{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:14:39Z","timestamp":1740147279806,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Here we report the only formally documented case in the United Kingdom, to our knowledge, of a cerebral fat embolism secondary to non-iatrogenic trauma through a Tarlov cyst. This case demonstrates the pathology clearly giving an excellent opportunity to demonstrate a rarely seen pathology as well as illustrating the importance of the patient history to guiding further management.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A middle-aged patient was admitted on the acute medical take complaining of severe headache with photophobia, having just returned after a skiing holiday. Computerised tomography scan of the head showed fat within the anterior horn of both lateral ventricles, and within the subarachnoid space. Re-discussion with the patient and subsequent MRI (Magnetic Resonance Imaging) of the spine identified the pathogenesis of her symptoms: a sacral insufficiency fracture through a Tarlov cyst, causing subarachnoid fat embolism and symptoms of a low-pressure headaches due to a dural leak. Patient was medically managed and discharged with planned follow-up. Due to the Coronavirus pandemic and resolution of the patient's symptoms, they declined further follow up imaging.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The case demonstrates a rarely seen pathology as cause of a common presenting problem, headache. Emphasizing the importance of history taking and appropriate investigations in medical cases that do not conform to the usual diagnosis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-023-04142-2","type":"journal-article","created":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:02:18Z","timestamp":1696636938000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Low pressure headache and cerebral fat embolism from a sacral fracture through a Tarlov cyst: a case report"],"prefix":"10.1186","volume":"17","author":[{"given":"Delran","family":"Anandkumar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0968-4843","authenticated-orcid":false,"given":"Umayr","family":"Jakhura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Potter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim","family":"Bhatti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,10,7]]},"reference":[{"issue":"5","key":"4142_CR1","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1053\/apmr.2001.22353","volume":"82","author":"S Nadler","year":"2001","unstructured":"Nadler S, Bartoli L, Stitik T, Chen B. Tarlov cyst as a rare cause of S1 radiculopathy: a case report. Arch Phys Med Rehabil. 2001;82(5):689\u201390.","journal-title":"Arch Phys Med Rehabil"},{"key":"4142_CR2","unstructured":"Neblett M. BMJ Best Practise: assessment of acute headache in adults [Internet]. BMJ; 2021 [cited 7 January 2022]. Available from: https:\/\/bestpractice.bmj.com\/topics\/en-gb\/9."},{"key":"4142_CR3","unstructured":"Differential diagnosis|Diagnosis|Headache-cluster|CKS|NICE [Internet]. Cks.nice.org.uk. 2022 [cited 7 January 2022]. Available from: https:\/\/cks.nice.org.uk\/topics\/headache-cluster\/diagnosis\/differential-diagnosis\/."},{"issue":"3","key":"4142_CR4","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1177\/2049463712459691","volume":"6","author":"F Ahmed","year":"2012","unstructured":"Ahmed F. Headache disorders: differentiating and managing the common subtypes. Br J Pain. 2012;6(3):124\u201332.","journal-title":"Br J Pain"},{"issue":"985","key":"4142_CR5","doi-asserted-by":"publisher","first-page":"e18","DOI":"10.1259\/bjr\/66268641","volume":"83","author":"J Woo","year":"2010","unstructured":"Woo J, Malfair D, Vertinsky T, Heran M, Graeb D. Intracranial transthecal subarachnoid fat emboli and subarachnoid haemorrhage arising from a sacral fracture and dural tear. Br J Radiol. 2010;83(985):e18\u201321.","journal-title":"Br J Radiol"},{"key":"4142_CR6","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.clinimag.2020.06.035","volume":"68","author":"R Chaturvedi","year":"2020","unstructured":"Chaturvedi R, Williams A, Farid N, Retson T, Smitaman E. Posttraumatic subarachnoid fat embolism: case presentation and literature review. Clin Imaging. 2020;68:121\u20133.","journal-title":"Clin Imaging"},{"key":"4142_CR7","doi-asserted-by":"crossref","unstructured":"Duja C, Berna C, Kremer S, G\u00e9ronimus C, Kopferschmitt J, Bilbault P. Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov cyst: case report. BMC Emerg Med. 2010;10(1).","DOI":"10.1186\/1471-227X-10-18"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-023-04142-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-023-04142-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-023-04142-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T14:24:47Z","timestamp":1700576687000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-023-04142-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,7]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["4142"],"URL":"https:\/\/doi.org\/10.1186\/s13256-023-04142-2","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2023,10,7]]},"assertion":[{"value":"9 July 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 August 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 October 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not Applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests. The content of the manuscript has not been published, or been submitted for publication elsewhere.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"444"}}