Recurrent Fat Embolic Strokes in a Patient With Duchenne Muscular Dystrophy With Long Bone Fractures and a Patent Foramen Ovale.

Abstract:

BACKGROUND:Individuals with Duchenne muscular dystrophy have an increased risk of long bone fractures. Such fractures are sometimes associated with brain dysfunction due to fat embolism syndrome, although this syndrome has seldom been documented in muscular dystrophy patients. PATIENT DESCRIPTION:We describe a child with Duchenne muscular dystrophy who developed fat embolism syndrome with neurological dysfunction following multiple long bone fractures. He experienced recurrent cerebral infarctions that probably resulted from embolization through a patent foramen ovale. The patent foramen ovale was closed by an occluder device in the cardiac catheterization laboratory, and he did not experience further infarctions. CONCLUSIONS:Fat embolism with ischemic cerebral infarction can occur in individuals with Duchenne muscular dystrophy following long bone fractures. In this setting it is important to identify and close atrial level shunts in order to prevent additional infarctions.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Bugnitz CJ,Cripe LH,Lo WD,Flanigan KM

doi

10.1016/j.pediatrneurol.2016.05.013

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

76-79

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(16)30352-6

journal_volume

63

pub_type

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