International Journal of Critical Illness and Injury Science

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

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


William Watson, Jack Louro, Roman Dudaryk 
 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
USA

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.


How to cite this article:
Watson W, Louro J, Dudaryk R. Perioperative management of massive fat embolism syndrome presenting as refractory status epilepticus.Int J Crit Illn Inj Sci 2018;8:107-110


How to cite this URL:
Watson W, Louro J, Dudaryk R. Perioperative management of massive fat embolism syndrome presenting as refractory status epilepticus. Int J Crit Illn Inj Sci [serial online] 2018 [cited 2020 Sep 26 ];8:107-110
Available from: http://www.ijciis.org/article.asp?issn=2229-5151;year=2018;volume=8;issue=2;spage=107;epage=110;aulast=Watson;type=0