Approach To A Patient With Stroke After Flying

NEUROLOGY INDIA(2020)

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摘要
Arriving at a definitive diagnosis in case of a patient with neurological symptoms after a low altitude flight is very critical, while at the same time presenting a dilemma in aeromedical decision making. Symptoms of stroke can closely mimic those of neurologic manifestations of decompression sickness. This paper discusses the approach to a case of a 28-year-old male helicopter passenger who developed left-sided numbness of the body after a 1.5 h flight at 13,000 feet altitude and was hospitalized with the diagnosis of transient ischemic attack.
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Altitude, decompression sickness, strokeKey Message, In patients suffering from stroke after altitude exposure, arriving at a definitive diagnosis might be difficult, Altitude-induced decompression sickness can be easily confused with more common stroke etiologies, Under these conditions, in addition to standard medical treatment, hyperbaric oxygen treatment should also be considered as a supportive treatment modality
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