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打嗝与言语不清：高原脑水肿的非典型表现

Hiccups and Slurring of Speech: Atypical Presentation of High-Altitude Cerebral Edema.

作者信息

Kaeley Nidhi, Datta Soumya Subhra, Sharma Ankit, G Jithesh

机构信息

Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

出版信息

Cureus. 2023 Feb 14;15(2):e34997. doi: 10.7759/cureus.34997. eCollection 2023 Feb.

DOI:10.7759/cureus.34997
PMID:36938238
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10022838/
Abstract

High-altitude cerebral edema (HACE) is one of the rare and severe form of high-altitude mountain sickness. Usually it presents as headache, altered mental status, ataxia in un-acclimatized person with rapid ascent to high altitude. Here we report a case of a 62-year-old male patient who had history of rapid ascent to high altitude and presented to the department of emergency after descent from high altitude with an atypical presentation as hiccups and slurring of speech. Magnetic resonance imaging (MRI) of brain showed white matter edema suggestive of HACE. The patient improved after treatment with supplemental oxygen, dexamethasone, and acetazolamide. He was discharged after three days of hospital stay with complete resolution of symptoms.

摘要

高原脑水肿（HACE）是高原病中一种罕见且严重的类型。通常在未适应环境的人快速 ascent 到高原时，表现为头痛、精神状态改变、共济失调。在此，我们报告一例62岁男性患者，他有快速 ascent 到高原的病史，从高原 descent 后因出现呃逆和言语含糊等非典型表现而就诊于急诊科。脑部磁共振成像（MRI）显示白质水肿，提示 HACE。患者经补充氧气、地塞米松和乙酰唑胺治疗后病情好转。住院三天后症状完全缓解出院。

注

原文中“ascent”和“descent”未翻译，可能是原文有误，正常应为“上升”和“下降”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effc/10022838/f9842f264076/cureus-0015-00000034997-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effc/10022838/6e7a9d743520/cureus-0015-00000034997-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effc/10022838/9679cdd9ce14/cureus-0015-00000034997-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effc/10022838/f9842f264076/cureus-0015-00000034997-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effc/10022838/6e7a9d743520/cureus-0015-00000034997-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effc/10022838/9679cdd9ce14/cureus-0015-00000034997-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effc/10022838/f9842f264076/cureus-0015-00000034997-i03.jpg

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A Case of High Altitude Cerebral Edema With a Prolonged Motivational Deficit.
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