Department of Neurology, Geriatrics Research Institute and Hospital, Japan.
Department of Neurology, Gunma University Graduate School of Medicine, Japan.
Intern Med. 2021 Apr 15;60(8):1299-1302. doi: 10.2169/internalmedicine.5747-20. Epub 2020 Nov 23.
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.
高山性脑水肿(HACE)是一种罕见的急性高山病,表现为意识障碍和躯干共济失调。神经影像学显示血管源性水肿,伴有白质和胼胝体微出血。本文报告一例 HACE 患者,MRI 显示广泛的高信号,白质和胼胝体广泛微出血,以及认知功能障碍。改善高级脑功能的康复治疗促进了患者认知障碍的恢复,并伴有 MRI 检查结果的改善。