Retrospective analysis on clinical characters and aeromedical evaluations of the flying personnel with intracranial aneurysms
10.3760/cma.j.issn.1007-6239.2020.01.002
- VernacularTitle:飞行人员颅内动脉瘤临床特点与医学鉴定的回顾性分析
- Author:
Dawei CHEN
1
;
Cong ZHAO
1
;
Jin SHI
1
;
Wenjin DU
1
;
Wei LIU
1
;
Bei PAN
1
;
Wen KUANG
1
Author Information
1. 空军特色医学中心神经内科，北京 100142
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysms;
Aeromedical evaluation;
Retrospective analysis;
Fiying personnel
- From:
Chinese Journal of Aerospace Medicine
2020;31(1):7-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrospect the clinical characters and medical evaluations of the aircrew with intracranial aneurysms (IAs) based on the hospitalized cases in Air Force Medical Center and published literatures.Methods:The cases and clinical reports on the subject of aircrew IAs were searched through the electrical case system in our center and medical literature database. We summarized the the clinical characters and medical evaluations of these aircrews.Results:Six cases with 7 IAs were found in this study, including 5 males and 1 female aged from 21 to 48 yrs. There were 3 pilots, 1 correspondent, 1 machinist and 1 attendant. Three cases were asymptomatic and 3 cases were symptomatic. Six IAs located in the cerebral anterior circulation system and one located in the cerebral posterior circulation system. All the IAs were the small aneurysms with diameter≤7 mm. Two asymptomatic cases were decided waiver by the aeromedical evaluation. Three symptomatic cases were treated by surgery clipping or endovascular coiling. One of them was given the waiver consideration.Conclusions:There are certain population with IAs in aircrew. The screening of asymptomatic IAs should be cared because of their potential risk in flight. Symptomatic IAs and the IAs with high risk to rupture are needed to be treated by surgery or endovascular coiling. The flight risk should be comprehensively assessed in conjunction with the clinical symptoms, aneurysms characteristics (morphology and hemodynamics), flight factors, flight duty therapy outcome and prognosis.
