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KMID : 1201420130060020108
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Journal of Neurocritical Care
2013 Volume.6 No. 2 p.108 ~ p.110
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Cerebral Fat Embolism after Bilateral Total Knee Replacement Arthroplasty
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Han Seung-Min
Cheon Kyeong-Yeol
Park Joong-Hyun
Kim Jeong-Yeon
Baik Jong-Sam
Park Jae-Hyun
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Abstract
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Background:While fat embolism syndrome (FES) is an uncommon, it rarely occurs after elective orthopedic surgery. The incidence of cerebral FES occurring after simultaneous bilateral total knee replacement (TKR) is low.
Case Report:A 74-year old woman visited emergency department due to stupor mentality. She was diagnosed with degenerative osteoarthritis of bilateral knees and total knee placement arthroplasty was done. Six hours after surgery, the patient fell into a stupurous mentality with decreased oxygen saturation level. Diffusion weighted MR showed several bilateral small high signal intensity lesions in the cerebral subcortices and cortices, suggesting fat embolism.
Conclusion:We report a patient of cerebral FES following bilateral TKR. Cerebral FES should be considered, although rare, in patients who present with neurologic impairment after TKR.
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KEYWORD
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Arthroplasty , Fat embolism , Total knee replacement
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