Article Text
PDF
Statistics from Altmetric.com
A female patient in her mid 70s underwent aortic valve replacement and single-vessel coronary artery bypass grafting, but after awakening from anaesthesia was found to have left-sided weakness. She had a history of severe aortic stenosis, hypertension, diabetes mellitus and hyperlipidaemia. On examination, there was right gaze deviation and a dense left hemiplegia. Non-contrasted CT scan of head and cerebral angiography showed a 1.5 cm hypodense filling defect in the distal M1 segment of the right middle cerebral artery, measuring –80 Hounsfield units, consistent with fat density (figure 1A,B). There were also early ischaemic changes in the right middle cerebral artery territory. The patient …
Footnotes
Contributors JDA evaluated the patient, gathered the data, conceived the concept and design of the manuscript, and drafted and revised the manuscript for content.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Robert Simister, London, UK.
Read the full text or download the PDF:
Other content recommended for you
- Cerebral fat embolism syndrome (FES): similar cases with different outcomes
- When the fat hits the brain—salvage STA–MCA bypass for an intracranial ICA occlusion due to a fat embolus
- Prolonged coma due to cerebral fat embolism: report of two cases
- Diverse manifestations of a sickle cell crisis
- Cerebral fat embolism: the value of susceptibility-weighted imaging
- Use of diffusion-weighted MRI in the emergency department for unconscious trauma patients with negative brain CT
- Coma secondary to cerebral fat embolism syndrome due to sickle cell disease fully recovering following red cell exchange transfusion
- Woman with acute onset involuntary limb movements
- Isolated middle cerebral artery disease: clinical and neuroradiological features depending on the pathogenesis
- An injured man with acute altered mental status