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Cerebrale fedtembolier efter elektiv total hoftealloplastik

Lars Christensen1, Erik Brandt2 & Liudmila Ivanovna Gibson3 1) Anæstesiologisk Afdeling, Holbæk Sygehus 2) Radiologisk Afdeling, Holbæk Sygehus 3) Patologiafdelingen, Region Sjælland, Afsnit Næstved Ugeskr Læger 2015;177:V05150414
Ugeskr Læger 2015;177:V05150414
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Cerebral fat emboli after elective total hip replacement
Fat embolism is a well known complication to fractures of long bones, but is less often seen after surgery. The symp­toms vary from non- to total pulmonary and circulatory collapse and also include cerebral affection. Cerebral fat embolism is less common, and with varying presentation. This case report describes a case of fatal cerebral fat embo­lism after total hip replacement in a 75-year-old male. Diag­nostics can be difficult but diffusion-weighted MRI can de­tect infarctions at an early stage. Treatment is sympto­ma­tic, and there is often total spontaneous remission of symp­toms.
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