Neurology

Question 1

Environmental stress checklist - factors that affect flying. Example component that affect medial conditions.

Answer 1

Altitude: hypoxia and pressure change
Acceleration
Motion sickness
Disorientation
Vibration
Noise
Thermal stress
Smoke/fumes
Fatigue
Time zone shifts

Work through this checklist to brake down how the environment will affect a particular condition

Question 2

Neurology schema. Appropriate to determining risk of condition

Answer 2

Consider if disease is static or progressive or episodic

Can it recur if static

if progressive the what is risk of incapacitation

Question 3

Traumatic brain injury and aeromedical disposition

Answer 3

Risk of post traumatic epilepsy

Risk based on

• PTA
• LOC
• Skull #
• Depressed #
• temp neuro deficit
• contusion/bleed
• permanent deficits
• penetrating injury

MInimum 6 month TMUFF after mild with no risk factors
if severe then permanent disqualification

Case by case but

• moderate 6-24 months
• severe 2-5 years

Question 4

Syncope aeromedical disposition for military

Answer 4

at initial entry

• Infrequent episodes of simple vast-vagal syncope is not disqualifying if explained cause
• recurrent is disqualifying

Trained aircrew
- case by case need MECR

Question 5

Headache/migraine aeromedical disposition for military and CASA

Answer 5

Military

• minimum 3 months TMUFF after 1st ever headache
• single migraines with last 3 year disqualifying for recruits
• any history of recurrent migraines is disqualifying
• if uncomplicated mild headache that responds to simple analgesia can be considered fit

CASA
- all cases assessed individually