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Magnetic Resonance Diffusion W Imaging in Cerebral Fat Embolism

Published online by Cambridge University Press:  02 December 2014

G.B. Marshall ,
V.R. Heale ,
L. Herx ,
A. Abdeen ,
L. Mrkonjic ,
J. Powell ,
R.J. Sevick  and
W. Morrish
G.B. Marshall
Affiliation:
Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB, Canada
V.R. Heale
Affiliation:
Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB, Canada
L. Herx
Affiliation:
Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB, Canada
A. Abdeen
Affiliation:
Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB, Canada
L. Mrkonjic
Affiliation:
Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB, Canada
J. Powell
Affiliation:
Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB, Canada
R.J. Sevick
Affiliation:
Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB, Canada
W. Morrish
Affiliation:
Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB, Canada
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Abstract

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The use of diffusion weighted imaging with apparent diffusion coefficient mapping in the diagnosis of cerebral fat embolism is shown here to demonstrate infarcts secondary to fat emboli more intensely than T2 weighted sequences 24 hours after the onset of symptoms. Embolic foci are hypointense on apparent diffusion coefficient mapping consistent with cytotoxic edema associated with cell death and restricted water diffusion. This technique increases the sensitivity for detecting cerebral fat embolism and offers a potentially important tool in its diagnosis.

Type
Editorial
Information
Canadian Journal of Neurological Sciences , Volume 31 , Issue 3 , August 2004 , pp. 417 - 421
Copyright
Copyright © The Canadian Journal of Neurological 2004

References

1.Yoshida, A, Okada, Y, Nagata, Y, Hanaguri, K, Morio, M.Assessment of cerebral fat embolism by magnetic resonance imaging in the acute stage. J Traumatic Inj Infect Crit Care 1996;40:437–440.CrossRefGoogle ScholarPubMed
2.Citerio, G, Bianchini, E, Beretta, L.Magnetic resonance imaging of cerebral fat embolism: a case report. Intens Care Med 1995;21:679–681.Google Scholar
3.Erdem, E, Namer, I, Saribas, O, et al.Cerebral fat embolism studied with MRI and SPECT. Neuroradiology 1993;35:199–201.Google Scholar
4.Sorensen, A, Buonanno, F, Gonzalez, R, et al.Hyperacute stroke: evaluation with combined multisection diffusion-weighted and hemodynamically weighted echo-planar imaging. Radiology 1996;199:391–401.Google Scholar
5.Chiba, M, Imaizumi, T, Honma, T, et al.Dynamic changes in magnetic resonance diffusion-weighted and fluid-attenuated images of cerebral fat embolism: a case report. No to Shinkei 2002;54(8):693–696.Google Scholar
6.Ito, J, Marmarou, A, Barzo, P, Fatouros, P, Corwin, F.Characterization of edema by diffusion-weighted imaging in experimental traumatic brain injury. J Neurosurg 1996;84:97–103.CrossRefGoogle ScholarPubMed
7.Sevick, R, Kanda, F, Mintorovitch, J, et al.Cytotoxic brain edema: assessment using diffusion weighted MR imaging. Radiology 1992;185:687–690.CrossRefGoogle ScholarPubMed
8.Kim, HJ, Lee, CH, Chow, BM, et al.Early development of vasogenic edema in experimental cerebral fat embolism in cats: correlation with MRI and electron microscopic findings. Invest Radiol 2001;36(8):460–469.Google Scholar
9.Simon, AD, Ulmer, JL, Strottmann, JM.Contrast-enhanced MR imaging of cerebral fat embolism: case report and review of the literature. AJNR 2003; 24:97–101.Google Scholar
10.Fabian, T.Unraveling the fat embolism syndrome (editorial). N Eng J Med 1993;329:961–963.Google Scholar
11.Levy, D.The fat embolism syndrome: a review. Clin Orthopaed 1990;261:281–286.Google Scholar
12.Kim, HJ, Lee, JH, Lee, CH, et al.Experimental cerebral fat embolism: embolic effects of triolein and oleic acid depicted by MR imaging and electron microscopy. AJNR Am J Neuroradiol 2002;23(9): 1516–1523.Google Scholar
13.Sevitt, S.The significance and pathology of fat embolism. Ann Clin Res 1977;9:173–180.Google Scholar
14.Kamenar, E, Burger, P.Cerebral fat embolism: a neuropathological study of a microembolic state. Stroke 1980;11:477–484.Google Scholar
15.Fabian, T, Hoots, A, Stanford, D, Patterson, R, Mangiante, E.Fat embolism syndrome: prospective evaluation in 92 fracture patients. Crit Care Med 1990;18:42–46.CrossRefGoogle ScholarPubMed
16.Brant-Zawadzki, M.MR imaging of the brain. Radiology 1988;166:1–10.CrossRefGoogle ScholarPubMed
17.Sakamoto, T, Sawada, Y,Yukioka, T, et al.Computed tomography for the diagnosis and assessment of cerebral fat embolism. Neuroradiology 1983;24:283–285.Google Scholar
18.Takahashi, MF, Suzuki, R, Osakabe, Y, et al.Magnetic resonance imaging findings in cerebral fat embolism: correlation with clinical manifestations. J Traumatic Inj Infect Crit Care 1999;46:324–327.Google Scholar
19.Parizel, PM, Demey, HE, Veeckmans, G, et al.Early diagnosis of cerebral fat embolism syndrome by diffusion-weighted MRI (Starfield Pattern). Stroke 2001;32(12):2942–2944.Google Scholar