Abstract
Setting: Acute rehabilitation hospital. Patient: A 54-year-old ethnic Chinese woman. Case Description: This patient developed severe high altitude cerebral edema (HACE) at 4200m (14,000ft) while visiting China. She suffered from dizziness and confusion, progressing to coma. She was stabilized locally before moving to Taipei, where she was treated with steroids and hyperbaric oxygen. She was transferred to an acute hospital in the United States 2 months later. Brain magnetic resonance imaging showed increases in the T2 flair within the deep white matter of the splenium of the corpus callosum, consistent with HACE.
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