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.
ClarkeC.High altitude cerebral oedema. Int J Sports Med1988; 9, 170–174
2.
WohnsR.N.W.ColpittsY.ClementT.BlackettW.B.Effect of high-altitude on the visual evoked responses in humans on Mount Everest. Neurosurgery1987; 21, 352–356
3.
SpieringsE.L.H.The pathogenesis of the migraine aura: an overview. In: AmeryW.K.WauquierA. eds. The prelude to the migraine attack, London: Ballière Tindall, 1986, 117–128
4.
BlauJ.N.Migraine: theories of pathogenesis. Lancet1992; 339, 1202–1207
5.
OlsenT.K.Mechanisms of migraine with aura: primary ischemia. In: OlesenJ. ed. Migraine and other headaches. Volume I: The vascular mechanisms, New York: Raven Press, 1991, 137–142
BärtschP.MaggioriniM.SchobersbergerW.ShawS.RascherW.GirardJ.WeidmannP.OelzO.Enhanced exercise-induced rise of aldosterone and vasopressin preceding mountain sickness. J Appl Physiol1991; 71, 136–143
9.
KollerE.A.BührerA.FelderL.SchopenM.VallotonM.B.Altitude diuresis: endocrine and renal responses to acute hypoxia of acclimatized and non-acclimatized subjects. Eur J Appl Physiol1991; 62, 228–234
10.
WestJ.B.PetersR.M.AksnesG.MaretK.H.MilledgeJ.S.SchoeneR.B.Nocturnal periodic breathing at altitudes of 6300 and 8050 m. J Appl Physiol1986; 61, 280–287
11.
NicholsonA.N.SmithP.A.StoneB.M.BradwellA.R.CooteJ.H.Altitude insomnia: studies during an expedition to the Himalayas. Sleep1988; 11, 354–361