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Neurological disorders and flying

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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  • epilepsy - contraindications to flying include frequent or uncontrolled fits, or a within 24 hours of a grand mal fit. Passengers with a history of a loss of consciousness or infrequent fits should be accompanied by a responsible companion. The patient should be advised that air travel may precipitate fits due to a variety of reasons e.g. fatigue, disturbance of circadian rhythm

  • skull fracture or brain surgery - flying should be avoided for 10 to 14 days to allow absorption of any air that may be inside the skull due to trauma or surgery

  • stroke - in general, flying is contraindicated for 7 to 10 days following a ischaemic stroke (2). Flying is contraindicated for 14 days following a haemorrhagic stroke (2). Oxygen may be required

  • TIA - may be accepted as fit to fly if
    • after 2 days and proper investigation (3)

Note that these are only guidelines and each airline has its own regulations and medical standards.

Reference:

  1. 'Medical guidelines for air travel', Aviation, Space and Environmental Medicine, October 1996, 67, 10, 11.
  2. Doctor (April 2005). Ready Reckoner - fitness to fly.
  3. International Air Transport Association. Medical Manual 11th Edition (2018).

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