Magnetic Resonance Findings in Two Episodes of Repeated Cerebral Fat Embolisms in a Patient with Autologous Fat Injection into the Face.
10.3340/jkns.2012.51.5.312
- Author:
Kyung Mi LEE
1
;
Eui Jong KIM
;
Geon Ho JAHNG
;
Dae Il CHANG
Author Information
1. Department of Radiology, Graduate School of Medicine, Kyung Hee University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cerebral fat embolism;
Single-voxel MR spectroscopy;
Point-resolved spectroscopy (PRESS);
Autologous fat injection
- MeSH:
Adult;
Brain;
Embolism, Fat;
Female;
Humans;
Infarction;
Lactic Acid;
Magnetic Resonance Spectroscopy;
Magnetics;
Magnets;
Neurologic Manifestations
- From:Journal of Korean Neurosurgical Society
2012;51(5):312-315
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report magnetic resonance image (MRI) and magnetic resonance spectroscopy (MRS) findings in a patient of cerebral fat embolism (CFE) occurred in a 26-year-old woman after an autologous fat injection into the face. After initial neurologic symptom onset, MRI and MRS data were obtained two times to investigate repeated CFE. We obtained the MRS data in the two different time intervals and two different echo times to compare the lesions with normal brain parenchyma. The results of MRS data showed that a decrease in N-acetyl-aspartate, an increase in lactate and a very high early peak of free lipids between 0.9 and 1.4 ppm were obtained at the acute infarcted lesion as compared with normal brain parenchyma. In addition, these findings were more clearly detected on short echo time spectrum rather than long spectrum. A close relationship between the clinical manifestations and MRI and MRS findings of the brain can helpful to distinguish CFE with other conditions and to evaluate the cause materials of infarctions rather than conventional MRI or diffusion-weighted imaging.
