{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T20:38:40Z","timestamp":1791664720499,"version":"4.3.4"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,8,27]]},"abstract":"<jats:p>Fat embolism syndrome (FES) is a rare and potentially fatal complication occurring most often after long bone or pelvic fractures and orthopaedic procedures. It can consist of pulmonary, central nervous system and cutaneous manifestations. The exact pathophysiology of emboli reaching the arterial circulation is poorly understood.1 It is suggested that this may occur by either \u2018paradoxical\u2019 embolism or microembolism.2 3 Its true incidence is unknown but increases in the presence of multiple closed fractures. It can be a diagnostic dilemma for clinicians and if suspected diffusion-weighted MRI is the modality of choice for the investigation of the central nervous system.4 We present the case of a 22-year-old man who developed multifocal cerebral infarcts, a right-sided cerebellar infarct and an infarct in the anterior cord bilaterally at the level of C5\u2013C6 as a result of FES.<\/jats:p>","DOI":"10.1136\/bcr-2016-215690","type":"journal-article","created":{"date-parts":[[2016,9,13]],"date-time":"2016-09-13T11:57:33Z","timestamp":1473767853000},"page":"bcr2016215690","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Spinal cord infarction as a rare complication of fat embolism syndrome following bilateral intramedullary nailing of femur fractures"],"prefix":"10.1136","volume":"2016","author":[{"given":"RoseMarie","family":"Kearsley","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine, University Hospital Limerick, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Galbraith","sequence":"additional","affiliation":[{"name":"University Hospital Limerick, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4343-8016","authenticated-orcid":false,"given":"David","family":"Dalton","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, University Hospital Limerick, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Motherway","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine, University Hospital Limerick, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,9,13]]},"reference":[{"key":"2025082623423817000_2016.sep13_4.bcr2016215690.1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2001.01724.x"},{"key":"2025082623423817000_2016.sep13_4.bcr2016215690.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199309233291305"},{"key":"2025082623423817000_2016.sep13_4.bcr2016215690.3","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1097\/00000542-199909000-00018","article-title":"Cerebral microembolism diagnosed by transcranial Doppler during total knee arthroplasty: correlation with transesophageal 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