Ten cases of military flying personnel with cerebral cavernous malformation and aeromedical assessment
10.3760/cma.j.cn113854-20221009-00125
- VernacularTitle:军事飞行人员脑海绵状血管畸形10例及航空医学鉴定
- Author:
Chengye ZHANG
1
;
Hui ZHANG
;
Dongrui YU
;
Cheng SHU
;
Yuhan LIU
;
Mingyue ZHAO
;
Yingfei XIONG
;
Xianrong XU
;
Jianchang WANG
;
Li CUI
;
Yan ZHOU
Author Information
1. 空军军医大学空军特色医学中心神经外科, 北京 100142
- Publication Type:Journal Article
- Keywords:
Hemangioma, cavernous;
Eligibility determination;
Aviation medicine;
Flying personnel
- From:
Chinese Journal of Aerospace Medicine
2023;34(2):78-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the diagnosis, treatment and aeromedical assessment of military flying personnel with cerebral cavernous malformations (CCM).Methods:The clinical data and aeromedical assessment conclusions of military flying personnel with CCM in Air Force Medical Center from 2015 to 2021 were collected and analyzed based on reviewing the relevant aeromedical assessment cases and literatures at home and abroad.Results:A total of 10 flying personnel, all male, 20-41 years old, with an average age of 28.3 years, including 8 pilots, 2 air combat/technical personnel, with the flying hours of 110-4 000 h and the average flying hours of 1 102.0 h. The sizes of lesions were 3-12 mm, including 2 cases were smaller than 5 mm, 6 cases were 5-10 mm and 2 cases were bigger than 10 mm. All lesions were located under the cortex, including a case of occipital lobe, 4 cases of frontal lobe, 2 cases of temporal lobe and 3 cases of cerebellar hemisphere. Among the 10 flying personnel, only a case presented intracranial haemorrhage (right cerebellar hemisphere) as first symptom and was treated surgically. Three cases were temporarily grounded due to they were under the grounding observation. Other 7 flying personnel had been followed up for more than 6 months. Their reexaminations of MRI showed no change in lesions and EEG examination showed no abnormalities. Two air combat/technical personnel were qualified for flight and 1 helicopter pilot was limited to be a co-pilot, and 2 dual-seat fighter pilots were qualified (limited to dual-seat fighter) and flight-qualified respectively. Two fighter pilots were qualified for lower performance aircraft (limited to bomber, transporter or helicopter).Conclusions:For CCM military flying personnel, the aeromedical assessment conclusion should be made according to the symptoms, lesion location and size, inflight incapacitation possibility assessment, treatment effect, ground observation and follow-up results, as well as the aircraft type and occupation.
