Cerebral fat embolism following hip hemiarthroplasty in the absence of a patent foramen ovale with almost complete resolution.

We describe the first case of clinically significant neurological manifestations of the fat embolism syndrome in the absence of both patent foramen ovale and cardiopulmonary resuscitation during hip hemiarthroplasty. This is an important differential diagnosis in postoperative neurological dysfunction requiring high index of suspicion. Management is supportive.