuistik – Zerebrales Fettemboliesyndrom nach beidseitiger Oberschenkelfraktur

Zusammenfassung

Das zerebrale Fettemboliesyndrom hat klinisch viele Gesichter, von einem Delir über zerebrale Krampfanfälle bis hin zum Hirntod. Gerade wenn, wie in dem hier vorgestellten Fall, die pulmonalen Symptome fehlen, ist die Diagnose eine echte Herausforderung. Nach Ausschluss anderer Ursachen ist die Kernspintomografie neben den klinischen Symptomen wegweisend.

Abstract

The cerebral fat embolism syndrome has many facets, ranging from delirium to seizures or even brain death. The diagnosis is a real challenge, especially if the pulmonary symptoms are missing, as in the case presented here. After elimination of other causes MRI imaging together with clinical symptoms paths the way to the diagnosis.

Schlüsselwörter:

Fettembolie - zerebrales Fettemboliesyndrom - Oberschenkelfraktur - Petechien - starfieldpattern

Key words:

fat embolism - cerebral fat embolism syndrome - femur fracture - petechia - starfield pattern

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