• World Neurosurg · Dec 2018

    Cerebral fat embolism as a complication of facial fat graft: a retrospective analysis of the clinical characteristics, treatment and prognosis.

    • Xiaochuan Huo, Raynald Liu, Yang Wang, Jingdian Sun, Min Lin, Ju Han, Jianfeng Han, and Zhongrong Miao.
    • Department of Neurointervention Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
    • World Neurosurg. 2018 Dec 1; 120: 249-255.

    BackgroundCerebral fat embolism (CFE) is a rare complication that usually occurs after trauma injury. The incidence of CFE due to aesthetic surgery is extremely rare and can lead to fatal outcome. Due to the rarity of this complication, there is still lack of knowledge and standardization of the treatment.Case DescriptionHerein, we reported 6 cases of CFE that occurred in patients who underwent cosmetic surgery. Among 5 patients who had large artery occlusion, 3 patients survived and 2 patients died due to progression of the disease. One patient had the ophthalmic artery occlusion. In addition, embolectomy was performed in 5 patients and 3 patients had decompressive craniectomy following endovascular treatment due to severe brain edema.ConclusionsCFE is associated with high morbidity and mortality, and early surgical intervention can improve the prognosis.Copyright © 2018 Elsevier Inc. All rights reserved.

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