Blomquist, Preston H. Pupil-involving third cranial nerve paresis at high altitude. High Alt Med Biol. 19:286–287, 2018.—Although sixth cranial nerve palsies are a well-recognized entity at high altitude, other cranial nerve palsies due to altitude are much more uncommon. A case of a 55-year-old woman is presented who flew from Dallas, Texas (elevation 176 m) to Breckenridge, Colorado, where she hiked up to 3600 m above sea level. She developed a pupil-involving right third cranial nerve paresis that resolved over the next 3 months. In the absence of significant abnormalities on neuroimaging and serum laboratories, the etiology is presumed to be due to high altitude.
Get full access to this article
View all access options for this article.
References
1.
BasnyatB. (2001). Isolated facial and hypoglossal nerve palsies at high altitude. High Alt Med Biol, 2:301–303.
2.
BasnyatB, WuT, and GertschJH. (2004). Neurological conditions at altitude that fall outside the usual definition of altitude sickness. High Alt Med Biol, 5:171–179.
3.
BaumgartnerKW, SiegelAM, and HackettPH. (2007). Going high with preexisting neurological conditions. High Alt Med Biol, 8:108–116.
4.
HackettPH. (2000). Subarachnoid cyst and ascent high altitude—a problem. High Alt Med Biol, 1:337–339.
5.
MurdochDR. (1994). Lateral rectus palsy at high altitude. J Wilderness Med, 5:179–181.
6.
ShlimDR, HackettP, HoustonC, SteeleP, NelsonD, and HultgrenN. (1995). Diplopia at high altitude. Wilderness Environ Med, 6:341.
7.
ShlimDR, NepalK, and MeijerHJ. (1991). Suddenly symptomatic brain tumors at altitude. Ann Emerg Med, 20:315–316.
8.
VirmaniSK, and SeamyAS. (1993). Cranial nerve palsy at high altitude. J Assoc Physicians India, 41:460.
