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

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 coul...

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Bibliographic Details
Main Authors: Arnab Banerjee, Richa Aggarwal, Kapil dev Soni, Anjan Tirkha
Format: Article
Language:English
Published: Elsevier 2021-05-01
Series:Chinese Journal of Traumatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1008127521000274
Description
Summary: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.
ISSN:1008-1275