Acute High-Altitude Cerebral Edema Presenting as Extensive Microbleeds along the Corpus Callosum without T2 Hyperintensity: A Case Report and Literature Review

High-altitude cerebral edema (HACE) is a potentially fatal neurological syndrome that develops in persons traveling to a high altitude. We report the case of a 49-year-old male who had traveled to a high altitude, and lost consciousness for a few hours. Susceptibility-weighted images revealed mul...

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Main Authors: Jin Young Son, Jee Young Kim, Sanghyuk Im
Format: Article
Language:English
Published: The Korean Society of Radiology 2021-07-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2020.0143
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author Jin Young Son
Jee Young Kim
Sanghyuk Im
author_facet Jin Young Son
Jee Young Kim
Sanghyuk Im
author_sort Jin Young Son
collection DOAJ
description High-altitude cerebral edema (HACE) is a potentially fatal neurological syndrome that develops in persons traveling to a high altitude. We report the case of a 49-year-old male who had traveled to a high altitude, and lost consciousness for a few hours. Susceptibility-weighted images revealed multiple, fine black pepper like microbleeds along the corpus callosum with several microbleeds in the left frontal and parietal subcortical white matter. The T2-weighted images did not show any abnormal signal intensities along the corpus callosum. The diffusion-weighted images revealed small nodular high signal intensities in the basal ganglia. This report describes the atypical radiologic findings of HACE showing multiple microbleeds along the corpus callosum, without abnormal high-signal intensity on T2-weighted images.
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spelling doaj.art-199d1e08f6434a2d891dd24371aab9b12022-12-21T18:55:15ZengThe Korean Society of Radiology대한영상의학회지2288-29282021-07-01824953958https://doi.org/10.3348/jksr.2020.0143Acute High-Altitude Cerebral Edema Presenting as Extensive Microbleeds along the Corpus Callosum without T2 Hyperintensity: A Case Report and Literature ReviewJin Young SonJee Young KimSanghyuk ImHigh-altitude cerebral edema (HACE) is a potentially fatal neurological syndrome that develops in persons traveling to a high altitude. We report the case of a 49-year-old male who had traveled to a high altitude, and lost consciousness for a few hours. Susceptibility-weighted images revealed multiple, fine black pepper like microbleeds along the corpus callosum with several microbleeds in the left frontal and parietal subcortical white matter. The T2-weighted images did not show any abnormal signal intensities along the corpus callosum. The diffusion-weighted images revealed small nodular high signal intensities in the basal ganglia. This report describes the atypical radiologic findings of HACE showing multiple microbleeds along the corpus callosum, without abnormal high-signal intensity on T2-weighted images.https://doi.org/10.3348/jksr.2020.0143altitude sicknessbrain edemacerebral hemorrhagemagnetic resonance imaging
spellingShingle Jin Young Son
Jee Young Kim
Sanghyuk Im
Acute High-Altitude Cerebral Edema Presenting as Extensive Microbleeds along the Corpus Callosum without T2 Hyperintensity: A Case Report and Literature Review
대한영상의학회지
altitude sickness
brain edema
cerebral hemorrhage
magnetic resonance imaging
title Acute High-Altitude Cerebral Edema Presenting as Extensive Microbleeds along the Corpus Callosum without T2 Hyperintensity: A Case Report and Literature Review
title_full Acute High-Altitude Cerebral Edema Presenting as Extensive Microbleeds along the Corpus Callosum without T2 Hyperintensity: A Case Report and Literature Review
title_fullStr Acute High-Altitude Cerebral Edema Presenting as Extensive Microbleeds along the Corpus Callosum without T2 Hyperintensity: A Case Report and Literature Review
title_full_unstemmed Acute High-Altitude Cerebral Edema Presenting as Extensive Microbleeds along the Corpus Callosum without T2 Hyperintensity: A Case Report and Literature Review
title_short Acute High-Altitude Cerebral Edema Presenting as Extensive Microbleeds along the Corpus Callosum without T2 Hyperintensity: A Case Report and Literature Review
title_sort acute high altitude cerebral edema presenting as extensive microbleeds along the corpus callosum without t2 hyperintensity a case report and literature review
topic altitude sickness
brain edema
cerebral hemorrhage
magnetic resonance imaging
url https://doi.org/10.3348/jksr.2020.0143
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AT sanghyukim acutehighaltitudecerebraledemapresentingasextensivemicrobleedsalongthecorpuscallosumwithoutt2hyperintensityacasereportandliteraturereview