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Published on: June 13, 2016
How do you approach seizures in the high altitude traveler?
1Department of Neurology, University of Colorado, Denver Health and Hospitals, Denver, CO, USA. edward.maa@ucdenver.edu
Abstract:
Counseling patients who suffer first-time or break- through seizures can be difficult, particularly when controllable external factors may be contributing to the lowering of their seizure threshold. High altitude as a potential trigger for seizures is a common question in our epilepsy clinics in Colorado, and this article reviews the existing anecdotal literature, presents our local experience with high altitude seizures (HAS), offers possible mechanisms to explain how high altitude may trigger seizures, and suggests an initial work-up and prophylactic strategies for future high altitude exposures.
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