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Fig. 5 | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Fig. 5

From: Cerebral fat embolism after traumatic bone fractures: a structured literature review and analysis of published case reports

Fig. 5

Axial FLAIR (a) magnetic resonance imaging sequence shows the presence of numerous multifocal hyperintensities involving the deep white matter of both hemispheres (arrow), which correspond to innumerable tiny foci of diffusion restrictions on DWI (b) with low signal on ADC map (c) (arrow). These findings are the so-called “starfield” pattern characteristic of cerebral fat embolism syndrome. In the same patient, the SE-T1W (d) and T2* GRE (f) sequences, and the axial non enhanced computed tomography NECT scan (f) appear relatively normal

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