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Going high with preexisting neurological conditions.
Ralf W Baumgartner1, Adrian M Siegel, Peter H Hackett
1Department of Neurology, University Hospital Zürich, Switzerland. ralf.baumgartner@usz.ch
High Altitude Medicine & Biology
|June 23, 2007
Summary
High altitude exposure poses risks for individuals with pre-existing neurological conditions, such as stroke and multiple sclerosis. This review outlines contraindications for travel to high altitudes for various brain disorders.
Area of Science:
- Neurology
- Altitude Medicine
- Travel Medicine
Background:
- High altitude environments present physiological challenges.
- Individuals with pre-existing neurological conditions may be at increased risk.
- Limited data exists on the specific impacts of altitude on these patients.
Purpose of the Study:
- To review the potential impact of high altitude exposure on various pre-existing neurological conditions.
- To provide recommendations on contraindications for high-altitude travel for patients with neurological disorders.
Main Methods:
- Literature review focusing on case reports and pathophysiological considerations.
- Extrapolation of knowledge from low-altitude scenarios.
- Development of absolute and relative contraindications for high-altitude travel.
Main Results:
- Identified neurological conditions include ischemic stroke, cerebral venous thrombosis, multiple sclerosis, and epilepsy.
- New diagnostic and treatment developments are discussed.
- Specific contraindications for high-altitude travel were established for each condition.
Conclusions:
- High altitude exposure requires careful consideration for patients with neurological conditions.
- Recommendations are based on current evidence, emphasizing caution.
- Further research is needed to establish evidence-based guidelines.
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