Improved Neuroimaging Findings and Cognitive Function in a Case of High-altitude Cerebral Edema

被引：7

作者：

Urushida, Yuki ^{[1
]}

Kikuchi, Yutaro ^{[1
]}

Shimizu, Chisato ^{[1
]}

Amari, Masakuni ^{[1
]}

Kawarabayashi, Takeshi ^{[1
,2
]}

Nakamura, Takumi ^{[2
]}

Ikeda, Yoshio ^{[2
]}

Takatama, Masamitsu ^{[1
]}

Shoji, Mikio ^{[1
]}

机构：

[1] Geriatr Res Inst & Hosp, Dept Neurol, Obu, Japan

[2] Gunma Univ, Dept Neurol, Grad Sch Med, Maebashi, Gumma, Japan

来源：

INTERNAL MEDICINE | 2021年 / 60卷 / 08期

关键词：

high-altitude cerebral edema; mountain sickness; microbleeds; white matter high intensity; cognitive function; SUBCORTICAL DEMENTIA; FEATURES;

D O I：

10.2169/internalmedicine.5747-20

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

High-altitude cerebral edema (HACE) is a rare condition of acute mountain sickness that manifests as consciousness disturbance and truncal ataxia. Neuroimaging shows vasogenic edema with microbleeds in the white matter and the corpus callosum. We herein report a case of HACE in which the patient showed widespread hyperintense signals with extensive microbleeds in the white matter and corpus callosum on MRI, as well as cognitive dysfunction. Rehabilitation to improve the higher brain function facilitated the recovery of the patient's cognitive impairment and was accompanied by improved MRI findings.

引用

页码：1299 / 1302

页数：4

共 50 条

[21] Severe high-altitude cerebral edema on the Inca trail
Hart, O
JOURNAL OF TRAVEL MEDICINE, 2004, 11 (01) : 64 - 65
[22] HIGH-ALTITUDE EDEMA
HULTGREN, HN
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1978, 239 (21): : 2239 - 2239
[23] Effects of Chronic Hypoxic Environment on Cognitive Function and Neuroimaging Measures in a High-Altitude Population
Zhang, Ya Qing
Zhang, Wen Juan
Liu, Jin Hao
Ji, Wei Zhong
FRONTIERS IN AGING NEUROSCIENCE, 2022, 14
[24] HIGH-ALTITUDE CEREBRAL EDEMA - CEREBRAL ACUTE MOUNTAIN-SICKNESS
DICKINSON, JG
SEMINARS IN RESPIRATORY MEDICINE, 1983, 5 (02): : 151 - 158
[25] The cerebral etiology of high-altitude cerebral edema and acute mountain sickness
Hackett, PH
WILDERNESS & ENVIRONMENTAL MEDICINE, 1999, 10 (02) : 97 - 109
[26] HIGH-ALTITUDE PULMONARY-EDEMA - FINDINGS AT HIGH-ALTITUDE CHEST RADIOGRAPHY AND PHYSICAL-EXAMINATION
VOCK, P
FRETZ, C
FRANCIOLLI, M
BARTSCH, P
RADIOLOGY, 1989, 170 (03) : 661 - 666
[27] Acute and Evolving MRI of High-Altitude Cerebral Edema: Microbleeds, Edema, and Pathophysiology
Hackett, P. H.
Yarnell, P. R.
Weiland, D. A.
Reynard, K. B.
AMERICAN JOURNAL OF NEURORADIOLOGY, 2019, 40 (03) : 464 - 469
[28] High-altitude cerebral edema or acute demyelinating encephalomyelitis in the Himalayas
Hensel, Ole
Niroula, Piyush
Paudel, Raju
Sherpa, Tshewang
Kraya, Torsten
Presek, Peter
Zierz, Stephan
NEUROLOGY-CLINICAL PRACTICE, 2018, 8 (01) : 77 - 78
[29] Unique pattern of high-altitude cerebral edema in an elderly adult
Kang, Hyun Goo
Cheong, Jin Sung
NEUROLOGY ASIA, 2017, 22 (02) : 171 - 172
[30] Hemosiderin deposition in the brain as footprint of high-altitude cerebral edema
Schommer, Kai
Kallenberg, Kai
Lutz, Kira
Baertsch, Peter
Knauth, Michael
NEUROLOGY, 2013, 81 (20) : 1776 - 1779

← 1 2 3 4 5 →