Sebastian Axmann, Markus Schneemann, Dominik Müntener
{"title":"[有点不同的栓塞]。","authors":"Sebastian Axmann, Markus Schneemann, Dominik Müntener","doi":"10.23785/PRAXIS.2025.03.009","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>This report discusses a 79-year-old patient with coxarthrosis and atrial fibrillation who underwent elective implantation of a hip pros-thesis. Postoperatively, after a symptom-free interval, the patient presented with disorientation, slowness, dysarthria and hemisymptomatic symptoms. Together with imaging showing multiple punctate ischemic lesions and microbleeds in the brain, a diagnosis of fat embolism was made. This case emphasizes the importance of considering fat embolism especially after orthopaedic surgery in patients with postoperative neurological symptoms.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"119-122"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[The somewhat different embolism].\",\"authors\":\"Sebastian Axmann, Markus Schneemann, Dominik Müntener\",\"doi\":\"10.23785/PRAXIS.2025.03.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>This report discusses a 79-year-old patient with coxarthrosis and atrial fibrillation who underwent elective implantation of a hip pros-thesis. Postoperatively, after a symptom-free interval, the patient presented with disorientation, slowness, dysarthria and hemisymptomatic symptoms. Together with imaging showing multiple punctate ischemic lesions and microbleeds in the brain, a diagnosis of fat embolism was made. This case emphasizes the importance of considering fat embolism especially after orthopaedic surgery in patients with postoperative neurological symptoms.</p>\",\"PeriodicalId\":20494,\"journal\":{\"name\":\"Praxis\",\"volume\":\"114 3\",\"pages\":\"119-122\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Praxis\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.23785/PRAXIS.2025.03.009\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Praxis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23785/PRAXIS.2025.03.009","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Introduction: This report discusses a 79-year-old patient with coxarthrosis and atrial fibrillation who underwent elective implantation of a hip pros-thesis. Postoperatively, after a symptom-free interval, the patient presented with disorientation, slowness, dysarthria and hemisymptomatic symptoms. Together with imaging showing multiple punctate ischemic lesions and microbleeds in the brain, a diagnosis of fat embolism was made. This case emphasizes the importance of considering fat embolism especially after orthopaedic surgery in patients with postoperative neurological symptoms.
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