{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T00:41:58Z","timestamp":1654648918744},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Massive migration of fat droplets in the ventricles and the subarachnoid space is a very rare sequel of spinal trauma. Owing to its rarity, knowledge about treatment and outcome remains limited. We report on the uncommon occurrence of massive subarachnoid and intraventricular fat dissemination in a 41-year-old man who suffered a complex sacropelvic fracture with spondylopelvic dissociation but who had no head injury. We show that early placement of an external ventricular drain with prolonged drainage for washout of the fat depots can prevent chronic hydrocephalus and subsequent shunt dependency.<\/jats:p>","DOI":"10.1055\/s-0041-1722967","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:20:13Z","timestamp":1614039613000},"page":"290-293","source":"Crossref","is-referenced-by-count":0,"title":["When Fat Hits the Brain: Intraventricular and Subarachnoid Fat Migration Secondary to a Complex Sacropelvic Fracture\u2014Diagnosis and Treatment"],"prefix":"10.1055","volume":"83","author":[{"given":"Manolis","family":"Polemikos","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Kiepe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shadi","family":"Al-Afif","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Bronzlik","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Neuroradiology, Hannover Medical School, MHH, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim K.","family":"Krauss","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,22]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.3171\/2013.7.JNS13363","article-title":"Massive cerebral involvement in fat embolism syndrome and intracranial pressure management","volume":"119","author":"R G Kellogg","year":"2013","journal-title":"J Neurosurg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1302\/0301-620X.56B3.408","article-title":"The fat embolism syndrome","volume":"56B","author":"A R Gurd","year":"1974","journal-title":"J Bone Joint Surg Br"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1001\/archsurg.1997.01430280109019","article-title":"Fat embolism syndrome. 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