Fat emboli and critical illness-associated cerebral microbleeds (CICMs) in a patient with sickle cell disease: Do these 2 entities coexist?
We report the case of a 30-year-old female patient with sickle cell disease presenting with an acute chest syndrome and neurological deterioration. Cerebral magnetic resonance imaging revealed a handful of foci of diffusion restriction and numerous microbleeds with marked involvement of corpus callo...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2023-05-01
|
Series: | Radiology Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323001541 |
_version_ | 1797854544099540992 |
---|---|
author | Selsabil Mohammed-Hadj, MD Martin Colard, MD, PhD Isabelle Delpierre, MD Fabio Taccone, MD, PhD Valentina Elisabetta Lolli, MD, MSc |
author_facet | Selsabil Mohammed-Hadj, MD Martin Colard, MD, PhD Isabelle Delpierre, MD Fabio Taccone, MD, PhD Valentina Elisabetta Lolli, MD, MSc |
author_sort | Selsabil Mohammed-Hadj, MD |
collection | DOAJ |
description | We report the case of a 30-year-old female patient with sickle cell disease presenting with an acute chest syndrome and neurological deterioration. Cerebral magnetic resonance imaging revealed a handful of foci of diffusion restriction and numerous microbleeds with marked involvement of corpus callosum and subcortical white matter, with relative sparing of the cortex and deep white matter. Corpus callosum-predominant and juxtacortical microbleeds have been typically documented in cerebral fat embolism syndrome, but also in the so-called “critical-illness-associated cerebral microbleeds”, a recently described entity associated with respiratory failure. We discussed whether these 2 entities may coexist. |
first_indexed | 2024-04-09T20:08:53Z |
format | Article |
id | doaj.art-8f66331769d24b508a3c8db2e6d11c8f |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-04-09T20:08:53Z |
publishDate | 2023-05-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj.art-8f66331769d24b508a3c8db2e6d11c8f2023-04-01T08:46:33ZengElsevierRadiology Case Reports1930-04332023-05-0118519781981Fat emboli and critical illness-associated cerebral microbleeds (CICMs) in a patient with sickle cell disease: Do these 2 entities coexist?Selsabil Mohammed-Hadj, MD0Martin Colard, MD, PhD1Isabelle Delpierre, MD2Fabio Taccone, MD, PhD3Valentina Elisabetta Lolli, MD, MSc4Radiology Department, CUB-Hôpital Erasme, 808 route de Lennik, 1070 Brussels, Belgium; Corresponding author.Onco-hematology Department, CUB-Hôpital Erasme, 808 route de Lennik, 1070 Brussels, BelgiumRadiology Department, CUB-Hôpital Erasme, 808 route de Lennik, 1070 Brussels, BelgiumIntensive care unit, CUB-Hôpital Erasme, 808 route de Lennik, 1070 Brussels, BelgiumRadiology Department, CUB-Hôpital Erasme, 808 route de Lennik, 1070 Brussels, BelgiumWe report the case of a 30-year-old female patient with sickle cell disease presenting with an acute chest syndrome and neurological deterioration. Cerebral magnetic resonance imaging revealed a handful of foci of diffusion restriction and numerous microbleeds with marked involvement of corpus callosum and subcortical white matter, with relative sparing of the cortex and deep white matter. Corpus callosum-predominant and juxtacortical microbleeds have been typically documented in cerebral fat embolism syndrome, but also in the so-called “critical-illness-associated cerebral microbleeds”, a recently described entity associated with respiratory failure. We discussed whether these 2 entities may coexist.http://www.sciencedirect.com/science/article/pii/S1930043323001541Sickle cell diseaseMRICerebral microbleedCerebral fat embolismStarfield pattern |
spellingShingle | Selsabil Mohammed-Hadj, MD Martin Colard, MD, PhD Isabelle Delpierre, MD Fabio Taccone, MD, PhD Valentina Elisabetta Lolli, MD, MSc Fat emboli and critical illness-associated cerebral microbleeds (CICMs) in a patient with sickle cell disease: Do these 2 entities coexist? Radiology Case Reports Sickle cell disease MRI Cerebral microbleed Cerebral fat embolism Starfield pattern |
title | Fat emboli and critical illness-associated cerebral microbleeds (CICMs) in a patient with sickle cell disease: Do these 2 entities coexist? |
title_full | Fat emboli and critical illness-associated cerebral microbleeds (CICMs) in a patient with sickle cell disease: Do these 2 entities coexist? |
title_fullStr | Fat emboli and critical illness-associated cerebral microbleeds (CICMs) in a patient with sickle cell disease: Do these 2 entities coexist? |
title_full_unstemmed | Fat emboli and critical illness-associated cerebral microbleeds (CICMs) in a patient with sickle cell disease: Do these 2 entities coexist? |
title_short | Fat emboli and critical illness-associated cerebral microbleeds (CICMs) in a patient with sickle cell disease: Do these 2 entities coexist? |
title_sort | fat emboli and critical illness associated cerebral microbleeds cicms in a patient with sickle cell disease do these 2 entities coexist |
topic | Sickle cell disease MRI Cerebral microbleed Cerebral fat embolism Starfield pattern |
url | http://www.sciencedirect.com/science/article/pii/S1930043323001541 |
work_keys_str_mv | AT selsabilmohammedhadjmd fatemboliandcriticalillnessassociatedcerebralmicrobleedscicmsinapatientwithsicklecelldiseasedothese2entitiescoexist AT martincolardmdphd fatemboliandcriticalillnessassociatedcerebralmicrobleedscicmsinapatientwithsicklecelldiseasedothese2entitiescoexist AT isabelledelpierremd fatemboliandcriticalillnessassociatedcerebralmicrobleedscicmsinapatientwithsicklecelldiseasedothese2entitiescoexist AT fabiotacconemdphd fatemboliandcriticalillnessassociatedcerebralmicrobleedscicmsinapatientwithsicklecelldiseasedothese2entitiescoexist AT valentinaelisabettalollimdmsc fatemboliandcriticalillnessassociatedcerebralmicrobleedscicmsinapatientwithsicklecelldiseasedothese2entitiescoexist |