Fat Embolism and Nonconvulsive Status Epilepticus
Joint Authors
Carlan, S. J.
Madruga, Mario
Olivera Arencibia, Yanetsy
Vo, Mai
Kinaga, Jennifer
Uribe, Jorge
Velasquez, Gloria
Source
Case Reports in Neurological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Fat embolism syndrome (FES) typically occurs following orthopedic trauma and may present with altered mental status and even coma.
Nonconvulsive status epilepticus is an electroclinical state associated with an altered level of consciousness but lacking convulsive motor activity and has been reported in fat embolism.
The diagnosis is clinical and is treated with supportive care, antiepileptic therapy, and sedation.
A 56-year-old male presented with altered mental status following internal fixation for an acute right femur fracture due to a motor vehicle accident 24 hours earlier.
Continued neuromonitoring revealed nonconvulsive status epilepticus.
Magnetic resonance imaging of the brain showed multiple bilateral acute cerebral infarcts with a specific pattern favoring the diagnosis of fat embolism syndrome.
He was found to have a significant right to left intracardiac shunt on a transesophageal echocardiogram.
He improved substantially over time with supportive therapy, was successfully extubated on day 6, and discharged to inpatient rehabilitation on postoperative day 15.
Fat embolisms can result in a wide range of neurologic manifestations.
Nonrefractory nonconvulsive status epilepticus that responds to antiepileptic drugs, sedation, and supportive therapy can have a favorable outcome.
A high index of suspicion and early recognition reduces the chances of unnecessary interventions and may improve survival.
American Psychological Association (APA)
Olivera Arencibia, Yanetsy& Vo, Mai& Kinaga, Jennifer& Uribe, Jorge& Velasquez, Gloria& Madruga, Mario…[et al.]. 2018. Fat Embolism and Nonconvulsive Status Epilepticus. Case Reports in Neurological Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145404
Modern Language Association (MLA)
Olivera Arencibia, Yanetsy…[et al.]. Fat Embolism and Nonconvulsive Status Epilepticus. Case Reports in Neurological Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145404
American Medical Association (AMA)
Olivera Arencibia, Yanetsy& Vo, Mai& Kinaga, Jennifer& Uribe, Jorge& Velasquez, Gloria& Madruga, Mario…[et al.]. Fat Embolism and Nonconvulsive Status Epilepticus. Case Reports in Neurological Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145404
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145404