Paroxysmal sympathetic hyperactivity syndrome caused by fat embolism syndrome

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Sympathetic hyperactivity syndrome following cerebral fat embolization

To date, there have been no reports of paroxysmal sympathetic hyperactivity syndrome (PSHS) associated with cerebral fat embolization. We describe the case of a young male who developed acute brain injury and acute hypoxemic respiratory failure secondary to significant fat embolization following a traumatic femur injury. Our patient demonstrated episodes of significant hypertension, tachycardia...

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Fat Embolism Syndrome

The initial symptoms are probably caused by mechanical occlusion of multiple blood vessels with fat globules that are too large to pass through the capillaries. The vascular occlusion in fat embolism is often temporary or incomplete, as fat globules do not obstruct capillary blood flow completely because of their fluidity and deformability. The late presentation is thought to be a result of hyd...

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Fat Embolism Syndrome

The classical syndrome of fat embolism is characterized by the triad of respiratory failure, neurologic dysfunction and the presence of a petechial rash. Fat embolism syndrome (FES) occurs most commonly following orthopedic trauma, particularly fractures of the pelvis or long bones, however non-traumatic fat embolism has also been known to occur on rare occasions. Because no defi nitive consens...

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Fat embolism syndrome

A 40-year-old man who sustained polytrauma presented with comminuted fractures of both right tibia and femur to the emergency room (ER). He had no evidence of head injury and was admitted for surgical fixation. Twelve hours after admission he developed dyspnea and while awaiting surgery his sensorium gradually declined over the next 24 h. Examination revealed a pulse rate of 130 bpm, blood pres...

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Fat embolism syndrome.

1 Reid J. Mid-systolic clicks. S African Med J 1961; 35: 353 2 Barlow J, Pocock W, Marchand P, et al. The significance of late systolic murmurs. Am Heart J 1963; 66:443-52 3 Markiewicz W, Stoner J, et al. Mitral valve prolapse in one hundred presumably healthy young females. Circulation 1976; 53:464-73 4 Procacci P, Savran S, et al. Prevalence of clinical mitral valve prolapse in 1169 young wom...

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ژورنال

عنوان ژورنال: Revista Brasileira de Terapia Intensiva

سال: 2018

ISSN: 0103-507X

DOI: 10.5935/0103-507x.20180035