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...

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Main Authors: Selsabil Mohammed-Hadj, MD, Martin Colard, MD, PhD, Isabelle Delpierre, MD, Fabio Taccone, MD, PhD, Valentina Elisabetta Lolli, MD, MSc
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323001541
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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.
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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
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