Diferencia entre revisiones de «High altitude cerebral edema»
(Created page with "== Background == #Progressive neurologic deterioration in someone with AMS or HAPE (due to incr ICP) #Almost never occurs at <8000ft == Clinical Features == #Altered mental ...") |
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== Clinical Features == | == Clinical Features == | ||
#Altered mental status, ataxia, stupor | #Altered mental status, ataxia, gait disturbance, stupor (most sensitive findings) | ||
##Progresses to coma if untreated | ##Progresses to coma if untreated | ||
#Headache, nausea, and vomiting are not always present | #Headache, nausea, and vomiting are not always present | ||
Revisión del 16:09 11 ene 2015
Background
- Progressive neurologic deterioration in someone with AMS or HAPE (due to incr ICP)
- Almost never occurs at <8000ft
Clinical Features
- Altered mental status, ataxia, gait disturbance, stupor (most sensitive findings)
- Progresses to coma if untreated
- Headache, nausea, and vomiting are not always present
- Focal neuro deficits may be seen (3rd/6th CN palsies)
Treatment
- Immediate descent is the treatment of choice
- If descent not possible use combination of:
- Supplemental O2
- Dexamethasone 8mg initially, then 4mg q6hr
- Hyperbaric bag if available
See Also
Source
Tintinalli