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Analysis of institutional authors

Castro, PedroAuthorPineda, CamiloAuthor

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March 19, 2025
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Brain microbleeds resulting from presumed extensive fat emboli in a patient with bone marrow necrosis following a sickle cell disease vaso-occlusive crisis

Publicated to:Emergency Radiology. - 2025-02-01 (), DOI: 10.1007/s10140-024-02283-5

Authors: Amseian, Gary; Ortiz-Fernandez, Maria; Doti, Pamela; Massuet, Anna; Castro, Pedro; Pineda, Camilo

Affiliations

Hosp Clin Barcelona, Intens Care Unit, Barcelona 08036, Spain - Author
Hosp Clin Barcelona, Internal med Dept, Barcelona 08036, Spain - Author
Hosp Clin Barcelona, Radiol Dept, C Villarroel,170, Barcelona 08036, Spain - Author

Abstract

Acute manifestations of sickle cell disease (SCD) are numerous and multisystemic. Cerebral fat embolism (CFE) is a rare but serious complication of SCD caused by bone marrow necrosis (BMN) during vaso-occlusive crises (VOC). We present the case of a 41-year-old man with SCD who developed severe VOC and multi-organ dysfunction. He subsequently experienced neurological deterioration with decreased consciousness and diffuse encephalopathy on serial electroencephalograms. Bone marrow aspiration confirmed BMN. Brain MRI revealed extensive diffuse leukoencephalopathy, vasogenic and cytotoxic edema in the white matter, patchy edema in the cranial vault bone marrow on fat-suppressed FLAIR sequence (a finding consistent with the confirmed BMN), and multiple cerebral microbleeds on susceptibility-weighted imaging consistent with CFE. The management of acute neurological complications of SCD varies depending on the specific complication. Brain MRI plays a crucial role in the accurate diagnosis of these complications to guide appropriate treatment.

Keywords

AdultAnemia, sickle cellBone marrow necrosisBrain microbleedsCerebral fat embolismCerebral hemorrhageElectroencephalographyEmbolism, fatHumansMagnetic resonance imagingMaleNecrosisNeuroradiologNeuroradiologySickle cell diseaseVaso-occlusive crisis

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Emergency Radiology due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Emergency Medicine. Notably, the journal is positioned en el Cuartil Q3 for the agency WoS (JCR) in the category Radiology, Nuclear Medicine & Medical Imaging.

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-16:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 2 (PlumX).

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Pineda Ibarra, Camilo).