Abstract
Fat embolism occurs as a result of traumatic or non-traumatic injury, where fat globules from adipose tissue enter the circulation and disperse throughout the body, leading to a wide range of clinical manifestations depending on the affected organ. This article presents a clinical case of cerebral fat embolism syndrome, with a diagnostic suspicion guided by major and minor clinical criteria, complemented by brain MRI, which plays a crucial role in ruling out differential diagnoses compatible with its characteristic "starfield pattern," also seen in diffuse axonal injury or demyelinating diseases. Diagnostic suspicion should be based on clinical history, lack of response to conventional treatments, and persistence of neurological symptoms after ruling out other conditions.
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