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Tytuł pozycji:

Intracranial Transthecal Fat Migration After a Sacral Fracture: 2 Case Reports.

Tytuł:
Intracranial Transthecal Fat Migration After a Sacral Fracture: 2 Case Reports.
Autorzy:
Bereźniak M; 1st Department of Clinical Radiology, Medical University of Warsaw, Warsaw, Poland.
Palczewski P; 1st Department of Clinical Radiology, Medical University of Warsaw, Warsaw, Poland.
Czerwiński J; Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland.
Deręgowska-Cylke M; 1st Department of Clinical Radiology, Medical University of Warsaw, Warsaw, Poland.
Gołębiowski M; 1st Department of Clinical Radiology, Medical University of Warsaw, Warsaw, Poland.
Źródło:
The American journal of case reports [Am J Case Rep] 2021 Oct 12; Vol. 22, pp. e932760. Date of Electronic Publication: 2021 Oct 12.
Typ publikacji:
Case Reports; Journal Article
Język:
English
Imprint Name(s):
Publication: <2014- > : Smithtown, NY : International Scientific Information, Inc.
Original Publication: Albertson, NY : International Scientific Literature, Inc.
MeSH Terms:
Neck Injuries*
Spinal Fractures*
Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Rupture ; Sacrum/diagnostic imaging ; Sacrum/injuries ; Tomography, X-Ray Computed
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Entry Date(s):
Date Created: 20211012 Date Completed: 20211014 Latest Revision: 20211105
Update Code:
20240105
PubMed Central ID:
PMC8522689
DOI:
10.12659/AJCR.932760
PMID:
34637425
Czasopismo naukowe
BACKGROUND The presence of fat droplets within the subarachnoid space is an uncommon finding, which is almost exclusively associated with a ruptured dermoid cyst. In a trauma setting, transthecal migration of fat droplets is an extremely rare occurrence. We present 2 case reports of intracranial transthecal migration of fatty bone marrow after sacral fractures. CASE REPORT Both patients presented to the Emergency Department (ED) after falls from a standing height. The first patient, an 84-year-old woman, suffered a stable sacral fracture extending into a large meningeal cyst within the right S2 foramen. Her initial neurological assessment and computed tomography (CT) of the head were unremarkable. As the fracture did not require surgical treatment, she was discharged home and prescribed bed rest, analgesics, and venous thromboembolism prophylaxis. Three days after the injury, she was readmitted to the ED with a mild headache, dizziness, and an episode of nausea and vomiting. A follow-up head CT revealed fat droplets in the subarachnoid space and lateral ventricles. After successful symptomatic treatment, she was discharged home in good general condition. The second patient, a 60-year-old man, underwent a head CT for a scalp hematoma, which revealed fat droplets in the 3rd ventricle and right lateral ventricle. The pelvic CT revealed a large sacral meningeal cyst with microfractures in its wall. He was discharged home on the same day and prescribed bed rest and analgesics. CONCLUSIONS The detection of intracranial intrathecal fat droplets in association with a specific trauma mechanism should initiate the search for a sacral fracture.

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