Migraine headache confounding the diagnosis of acute mountain sickness

Francis J. Karle; Paul S. Auerbach

doi:10.1016/j.wem.2013.10.006

Migraine headache confounding the diagnosis of acute mountain sickness

Francis J. Karle, Paul S. Auerbach

Department of Emergency Medicine

Research output: Contribution to journal › Article

8 Scopus citations

Abstract

A 36-year-old man with a history of migraine headache attempted to hike from Lukla, Nepal, to Mount Everest Base Camp. On the sixth day of hiking, he had a migraine headache. After achieving resolution with typical therapies and rest, he ascended higher. Another headache developed that was interpreted to be a migraine. The headache was treated, and he ascended higher, after which severe symptoms of acute mountain sickness developed, necessitating his evacuation by helicopter. Persons with headaches in daily life may present challenges to diagnosis when traveling to high altitude. Careful evaluation and decision making are needed to achieve proper diagnosis and treatment of acute mountain sickness.

Original language	English (US)
Pages (from-to)	60-68
Number of pages	9
Journal	Wilderness and Environmental Medicine
Volume	25
Issue number	1
DOIs	https://doi.org/10.1016/j.wem.2013.10.006
State	Published - Mar 1 2014

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All Science Journal Classification (ASJC) codes

Emergency Medicine
Public Health, Environmental and Occupational Health

Cite this

Karle, F. J., & Auerbach, P. S. (2014). Migraine headache confounding the diagnosis of acute mountain sickness. Wilderness and Environmental Medicine, 25(1), 60-68. https://doi.org/10.1016/j.wem.2013.10.006

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Access to Document

10.1016/j.wem.2013.10.006