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High altitude cerebral oedema.

C Clarke1

  • 1Department of Neurological Sciences, St. Bartholomew's Hospital, London, England.

International Journal of Sports Medicine
|April 1, 1988
PubMed
Summary

High altitude cerebral edema, a severe form of acute mountain sickness, causes neurological symptoms above 4500 meters. This review covers patient cases, pathology, and treatments for this potentially fatal condition.

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Area of Science:

  • Altitude sickness research
  • Neurology
  • Environmental medicine

Background:

  • High altitude cerebral edema (HACE) is a life-threatening condition.
  • It occurs at altitudes exceeding 4500 meters.
  • HACE is a severe manifestation of acute mountain sickness.

Observation:

  • Clinical features include headache, impaired consciousness, and neurological deficits.
  • The condition arises during acclimatization or at extreme altitudes (above 7500 meters).
  • HACE can be fatal, particularly at extreme altitudes.

Findings:

  • This review examines case histories of HACE patients.
  • Pathological findings associated with HACE are discussed.
  • Current treatment strategies for HACE are analyzed.

Implications:

  • Understanding HACE is crucial for high-altitude expeditions and mountaineering.
  • Early recognition and treatment can improve patient outcomes.
  • Further research into altitude-related illnesses, including stroke and retinal hemorrhage, is warranted.

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