The spectrum of neurological derangement due to fat embolism: a case series.

Cerebral fat embolism (CFE) is a rare neurological feature of fat embolism syndrome (FES), often occurring after long bone fractures. It has a mortality rate of approximately 10% and presents with a spectrum of symptoms, ranging from mild confusion to sudden unresponsiveness and death. Diagnosis primarily relies on clinical history and findings, especially when magnetic resonance imaging is unavailable. We report three unique cases involving traumatic long bone fractures in which patients showed varying severity of CFE, including rapid loss of consciousness. These cases highlight the diverse presentations and outcomes of CFE, including associated symptoms, imaging features, treatment approaches, and prognosis.