title: [Cerebral microhaemorrhage as imaging correlate of high-altitude cerebral edema in a patient under long-term ventilation].
abstract: Within the scope of a cerebral magnetic resonance imaging to diagnose a dysphagia in a patient on long-term artificial respiration, the morphological criteria for a HACE (high-altitude cerebral edema) have been met. We found microangiopathic white matter lesions in the area of the corpus callosum and splenium, characteristic features of a HACE. HACE is a severe form of altitude sickness with truncal ataxia, disturbance of consciousness through to unconsciousness and coma. The exact pathophysiology is still not known but hypoxia seems to be the triggering stimulus. Thus the question arises: long-term ventilated patients suffering from severe gas exchange disorders develop constellations which are equivalent to HACE?
authors.affiliation: Klinik für Pneumologie, Kardiologie, Allergologie, Schlaf- und Beatmungsmedizin, Krankenhaus der Augustinerinnen Köln.
authors.forename: H-W
authors.initials: HW
authors.lastname: Esser
authors.affiliation: Klinik für Pneumologie, Kardiologie, Allergologie, Schlaf- und Beatmungsmedizin, Krankenhaus der Augustinerinnen Köln.
authors.forename: F
authors.initials: F
authors.lastname: Schellhammer
authors.affiliation: Klinik für Pneumologie, Kardiologie, Allergologie, Schlaf- und Beatmungsmedizin, Krankenhaus der Augustinerinnen Köln.
authors.forename: W
authors.initials: W
authors.lastname: Galetke
mesh_terms: D000368:Aged; D000532:Altitude Sickness / Q000473:pathology*; D001921:Brain / Q000473:pathology*; D001929:Brain Edema / Q000209:etiology / Q000473:pathology*; D002543:Cerebral Hemorrhage / Q000209:etiology* / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D012121:Respiration, Artificial / Q000009:adverse effects*