Bilateral Lateral Rectus Palsies in High Altitude Illness
Keywords:
Lateral rectus palsy; cranial nerve palsy; high altitude illness; diplopiaAbstract
A 50-year-old man with high altitude illness had bilateral lateral rectus palsies when he went to the Himalaya at 5,000
meters. He had no other neurological signs, except headache. He received acetazolamide, prednisone, and spent time in a
hyperbaric chamber; but unfortunately he showed no improvement. Two months later, his diplopia completely resolved itself
without any treatment, after his descent to a lower altitude.
References
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4. Luks AM, McIntosh SE, Grissom CK, Auerbach PS, Rodway GW, Schoene RB, et al. Wilderness Medical Society consensus guidelines for the prevention
and treatment of acute altitude illness. Wilderness Environ Med. 2010 Jun;21(2):146-55.
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8. Murdoch DR. Lateral rectus palsy at high altitude. J Wilderness Med.1994;5:179-81.
2. Basnyat B, Murdoch DR. High-altitude illness. Lancet. 2003 Jun 7;361(9373):1967-74.
3. Hackett PH, Roach RC. High-altitude illness. N Engl J Med. 2001 Jul 12;345(2):107-14.
4. Luks AM, McIntosh SE, Grissom CK, Auerbach PS, Rodway GW, Schoene RB, et al. Wilderness Medical Society consensus guidelines for the prevention
and treatment of acute altitude illness. Wilderness Environ Med. 2010 Jun;21(2):146-55.
5. Rodway GW, Hoffman LA, Sanders MH. High-altitude-related disorders--Part I: Pathophysiology, differential diagnosis, and treatment. Heart Lung.
2003 Nov-Dec;32(6):353-9.
6. Weil WM, Glassner PJ, Bosco JA, 3rd. High-altitude illness and muscle physiology. Bull NYU Hosp Jt Dis. 2007;65(1):72-7.
7. West JB. The physiologic basis of high-altitude diseases. Ann Intern Med.2004 Nov 16;141(10):789-800.
8. Murdoch DR. Lateral rectus palsy at high altitude. J Wilderness Med.1994;5:179-81.
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Published
03-04-2020
How to Cite
Chirapapaisan, N. ., & Chuenkongkaew, W. . (2020). Bilateral Lateral Rectus Palsies in High Altitude Illness. Siriraj Medical Journal, 63(5), 185–186. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/241004
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Case Report
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