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The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
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Mountain neurology.

Marieke Cornelia Johanna Dekker1, Mark H Wilson2, William Patrick Howlett3

  • 1Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania marieke@zwets.com.

Practical Neurology
|June 10, 2019
PubMed
Summary
This summary is machine-generated.

Neurologists increasingly see high-altitude illnesses like acute mountain sickness and cerebral edema. This review covers their causes, symptoms, and management, drawing on Kilimanjaro experience.

Keywords:
acute mountain sicknesshigh-altitude cerebral oedemahigh-altitude pulmonary oedema

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Area of Science:

  • Neurology
  • Altitude Medicine
  • Travel Medicine

Background:

  • High-altitude travel and extreme sports are increasingly popular.
  • Neurologists face rising cases of altitude-related neurological disorders.
  • Patients with pre-existing neurological conditions require advice on altitude risks.

Purpose of the Study:

  • To review neurological illnesses associated with high altitude.
  • To discuss the pathogenesis and management of these conditions.
  • To integrate clinical experience from Mount Kilimanjaro.

Main Methods:

  • Literature review of high-altitude neurological illnesses.
  • Synthesis of current understanding of pathogenesis.
  • Case-based insights from managing altitude illness at Mount Kilimanjaro.

Main Results:

  • Focus on acute mountain sickness, high-altitude cerebral edema, and retinopathy.
  • Discussion of other neurological disorders related to altitude.
  • Integration of theoretical knowledge with practical management strategies.

Conclusions:

  • Neurological complications of high altitude require increased awareness among clinicians.
  • Understanding pathogenesis is key to effective management.
  • Clinical experience, such as that gained at Mount Kilimanjaro, is invaluable.