Cerebral fat embolism following autologous fat injection in facial reconstruction:A case report  

作　　者：Xiu-Ying Chen Fa Shen Chang Cheng Yu-Han Wang Wen-Chao Cheng De-Zhi Yuan Wen Huang 

机构地区：[1]Department of Neurology,Chongqing Emergency Medical Center,Chongqing University Central Hospital,Chongqing 400000,China [2]Department of Neurology,Xinqiao Hospital,The Army Medical University(Third Military Medical University),Chongqing 400000,China

出　　处：《World Journal of Clinical Cases》2025年第2期50-58,共9页世界临床病例杂志（英文）

基　　金：Supported by The National Natural Science Foundation of China,No.82171334;The Chongqing Science and Health Joint Medical Research Project,No.2024MSXM155.

摘　　要：BACKGROUND Autologous fat injection in facial reconstruction is a common cosmetic surgery.Although cerebral fat embolism(CFE)as a complication is rare,it carries serious health risks.CASE SUMMARY We present a case of a 29-year-old female patient who developed acute CFE following facial fat filling surgery.After the surgery,the patient experienced symptoms including headache,nausea,vomiting,and difficulty breathing,which was followed by neurological symptoms such as slurred speech and left-sided weakness.Comprehensive physical examination and auxiliary investigations,including blood tests,head and neck computed tomography angiography,and cranial magnetic resonance diffusion-weighted imaging,were performed upon admission.The clinical diagnosis was acute cerebral embolism following facial fat filling surgery.Treatment included measures to improve cerebral circulation,dehydration for intracranial pressure reduction,nutritional support,and rehabilitation therapy for left limb function.The patient showed a significant improvement in symptoms after 2 weeks of treatment.She recovered left limb muscle strength to grade 5,had clear speech,and experienced complete relief of headache.CONCLUSION Our case highlights the potential occurrence of severe complications in patients undergoing fat injection in facial reconstruction.To prevent these complications,plastic surgeons should enhance their professional knowledge and skills.

关 键 词：Cerebral fat embolism Mechanical thrombectomy THROMBOLYSIS Steroid therapy Symptomatic treatment Case report 

分 类 号：R62[医药卫生—整形外科]