Document Detail

Benign paroxysmal positional vertigo in an airline pilot.
MedLine Citation:
PMID:  18018439     Owner:  NLM     Status:  MEDLINE    
Benign paroxysmal positional vertigo (BPPV) is one of the most common types of peripheral vertigo, characterized by violent whirling vertigo after a positional change. Although the condition is termed "benign," the clinical presentation can be incapacitating for pilots in certain maneuvers. We present a case of an airline transport pilot with the complaint of vertigo for 5 d. The vertigo was aggravated by head movements when looking up or rolling over, lasting for a few seconds. The patient was diagnosed with BPPV, and he was treated with physical therapy with the use of Epley maneuver. The airman applied for his First-Class medical examination after the treatment was successfully completed. The aviation medical examiner (AME) issued the airman medical certificate after contacting and receiving verbal approval from the Federal Aviation Administration's (FAA's) Aerospace Medical Certification Division (AMCD). While evaluating aviators who have had BPPV, AMEs should not issue medical certificates for any class until the condition is fully resolved. Although the AME Guide states that certification of pilots with other types of vertigo requires an FAA decision, once the patient is successfully treated and free of symptoms, approval for issuing the medical certificate can be obtained through contacting AMCD and by submitting all information and documentation pertaining to the diagnosis and treatment.
Ahmet Sen; Louai S Al-Deleamy; Tansel M Kendirli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Aviation, space, and environmental medicine     Volume:  78     ISSN:  0095-6562     ISO Abbreviation:  Aviat Space Environ Med     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-16     Completed Date:  2008-02-08     Revised Date:  2008-08-26    
Medline Journal Info:
Nlm Unique ID:  7501714     Medline TA:  Aviat Space Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1060-3     Citation Subset:  IM; S    
FAA Civil Aerospace Medical Institute, Oklahoma City, OK, USA.
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MeSH Terms
Aerospace Medicine*
Nystagmus, Pathologic / diagnosis*,  etiology
Risk Factors
Vertigo / diagnosis*,  etiology
Vestibular Function Tests
Comment In:
Aviat Space Environ Med. 2008 May;79(5):541; author reply 541-2   [PMID:  18500054 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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