On medical assessment of intracranial aneurysm in military flying personnel— 3 clinical cases
10.3760/cma.j.cn113854-20200717-00076
- VernacularTitle:军事飞行人员颅内动脉瘤医学鉴定的探讨——附三例临床病例
- Author:
Li CUI
1
;
Zhaojun FU
;
Xianrong XU
;
Hongjin LIU
;
Xiangsheng LI
;
Hongbo JIA
Author Information
1. 空军特色医学中心睡眠医学科，北京 100142
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Eligibility determination;
Military flying personnel
- From:
Chinese Journal of Aerospace Medicine
2021;32(1):12-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the aeromedical assessment principles of intracranial aneurysm in military flying personnel.Methods:The clinical diagnosis, treatment process and final medical disposition made by Air Force Medical Center for 2 fighter pilots with intracranial aneurysms and 1 transporter communicator with subarachnoid hemorrhage (SAH) caused by intracranial aneurysms were analyzed. Related literatures were reviewed.Results:Two fighter pilots had no clinical symptoms and signs. They were incidentally detected intracranial micro aneurysms, which diameter was less than 5 mm, in physical examination. One of them was diagnosed as intracranial micro aneurysm by digital subtraction angiography, and was qualified to fly lower performance aircraft by one year follow-up of dual-seat flight. The other case was ruled out of aneurysm by the results of further imaging examination and experts′ consultation, and qualified upon the recommended follow-up of regular imaging examination. The transporter communicator was hospitalized with subarachnoid hemorrhage and was diagnosed with intracranial micro aneurysms by digital subtraction angiography. He was treated by the microsurgical clipping operation and had no symptoms and signs in 13 months follow-up, and was waivered to flight.Conclusions:The particularity of aviation environment may influence the incidence and development of aneurysms to some extent. The fighter pilots with untreated intracranial micro aneurysms could be unsuitable for flight. For transport or low acceleration load aircraft pilots with untreated intracranial micro aneurysms waiver could be issued according to their aimed flight duty analysis, so as to its flying personnel with intracranial aneurysms but well treated and has no clinical sequelae.
