The spectrum of the neurological effects of high-altitude exposure can range from high-altitude headache and acute mountain sickness, to the more severe end of the spectrum with high-altitude cerebral edema. In general, patients with known unstable preexisting neurological conditions and those patients with residual neurological deficits from a preexisting neurological condition are discouraged from climbing to high altitudes because of the risk of exacerbation or worsening of symptoms. Although multiple sclerosis exacerbations can be triggered by environmental factors, high-altitude exposure has not been reported as a potential trigger. We are reporting the case of a multiple sclerosis exacerbation presenting in an active duty U.S. Air Force serviceman upon ascending and descending Mt. Fuji within the same day.

译文

:高海拔暴露对神经系统的影响范围从高海拔头痛和急性高山病到高海拔脑水肿的更为严重的范围。通常,不鼓励患有已知不稳定的先前存在的神经系统疾病的患者和那些因先前存在的神经系统疾病而具有残留神经系统缺陷的患者,因为其有加剧或症状恶化的风险,因此不建议爬升到高海拔地区。尽管环境因素可能触发多发性硬化症恶化,但尚未报道高海拔暴露是潜在的触发因素。我们正在报告一例现役美国空军军人在Mt.Mt.上升和下降时出现多发性硬化症加重的情况。富士在同一天。

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