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Case No. 608
2021-11-01~2021-11-30
출제자 : 백병현
Hit : 626
| Period | 2021-11-01~2021-11-30 |
|---|---|
| Diagnosis | Cerebral fat embolism |
| Gender |
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| Age | 67 |
| Clinical information | 67/F 5일전 TA 이후 지속되는 stuporous mental state 진단은? |
| Discussion | Findings: widespread petechial hemorrhage and bland microinfarction 환자의 hidden history: right femur fracture Cerebral fat embolism should be considered in patients with long bone or pelvic fractures who develop respiratory distress and or neurological deficits. Specific findings on neuroimaging 1. Diffusion-weighted imaging often demonstrates the characteristic starfield pattern, demonstrating scattered foci of high-intensity restricted diffusion. 2. Multiple scattered foci of hypointensity on susceptibility-weighted imaging. 3. Diffuse microhemorrhages on susceptibility-weighted imaging may be the only characteristic finding if outside of the acute period. |
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