Neurological conditions at altitude that fall outside the usual definition of altitude sickness

High Altitude Medicine and Biology

Volumn 5, Issue 2, 2004, Pages 171-179

  Basnyat, Buddha ^a   Wu, Tianyi ^b   Gertsch, Jeffrey H ^c  

^a NEPAL INTERNATIONAL CLINIC   (Nepal)

^b High Altitude Med Res Institute   (China)

^c Department of Internal Medicine ^*  (United States)

Author keywords

Focal neurological impairments; Mountain sickness; Transient ischemic attacks

Indexed keywords

BLOOD CLOTTING FACTOR; OXYGEN;

ALTITUDE DISEASE; ARTICLE; BLOOD CLOTTING DISORDER; BRAIN EDEMA; BRAIN TUMOR; CEREBRAL BLINDNESS; CEREBROVASCULAR ACCIDENT; CRANIAL NERVE PARALYSIS; DELIRIUM; DIFFERENTIAL DIAGNOSIS; DIPLOPIA; ELECTROENCEPHALOGRAPHY; HUMAN; LUNG EDEMA; MAGNETIC RESONANCE ANGIOGRAPHY; MIGRAINE; NEUROLOGIC DISEASE; NUCLEAR MAGNETIC RESONANCE IMAGING; OCCLUSIVE CEREBROVASCULAR DISEASE; PHLEBOGRAPHY; PRIORITY JOURNAL; RETINA HEMORRHAGE; SCOTOMA; SEIZURE; SUBARACHNOID HEMORRHAGE; SYNCOPE; TRANSIENT GLOBAL AMNESIA; TRANSIENT ISCHEMIC ATTACK; TRANSITIONAL BLINDNESS; TRANSTHORACIC ECHOCARDIOGRAPHY; VISUAL IMPAIRMENT; VISUAL SYSTEM EXAMINATION;

ALTITUDE SICKNESS; AMNESIA, TRANSIENT GLOBAL; BLOOD COAGULATION DISORDERS; CEREBROVASCULAR ACCIDENT; CRANIAL NERVE DISEASES; DELIRIUM; EYE DISEASES; HUMANS; ISCHEMIC ATTACK, TRANSIENT; MIGRAINE DISORDERS; NERVOUS SYSTEM DISEASES; SEIZURES; SUBARACHNOID HEMORRHAGE; SYNCOPE; VENOUS THROMBOSIS;

EID: 4043103528     PISSN: 15270297     EISSN: None     Source Type: Journal    
DOI: 10.1089/1527029041352126     Document Type: Article

References (52)

1. Adams R.D., and Victor M. (1989). Principles of Neurology, 4th ed. McGraw-Hill, New York; p. 343.
2. Bartsch P. (2001). Acute mountain sickness and high altitude cerebral edema. In: High Altitude: An Exploration of Human Adaptation. T.F. Hornbein and R.B. Schoene, eds. Marcel Dekker, New York: pp. 731-736.
3. Bartsch P., Maggi S., Kleger G., Ballmer P.E., and Baumgartner R.W. (1994). Sumatriptan for high-altitude headache. Lancet 344:1445.
4. Basnyat B. (1997). Seizure and hemiparesis at high altitude outside the setting of acute mountain sickness. Wilderness Environ. Med. 8:221-222.
5. Basnyat B. (1998). Fatal grand mal seizure in a Dutch trekker. J. Travel Med. 5:221-222.
6. Basnyat B. (2001a). Seizures at high altitude in a patient on antiseizure medications. Wilderness Environ. Med. 12:153-154.
7. Basnyat B. (2001b). Isolated facial and hypoglossal nerve palsies at high altitude. High Alt. Med. Biol. 2:301-303.
8. Basnyat B., Graham L., Lee S.D., and Lim Y. (2001). A language barrier, abdominal pain and double vision. Lancet 357:2021-2022.
9. Boulos P., Kouroukis C., and Blake G. (1999). Superior sagittal sinus thrombosis occurring at high altitude associated with protein C deficiency. Acta Haematal. 102:104-106.
10. Brugger P., Regard M., and Landis T. (1997). Illusionary reduplication of one's own body: Phenomenology and classification of autoscopic phenomena. Cogn. Neuropsychiatry 2:19-38.
11. Cauchy E., Larmignat P., Boussuges A., Le Roux G., Charniot J.C., Dumas J. L., and Richalet J.P. (2002). Transient neurologic disorders during a simulated ascent of Mount Everest. Aviat. Space Environ. Med. 73:1224-1229.
12. Dickinson J. (1981). Acute mountain sickness: a dissertation based on 11 years experience in the Nepal Himalaya. Oxford University, Oxford; p. 98.
13. Dickinson J. (1983). High altitude cerebral edema: Cerebral acute mountain sickness. Semin. Respir. Med. 5: 151-158.
14. Dickinson J., Health D., Gosney J., and Williams D. (1983). Altitude related deaths in seven trekkers in the Himalayas. Thorax 38:646-656.
15. Dickinson J.G. (2001). Transient monocular amaurosis at high altitude. High Alt. Med. Biol. 2:75.
16. Engel R.L., Webb J.P., Ferris E.B., Romano J., Ryder H., and Blankenhorn M.A. (1944). A migraine like syndrome complicating decompression sickness. War Med. 304-314.
17. Eisendrath S., and Lichtmacher J.E. (2000). Delirium, dementia and other cognitive disorders. In: Current Medical Diagnosis and Treatment, 39th ed. L.M. Tierney, S.J. McPhee, and M.A. Papadakis, eds. McGraw-Hill, New York; p. 1071.
18. Godasby P.J. (2002). New directions in migraine research. J. Clin. Neurosci. 9(4):368-373.
19. Grover R.F, and Bartsch P. (2001). Blood. In: High Altitude: An Exploration of Human Adaptation. T.F. Hornbein and R.B. Schoene, eds. Marcel Dekker, New York; pp. 493-523.
20. Hackett P.H. (1999). High altitude cerebral edema and acute mountain sickness: a pathophysiology update. Adv. Exp. Med. Biol. 474:23-45.
21. Hackett P.H. (2000). Subarachnoid cyst and ascent high altitude - a problem. High Alt. Med. Biol. 1:337-339.
22. Hackett P.H. (2001). High altitude and common medical conditions. In: High Altitude: An Exploration of Human Adaptation. T.F. Hornbein and R.B. Schoene, eds. Marcel Dekker, New York; pp. 839-885.
23. Hackett P.H. and Roach R.C. (2001). High-altitude medicine. In: Wilderness Medicine. P.A. Auerbach, ed. Mosby, St. Louis, MO; pp. 1-37.
24. Hackett P.H., Roach R.C., Hollingshead K.F., Schoene R.B., and Mills W.J. (1987). Cortical blindness in high altitude climbers and trekkers - a report on six cases (abstract). Hypoxia and Cold. J.R. Sutton, C. Houston, and G. Coates, eds. Praeger, New York; p. 536.
25. Hornbein T.F., Townes B.D., Schoene R.B., Sutton J.R., and Houston C.S. (1989). The cost to the central nervous system of climbing to extremely high altitude. N. Engl. J. Med. 321:1714-1719.
26. Houston C. (1998). Going higher, oxygen, man, and mountains, 4th ed. The Mountaineers, Seattle, WA.
27. Jehle D., Moscati R., Frye J., and Reich N. (1994). The incidence of spontaneous subarachnoid hemorrhage with change in barometric pressure. Am. J. Emerg. Med 12:90-91.
28. Jenzer G., and Bartsch P. (1993). Migraine with aura at high altitude. J. Wilderness Med. 4:412-415.
29. Lipton R.B., and Stewart W.F. (1998). Migraine headaches: Epidemiology and comorbidity. Clin. Neurosci. 5:2-9.
30. Litch J.A., Basnyat B., and Zimmerman M. (1997). Subarachnoid hemorrhage at high altitude. Wilderness J. Med. 167:180-181.
31. Litch J.A., and Bishop R.A. (1999). Transient global amnesia at high altitude N. Engl. J. Med. 340:1444.
32. Madar T.A., and White L.J. (1996). High altitude mountain climbing after radial keratotomy. Wilderness Environ. Med. 1:77-78.
33. Murdoch D.R. (1994). Lateral rectus palsy at high altitude. J. Wilderness Med. 5:179-181.
34. Murdoch D. (1995). Focal neurological deficits and migraine at high altitude. J. Neurol. Neurosurg. Psychiatry 58:637.
35. Nicholas R., and O'Meara P. (1993). High-altitude syncope: History repeats itself. JAMA 269:587.
36. Raichle M.E., and Hornbein T.F. (2001). The high altitude brain. In: High Altitude: An Exploration of Human Adaptation. T.F. Hornbein and R.B. Schoene, eds. Marcel Dekker, New York; pp. 377-423.
37. Roach R., and Bartsch P. (2001). Acute mountain sickenss and high-altitude cerebral edema. In: High Altitude: An Exploration of Human Adaptation. T.F. Hornbein and R.B. Schoene, eds. Marcel Dekker, New York, pp. 731-776.
38. Roborovsky V. (1896). The Central Asia Expedition of Captain Roborovsky and Lieut. Kozloff. Geogr. J. VIII:161-173.
39. Ryn Z. (1988). Psychopathology in mountaineering - mental disturbances under high altitude stress. Intl. J. Sports Med. 9:163-169.
40. Shipton E. (1943). Upon That Mountain. Hodder and Stoughton, London; pp. 129-130.
41. Shlim D.R., Hackett P., Houston C., Steele P., Nelson D., and Hultgren N. (1995). Diplopia at high altitude. Wilderness Environ. Med. 6:341.
42. Shlim D.R., Nepal K., and Meijer H.J. (1991). Suddenly symptomatic brain tumors at altitude. Ann. Emerg. Med. 20:315-316.
43. Song S., Asaji T., Tanizaki Y., Fujimaki T., Matsutani M., and Okeda R. (1986). Cerebral thrombosis at altitude: its pathogenesis and the problems of prevention and treatment. Aviat. Space Environ. Med. 57:71-76.
44. Tingay D.G., Tsimnadis P., and Basnyat B. (2003). A blurred view from Everest. Lancet 362:1978.
45. Utiger D., Bernasch D., Eichenberger U., and Bartsch P. (1999). Transient improvement of high altitude headache by sumatriptan in a placebo controlled trial (abstract). Adv. Exp. Med. Biol. 474:435.
46. Vrimani S., and Swamy A. (1993). Cranial nerve palsy at high altitude. J. Assoc. Physicians India 41:460.
47. Walton J. (1985). Brain's Diseases of the Nervous System, 9th ed. Oxford University Press, Oxford.
48. Weidman M., and Tabin G.C. (1999). High altitude retinopathy and altitude illness. Ophthalmology 106:1924-1926.
49. Whitty C.W.M. (1967). Migraine without headache. Lancet 2:283-285.
50. Wohns R.N. (1986). Transient ischemic attacks at high altitude. Crit. Care Med. 14:517-518.
51. Wu B.M., Yu Z.B, and Yang Z.Z. (1982). Cerebral thrombosis of high altitude. Natl. Med. J. China 62:220.
52. Zhou X.D. (1984). Transient ischemic attack in young people at high altitude. Qinghai Med. J. 14(2):44-45.