Migraine with aura at high altitude

Abstract

Detailed investigations after the second attack of a right-sided hemisymptomatology during high altitude mountaineering in an otherwise healthy man pointed to the diagnosis of migraine with aura (MA). Whereas the occurrence óf acute mountain sickness (AMS) and/or high altitude cerebral edema (HACE) and the possibility of a transient ischemic attack (TIA) or stroke should be considered as priorities, the diagnosis of MA should not be neglected.

High-altitude global amnesia

“…Transient focal neurological conditions at high altitude, without cerebral edema, are uncommon but often very alarming to both the individual and group members. Reported in the literature are a variety of transient focal neurological signs presenting at high altitude, without associated acute mountain sickness or other concurrent illness, including dysphasia, 1 lateral rectus palsy? hemiplegia,3 unilateral paresthesia, aphasia,4 cortical blindness,s and other visual disturbances such as scotomata.…”