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Titolo:
Transcranial Doppler detection of fat emboli
Autore:
Forteza, AM; Koch, S; Romano, JG; Zych, G; Bustillo, IC; Duncan, RC; Babikian, VL;
Indirizzi:
Miami Univ, Sch Med, Dept Neurol, Oxford, OH 45056 USA Miami Univ Oxford OH USA 45056 Sch Med, Dept Neurol, Oxford, OH 45056 USA Miami Univ, Sch Med, Dept Orthoped Surg, Oxford, OH 45056 USA Miami Univ Oxford OH USA 45056 , Dept Orthoped Surg, Oxford, OH 45056 USA Miami Univ, Sch Med, Dept Epidemiol & Publ Hlth, Oxford, OH 45056 USA Miami Univ Oxford OH USA 45056 pidemiol & Publ Hlth, Oxford, OH 45056 USA Boston Univ, Sch Med, Dept Neurol, Boston, MA 02118 USA Boston Univ Boston MA USA 02118 ch Med, Dept Neurol, Boston, MA 02118 USA
Titolo Testata:
STROKE
fascicolo: 12, volume: 30, anno: 1999,
pagine: 2687 - 2691
SICI:
0039-2499(199912)30:12<2687:TDDOFE>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
CAROTID ENDARTERECTOMY;
Keywords:
cerebral embolism; embolism, fat; trauma; ultrasonography, Doppler, transcranial;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Forteza, AM 1150 NW 14th St,Suite 304, Miami, FL 33136 USA 1150 NW 14th St,Suite 304 Miami FL USA 33136 mi, FL 33136 USA
Citazione:
A.M. Forteza et al., "Transcranial Doppler detection of fat emboli", STROKE, 30(12), 1999, pp. 2687-2691

Abstract

Background and Purpose-The fat embolism syndrome (FES) is characterized bythe simultaneous occurrence of pulmonary and neurological symptoms as wellas skin and mucosal petechiae in the setting of long-bone fractures or their surgical repair. Its pathophysiology is poorly understood, and effectivetreatments are lacking. We present 5 patients with long-bone fractures in whom in vivo microembolism was detected by transcranial Doppler. Methods-Five patients with long-bone fractures were monitored with transcranial Doppler for microembolic signals (MESs) after trauma. Two patients also had intraoperative monitoring. A TC-2020 instrument equipped with MES detection software was used. Detected signals were saved for subsequent review. Selected signals satisfied criteria defined previously and were categorized as large or small. Results-Cerebral microembolism was detected in all 5 patients and was transient, resolving within 4 days of injury. Intraoperative monitoring revealed an increase in MESs during intramedullary nail insertion. The characteristics of MESs after injury varied among patients, with large signals being more frequent in the only patient with a patent foramen ovale,Conclusions-Cerebral microembolism after long-bone fractures can be detected in vivo and monitored over time. These findings may have potential diagnostic and therapeutic implications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 00:20:40