• Praxis · Nov 2009

    Case Reports

    [Coma after lucid interval--severe secondary alteration of consciousness following multiple trauma].

    • J C Richter, M M Stansiak, and P Freitag.
    • Medizinische Klinik, Regionalspital Emmental, Burgdorf. j.c.richter_md@hotmail.com
    • Praxis (Bern 1994). 2009 Nov 4; 98 (22): 1311-4.

    AbstractA 71-year-old man sustains multiple fractures in an accident; after a lucid interval he deteriorates neurologically and becomes comatose. Intracranial hemorrhage, status epilepticus, adverse drug reactions, toxic-metabolic, ischemic or infectious causes are subsequently ruled out. Development of petechiae and thrombopenia raises the possibility of fat embolism syndrome, which is confirmed in a MRI of the head 72 hours after the accident. We discuss current aetiologic concepts as well as diagnosis and clinical course of the cerebral fat embolism syndrome.

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