Cerebral Fat Embolism After Video-Assisted Thoracic Surgery

Maenia Scarpino, Giovanni Lanzo, Francesco Cappelli, Marco Moretti, Gianni Misuri, Luca Voltolini, Massimo Pistolesi, Aldo Amantini, Antonello Grippo

Research output: Contribution to journalArticle

Abstract

Cerebral fat embolism (CFE) is an uncommon disease occurring mainly after traumatic lower limb long bone fractures. A 64-year-old woman with pneumonia and bilateral pleural effusion underwent video-assisted thoracic surgery (VATS). After 3 days, the patient had an acute decrease in consciousness level followed by the onset of seizures and right hemiparesis. Brain computed tomography and magnetic resonance imaging showed findings suggestive of CFE. CFE occurring after an uncommon nontraumatic cause of fat embolism, such as VATS, is a rare clinical event whose diagnosis could be challenging. Neuroimaging can hasten diagnosis and prevent other unnecessary investigations and treatments.

Original languageEnglish
Pages (from-to)e409-e411
JournalAnnals of Thoracic Surgery
Volume102
Issue number5
DOIs
Publication statusPublished - Nov 1 2016

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Scarpino, M., Lanzo, G., Cappelli, F., Moretti, M., Misuri, G., Voltolini, L., Pistolesi, M., Amantini, A., & Grippo, A. (2016). Cerebral Fat Embolism After Video-Assisted Thoracic Surgery. Annals of Thoracic Surgery, 102(5), e409-e411. https://doi.org/10.1016/j.athoracsur.2016.04.073