A Case of High Altitude Cerebral Edema With a Prolonged Motivational Deficit
| Autor: | Kouju Yamada, Shino Bando, Makoto Uchiyama, Yoshiyuki Kaneko, Tomoaki Sagawa, Masahiro Suzuki, Hideto Nakajima, Masayuki Kitamura, Hideyuki Kubo, Masaki Ishihara |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Apathy Brain Edema Altitude Sickness Internal medicine Magnetic resonance imaging of the brain medicine Humans Prefrontal cortex Anterior cingulate cortex Altitude sickness medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health Brain Effects of high altitude on humans medicine.disease medicine.anatomical_structure Globus pallidus Frontal lobe Emergency Medicine Cardiology business High-altitude cerebral edema |
| Zdroj: | Wilderness & Environmental Medicine. 32:88-91 |
| ISSN: | 1080-6032 |
| DOI: | 10.1016/j.wem.2020.10.006 |
| Popis: | We report a case of prolonged motivational deficit as a sequela of high altitude cerebral edema (HACE), the most severe form of neuropsychiatric dysfunction arising from traveling to high altitude. Magnetic resonance imaging of the brain showed hyperintense lesions in the globi pallidi bilaterally on T2-weighted images. Single-photon emission computed tomography showed hypoperfusion in dorsolateral and orbital prefrontal cortices bilaterally and in the anterior cingulate cortex. This case suggests that a prolonged motivational deficit can occur in patients with HACE. The case may also suggest that HACE can cause network disturbances between the prefrontal cortex and the globi pallidi. |
| Databáze: | OpenAIRE |
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