Rare Presentation of a Patient with Cardiac Arrest Due to Cerebral Fat Embolization Following Polytrauma

J Assoc Physicians India. 2023 Nov;71(11):89-93. doi: 10.59556/japi.71.0389.

Abstract

Cerebral fat embolism (CFE) syndrome is a known complication that can occur following polytrauma, particularly in cases involving fractures of long bones, but cardiac arrest is a rare presentation following cerebral fat embolization.1 Our patient met with a road traffic accident (RTA), sustaining multiple long bones injuries with hypovolemic shock. After 10 hours of admission and achieving hemodynamic stability, the patient developed cerebral fat embolization. He developed sudden cardiac arrest and was resuscitated. We instituted ventilator support, inotropic infusion, antibiotics, and intravenous (IV) fluids. Our patient regained consciousness without neurological deficit over a period of 10 days and underwent surgery for all three major fractures with due precautions. The patient was discharged after 3 weeks of treatment from the hospital. How to cite this article: Rathod N, Rathod V, Parikh B, et al. Rare Presentation of a Patient with Cardiac Arrest Due to Cerebral Fat Embolization Following Polytrauma. J Assoc Physicians India 2023;71(11):89-93.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Embolism, Fat* / diagnosis
  • Embolism, Fat* / etiology
  • Embolism, Fat* / therapy
  • Heart Arrest* / etiology
  • Heart Arrest* / therapy
  • Humans
  • Intracranial Embolism* / diagnosis
  • Intracranial Embolism* / etiology
  • Male
  • Middle Aged
  • Multiple Trauma*