A case of military pilot with primary angiitis of the central nervous system and literature review
10.3760/cma.j.cn113854-20230904-00086
- VernacularTitle:军事飞行员原发性中枢神经系统血管炎1例并文献复习
- Author:
Tiantian JIANG
1
;
Hongjin LIU
;
Nannan SUN
;
Qiyang LIU
;
Faguo ZHAO
;
Yanwei YIN
;
Mengjiao ZHAO
;
Guangyun ZHANG
Author Information
1. 河北北方学院研究生院，张家口 075000
- Publication Type:Journal Article
- Keywords:
Vasculitis, central nervous system;
Eligibility determination;
Pilot
- From:
Chinese Journal of Aerospace Medicine
2024;35(3):215-219
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the ability of aviation physicians and physical examiners in differential diagnosis of primary angiitis of the central nervous system (PACNS) and the level of aeromedical assessment by exploring the diagnosis and treatment of PACNS.Methods:The clinical diagnosis and treatment of a pilot with PACNS were reported and the related literatures were reviewed.Results:The clinical manifestation of the fighter trainer pilot was numbness of the left finger, and then gradually appeared numbness and weakness of the left face and left upper limb more than 1 month. The initial diagnosis was viral encephalitis and acute disseminated encephalomyelitis and the hormonal shock treatment was ineffective. The final diagnosis was PACNS. The patient′s condition was improved by cyclophosphamide shock treatment. Aeromedical assessment concluded that the pilot was temporarily grounded.Conclusions:Pilot with PACNS is rarely reported and easy to be misdiagnosed due to the clinical and imaging findings are lack of specificity. The aeromedical assessment of PACNS pilots should be individualized according to the severity of illness, type of aircraft and flight duties.
