Aeromedical evaluation of cerebrovascular malformations in military aircrew：a clinical analysis of 20 cases
10.3760/cma.j.cn311847-20210223-00065
- VernacularTitle:军事飞行人员脑血管畸形的航空医学鉴定探讨——附20例临床分析
- Author:
Mengyu MA
1
;
Hongjin LIU
Author Information
1. 河北北方学院，张家口 075000
- Publication Type:Journal Article
- Keywords:
Cerebrovascular malformation;
Aircrew;
Medical evaluation
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2022;29(1):83-88
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the methods and standards of aeromedical evaluation for military aircrew with cerebrovascular malformations（CVMs）.Methods:A retrospective analysis was conducted on the medical records of 20 aircrew with CVMs who were admitted to the PLA Air Force Medical Center from January 2000 to January 2020.Results:There were 11 cases with cerebral cavernous angioma（CCA）［CCA locations：occipital lobe（three cases），frontal lobe（two cases），temporal lobe（two cases），cerebellum（one case），posterior horn of left ventricle（one case），right basal ganglia region（one case），brainstem（one case）］. There were four cases with cerebral aneurysm（CA），three cases with cerebral venous aneurysms（VAs），and two cases with brain arteriovenous malformations（bAVMs）. Among them，11 aviators were qualified for flight，three were temporarily disqualified from flight，and six were disqualified from flight.Conclusion:The aeromedical evaluation of CVMs in military aircrew should consider the type，size，location of the lesions，symptoms，signs，and complications of the malformations，as well as the types of aircraft，duties，flight experience，personal plan，and the opinions of working unit. It should be carried out in accordance with relevant standards and learn from the standard practices in developed countries and the 1% rule of civil aviation.
