{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T02:31:54Z","timestamp":1780626714551,"version":"3.54.1"},"reference-count":8,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["High Altitude Medicine &amp; Biology"],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:p>\n                    Sherpa, Mingma Thsering, and Raksha Shrestha. Stroke at high altitude in an experienced Sherpa climber: A case report.\n                    <jats:italic toggle=\"yes\">High Alt Med Biol<\/jats:italic>\n                    . 21:406\u2013408, 2020.\u2014A 44-year-old experienced Sherpa climber had dizziness with nausea and several episodes of vomiting while at Camp 2 of Mount Everest (6400\u2009m). He was airlifted from Everest Base Camp to Kathmandu for further treatment. Neurological assessment revealed cerebellar signs with ataxia. Sensory examination revealed hypoesthesia on the extremities of the left side and right half of the face. Laboratory workup revealed increased hemoglobin and hematocrit levels. Magnetic resonance imaging of brain revealed ischemic infarction of right cerebellar hemisphere in the right posterior inferior cerebellar artery territory extending to medulla. Patient was managed with aspirin, supportive measures, and physiotherapy, and made a complete recovery after 2 months. This is the first documented case of ischemic stroke in a healthy experienced Sherpa climber. Although the exact cause of stroke in our patient remains uncertain, the prothrombotic state due to high altitude compounded by impaired cerebral autoregulation and dehydration may have been contributory factors.\n                  <\/jats:p>","DOI":"10.1089\/ham.2020.0157","type":"journal-article","created":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T12:18:42Z","timestamp":1605183522000},"page":"406-408","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Stroke at High Altitude in an Experienced Sherpa Climber: A Case Report"],"prefix":"10.1177","volume":"21","author":[{"given":"Mingma Thsering","family":"Sherpa","sequence":"first","affiliation":[{"name":"Kunde Hospital, Khumjung, Nepal."},{"name":"Graduate School of Medicine, University of Tsukuba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raksha","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, University of Tsukuba, Japan."},{"name":"Namche Community Hospital, Namche Bazaar, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,21]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/15270290050144163"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajpa.1330630306"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.3389\/fphys.2019.01116","article-title":"population history and altitude-related adaptation in the Sherpa","volume":"10","author":"Bhandari S","year":"2019","unstructured":"Bhandari S, , and Cavalleri GL. 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BMJ Case Rep, 2014:bcr2013201897.","journal-title":"BMJ Case Rep"}],"container-title":["High Altitude Medicine &amp; Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/ham.2020.0157","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/ham.2020.0157","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/ham.2020.0157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:24:48Z","timestamp":1777447488000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/ham.2020.0157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,1]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,12,1]]}},"alternative-id":["10.1089\/ham.2020.0157"],"URL":"https:\/\/doi.org\/10.1089\/ham.2020.0157","relation":{},"ISSN":["1527-0297","1557-8682"],"issn-type":[{"value":"1527-0297","type":"print"},{"value":"1557-8682","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,1]]}}}