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Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 107-110

Perioperative management of massive fat embolism syndrome presenting as refractory status epilepticus

Department of Anesthesiology, Perioperative Medicine and Pain Management, Jackson Memorial Hospital and The University of Miami Miller School of Medicine, Miami, FL, USA

Correspondence Address:
Dr. Roman Dudaryk
Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, 1611 NW 12th Ave (t-215) Miami, FL 33136
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJCIIS.IJCIIS_63_17

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Fat embolism syndrome (FES) most commonly can occur after trauma in patients with long bone fractures. While the majority of FES cases present as a mild decrease in mental status, some may manifest as seizure activity. We describe a case of a young patient with traumatic fractures who developed FES leading to refractory status epilepticus and simultaneously required damage controlled orthopedic surgery. The role of imaging modalities including magnetic resonance imaging, transcranial Doppler, and transesophageal echocardiography in diagnosis is discussed, and a multidisciplinary approach to successful perioperative management is described.

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