Cerebral Fat Embolism following Hip Hemiarthroplasty in the Absence of a Patent Foramen Ovale with Almost Complete Resolution

We describe the first case of clinically significant neurological manifestations of the fat embolism syndrome in the absence of both patent foramen ovale and cardiopulmonary resuscitation during hip hemiarthroplasty. This is an important differential diagnosis in postoperative neurological dysfuncti...

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Bibliographic Details
Published in:Hip international 2014-05, Vol.24 (3), p.306-309
Main Authors: Roberts, Samuel T., Nicholson, David J., Oakley, Patrick W.
Format: Article
Language:English
Subjects:
Aged
Alzheimer Disease - epidemiology
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - methods
Diagnosis, Differential
Disease Progression
Embolism, Fat - diagnosis
Embolism, Fat - etiology
Female
Femoral Neck Fractures - epidemiology
Femoral Neck Fractures - surgery
Foramen Ovale, Patent
Glasgow Outcome Scale
Humans
Intracranial Embolism
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Description
Summary:We describe the first case of clinically significant neurological manifestations of the fat embolism syndrome in the absence of both patent foramen ovale and cardiopulmonary resuscitation during hip hemiarthroplasty. This is an important differential diagnosis in postoperative neurological dysfunction requiring high index of suspicion. Management is supportive.
ISSN:1120-7000
1724-6067
DOI:10.5301/hipint.5000122