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May 19, 1999

High-Altitude Cerebral Edema

Author Affiliations

Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

JAMA. 1999;281(19):1794. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-19-jbk0519

To the Editor: Dr Hackett and colleagues1 elegantly elucidate the clinical imaging correlate with the pathophysiology of high-altitude cerebral edema (HACE). However, given the setting, the diagnosis of HACE is usually clearly clinical. This point was not emphasized in the article, which inadvertently may encourage physicians to obtain magnetic resonance images (MRIs) in countries like Nepal where people with HACE in the mountains are evacuated to Kathmandu.

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