Differential Diagnoses for Isolated Right Sixth Nerve Palsy in the High Altitude Setting: A Case Report.

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI:10.1177/10806032241272116

Benjamin Gj Alba

引用次数: 0

Abstract

This case report describes the presentation and management of a patient with an isolated right sixth nerve palsy while trekking in Nepal. Consideration is made of the anatomy of the sixth nerve and the differential diagnoses afforded to this isolated sign, including high altitude cerebral edema. The case stresses the need to exclude life-threatening pathologies for any symptoms associated with altitude and includes decision-making processes on whether to monitor the patient in the field or evacuate them to a definitive care facility.

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高海拔地区孤立性右第六神经麻痹的鉴别诊断：病例报告。

本病例报告描述了一名在尼泊尔徒步旅行时出现孤立性右第六神经麻痹的患者的表现和处理方法。报告考虑了第六神经的解剖结构以及这种孤立症状的鉴别诊断，包括高海拔脑水肿。该病例强调，对于任何与高海拔有关的症状，都需要排除危及生命的病理因素，并就是在野外监测病人还是将其送往明确的医疗机构做出决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wilderness & Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.10

自引率

7.10%

发文量

审稿时长

>12 weeks

期刊介绍： Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.