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SUBARACHNOID HAEMORRHAGE AND INTRACRANIAL ANEURYSM IN A MILITARY AVIATOR: FACTORS DETERMINING AEROMEDICAL DISPOSITION

Authors
  • Gordon Cable, AM
Type
Published Article
Journal
Journal of the Australiasian Society of Aerospace Medicine
Publisher
Exeley Inc.
Publication Date
Jan 01, 2015
Volume
10
Pages
19–21
Identifiers
DOI: 10.21307/asam-2015-007
Source
Exeley
License
Green

Abstract

A Royal Australian Navy aviator was diagnosed with a subarachnoid haemorrhage after sudden onset of occipital headache, the result of a small aneurysm of the left posterior inferior cerebellar artery. The aneurysm was surgically wrapped and clipped through a posterior fossa craniotomy, and the patient made a full and uncomplicated recovery. Except in rare cases, subarachnoid haemorrahge and intracranial aneurysms are generally considered to be disqualifying for military aviation. Even with good recovery of neurological functioning, complications such as seizures, risk of rebleeding, and de novo occurrence of other aneurysms are all significant concerns due to the risk of sudden incapacitation. This paper will examine the aeromedical factors particular to this case that influenced a favorable aeromedical decision-making outcome.

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