Can a person who has experienced a subarachnoid hemorrhage without surgery fly on an airplane?
Hello, doctor.
Here are the details: I experienced a subarachnoid hemorrhage (the exact name I'm not very sure about) after a car accident.
The doctor said it would heal on its own and that surgery was not necessary.
At the time, I was unconscious and didn't really know what I hit.
I opted for hyperbaric oxygen therapy out of pocket.
It has been one year and three months since the accident, and I currently feel no abnormalities in my head.
However, I plan to travel abroad around May next year, so I would like to ask the doctor if it is safe for me to fly.
During the period after the accident, the doctor performed an MRI, and when I followed up with the doctor, I asked if my brain was okay.
He said there were no abnormalities and that they would not perform another MRI.
Ting Ting, 20~29 year old female. Ask Date: 2017/08/25
Dr. Zhang Junwei reply Neurosurgery
Subarachnoid hemorrhage is usually not very severe, and if there have been no issues for a year, it is typically considered healed.
Reply Date: 2017/08/25
More Info
Flying after a subarachnoid hemorrhage (SAH) can be a concern for many patients, especially those who have experienced a traumatic event like a car accident. In your case, it seems that you have had a subarachnoid hemorrhage due to a car accident, but you have not required surgery and have been symptom-free for over a year. This is a positive sign, as it indicates that your body has likely healed from the initial injury.
Subarachnoid hemorrhage occurs when there is bleeding in the space surrounding the brain, often due to the rupture of an aneurysm or trauma. The recovery process can vary significantly among individuals, depending on the severity of the hemorrhage and any associated complications. In general, if a patient has fully recovered and has no ongoing symptoms, the risk of complications during air travel is significantly reduced.
When considering air travel after an SAH, several factors should be taken into account:
1. Time Since Injury: You mentioned that it has been over a year since your injury, and you have not experienced any symptoms during this time. This duration is generally considered sufficient for recovery from a subarachnoid hemorrhage, especially if you have been cleared by your healthcare provider.
2. Medical Evaluation: It is crucial to have a thorough evaluation by your healthcare provider before flying. Since your doctor has indicated that there are no ongoing issues and has not recommended further imaging, this is a good sign. However, if you have any lingering concerns or if your health status changes, it would be wise to seek a second opinion or further evaluation.
3. Air Pressure Changes: One of the concerns with flying after a brain injury is the change in air pressure during takeoff and landing. However, if you have been symptom-free and have no complications, the risk of pressure changes causing issues is minimal. The brain is generally well-equipped to handle these changes, especially in a healthy individual.
4. Hydration and Comfort: During your flight, ensure that you stay well-hydrated and comfortable. Dehydration can lead to headaches and discomfort, which might be mistaken for complications related to your past injury. Bring along any medications you might need and consider wearing compression stockings if you are concerned about circulation during the flight.
5. Emergency Plan: It’s always a good idea to have a plan in case of an emergency. Know the location of medical facilities at your destination and have a list of your medical history and any medications you are taking readily available.
6. Consultation with a Specialist: If you have any doubts or if your situation changes, consider consulting a neurologist or a specialist in brain injuries. They can provide tailored advice based on your specific medical history and current health status.
In conclusion, based on the information you provided, it appears that you are in a good position to travel by air after your subarachnoid hemorrhage, given that you have been symptom-free for over a year and have received clearance from your doctor. However, always prioritize your health and safety by staying in close communication with your healthcare provider and addressing any concerns you may have before your trip. Safe travels!
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