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Fat Emboli Cerebral Infarction
Karen L. Salzman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Acute stroke related to fat emboli

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              Selected References

                              1. Eriksson EA et al: Fat embolism in pediatric patients: An autopsy evaluation of incidence and Etiology. J Crit Care. 30(1):221.e1-5, 2015
                              2. Kosova E et al: Fat embolism syndrome. Circulation. 131(3):317-20, 2015
                              3. Kuo KH et al: Dynamic MR imaging patterns of cerebral fat embolism: a systematic review with illustrative cases. AJNR Am J Neuroradiol. 35(6):1052-7, 2014
                              4. Kellogg RG et al: Massive cerebral involvement in fat embolism syndrome and intracranial pressure management. J Neurosurg. 119(5):1263-70, 2013
                              5. Medina FJ et al: Cerebral fat embolism detection with susceptibility-weighted images in sickle cell disease. Neuroradiol J. 25(4):411-4, 2012
                              6. Abend NS et al: Hypodense middle cerebral artery with fat embolus. Neurocrit Care. 6(2):147-8, 2007
                              7. Koch S et al: Cerebral fat microembolism and cognitive decline after hip and knee replacement. Stroke. 38(3):1079-81, 2007
                              8. Aydin MD et al: Cerebral fat embolism: pulmonary contusion is a more important etiology than long bone fractures. Clin Neuropathol. 24(2):86-90, 2005
                              9. Lee TC et al: The hypodense artery sign. AJNR Am J Neuroradiol. 26(8):2027-9, 2005
                              10. Yoon SS et al: Acute fatal stroke immediately following autologous fat injection into the face. Neurology. 61(8):1151-2, 2003
                              11. Parizel PM et al: Early diagnosis of cerebral fat embolism syndrome by diffusion-weighted MRI (starfield pattern). Stroke. 32(12):2942-4, 2001
                              12. Forteza AM et al: Transcranial doppler detection of fat emboli. Stroke. 30(12):2687-91, 1999
                              13. Wegener K et al: A case of cerebral fat embolism demonstrating no pathophysiological involvement of lung dysfunction. Eur Neurol. 42(1):65-6, 1999
                              14. Ghatak NR et al: Cerebral fat embolism following cardiac surgery. Stroke. 14(4):619-21, 1983
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Pathology

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Acute stroke related to fat emboli

                                        IMAGING

                                        • General Features

                                          • CT Findings

                                            • MR Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Demographics

                                                        DIAGNOSTIC CHECKLIST

                                                        • Consider

                                                          Selected References

                                                          1. Eriksson EA et al: Fat embolism in pediatric patients: An autopsy evaluation of incidence and Etiology. J Crit Care. 30(1):221.e1-5, 2015
                                                          2. Kosova E et al: Fat embolism syndrome. Circulation. 131(3):317-20, 2015
                                                          3. Kuo KH et al: Dynamic MR imaging patterns of cerebral fat embolism: a systematic review with illustrative cases. AJNR Am J Neuroradiol. 35(6):1052-7, 2014
                                                          4. Kellogg RG et al: Massive cerebral involvement in fat embolism syndrome and intracranial pressure management. J Neurosurg. 119(5):1263-70, 2013
                                                          5. Medina FJ et al: Cerebral fat embolism detection with susceptibility-weighted images in sickle cell disease. Neuroradiol J. 25(4):411-4, 2012
                                                          6. Abend NS et al: Hypodense middle cerebral artery with fat embolus. Neurocrit Care. 6(2):147-8, 2007
                                                          7. Koch S et al: Cerebral fat microembolism and cognitive decline after hip and knee replacement. Stroke. 38(3):1079-81, 2007
                                                          8. Aydin MD et al: Cerebral fat embolism: pulmonary contusion is a more important etiology than long bone fractures. Clin Neuropathol. 24(2):86-90, 2005
                                                          9. Lee TC et al: The hypodense artery sign. AJNR Am J Neuroradiol. 26(8):2027-9, 2005
                                                          10. Yoon SS et al: Acute fatal stroke immediately following autologous fat injection into the face. Neurology. 61(8):1151-2, 2003
                                                          11. Parizel PM et al: Early diagnosis of cerebral fat embolism syndrome by diffusion-weighted MRI (starfield pattern). Stroke. 32(12):2942-4, 2001
                                                          12. Forteza AM et al: Transcranial doppler detection of fat emboli. Stroke. 30(12):2687-91, 1999
                                                          13. Wegener K et al: A case of cerebral fat embolism demonstrating no pathophysiological involvement of lung dysfunction. Eur Neurol. 42(1):65-6, 1999
                                                          14. Ghatak NR et al: Cerebral fat embolism following cardiac surgery. Stroke. 14(4):619-21, 1983