Un caso de síndrome de embolia grasa: Tratamiento y rehabilitación neurológica y cognitiva

Translated title of the contribution: A case report of fat embolism syndrome: Treatment and neurological and cognitive rehabilitation

José Daniel Villegas (Author undergraduate student), María Camila Zapata (Author undergraduate student), María Camila Jaramillo (Author undergraduate student), Estefanía Orozco (Author undergraduate student), Juan Camilo Suárez

Research output: Contribution to journalArticle in an indexed scientific journalpeer-review

1 Scopus citations

Abstract

We report the neurological and cognitive recovery and rehabilitation process in a young woman who developed a fat embolism syndrome with neurological repercussions secondary to multiple trauma. The patient was a 21-year-old woman with a closed fracture of the left humerus and femur. She developed fat embolism syndrome, left pneumothorax and pulmonary hypertension in the first 24 hours after the accident. After one month of hospitalization, the patient had several central neurological deficits such as lacunar infarcts and occipital laminar cortical necrosis, as well as limitations in standing, walking, vision, and cognitive functions. An integral process of neurological and cognitive rehabilitation--first at home and later in a medical rehabilitation unit-- was carried out from the first month after being released from the hospital. During the first two years after the accident, the patient received sensory and motor stimulation, motor rehabilitation, and intensive visual rehabilitation. Once recovered physically, a process of neuropsychological rehabilitation began. Six years after the accident, the patient finished her university studies and she is working actively. The neurological rehabilitation process is complex, individual and difficult, but not impossible, and a recovery pattern cannot be standardized for all patients. Although there is spontaneous recovery, which occurs in the first six months, the case here reported shows that in the chronic phase recovery can be achieved but requires evaluations and coordinated techniques of neurological rehabilitation.

Translated title of the contributionA case report of fat embolism syndrome: Treatment and neurological and cognitive rehabilitation
Original languageSpanish
Pages (from-to)22-32
Number of pages11
JournalBiomedica
Volume39
Issue number1
DOIs
StatePublished - 2019

Bibliographical note

Publisher Copyright:
© 2019, Instituto Nacional de Salud.

Types Minciencias

  • Artículos de investigación con calidad Q3

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