Traveling After Cerebrovascular Surgery: Can I Fly to Japan? - Neurosurgery

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Hello Doctor: I underwent intracranial and extracranial vascular anastomosis surgery in January and April this year due to a hair-like cerebrovascular disease.
My recovery has been good, and I have been attending regular follow-up appointments.
After my appointment in August, the doctor scheduled another check-up for January next year.
I am planning to travel to Tokyo, Japan, in December this year, and I would like to know if it is safe for me to fly.

Erin, 30~39 year old female. Ask Date: 2019/10/02

Dr. Zhang Junwei reply Neurosurgery


You should ask the surgeon who performed the operation about this issue!

Reply Date: 2019/10/02

More Info


Traveling after cerebrovascular surgery, particularly after procedures like intracranial and extracranial vascular anastomosis, requires careful consideration of several factors. Given your situation, where you have undergone surgery in January and April and have had a good recovery with regular follow-ups, it is understandable that you would want to travel to Japan in December. However, there are important aspects to consider before making a decision.

Firstly, it is crucial to consult with your neurosurgeon or the physician who performed your surgeries. They have the most comprehensive understanding of your specific medical history, the details of your surgeries, and your current health status. They can provide personalized advice based on your recovery progress and any potential risks associated with flying.

In general, after cerebrovascular surgery, patients are often advised to avoid flying for a certain period. This is primarily due to the changes in cabin pressure during flights, which can affect blood circulation and potentially lead to complications. For individuals who have undergone brain surgery, there is a risk of developing complications such as swelling or changes in intracranial pressure, which could be exacerbated by flying.

Moreover, the timing of your surgery is also a critical factor. Since your last surgery was in April and you are considering flying in December, this gives you several months of recovery time. If your follow-up appointments have shown that you are healing well and there are no signs of complications, this may be a positive indicator. However, the final decision should still rest with your healthcare provider.

Another consideration is your overall health and any other underlying conditions you may have. If you have been experiencing any new symptoms or complications since your surgeries, such as headaches, dizziness, or changes in vision, these could be signs that you should postpone travel until you have been fully evaluated.

Additionally, it is important to consider the logistics of traveling, such as the length of the flight, the availability of medical care in Japan, and your ability to manage any medications or treatments you may need while abroad. If you are on anticoagulant therapy or any other medications related to your cerebrovascular condition, ensure you have enough supply for your trip and understand how to manage your medication schedule while traveling.

In summary, while it may be possible for you to fly to Japan after your surgeries, it is essential to have a thorough discussion with your neurosurgeon. They will assess your recovery, any potential risks, and provide you with the best advice tailored to your situation. If they give you the green light, ensure you take all necessary precautions during your travel, such as staying hydrated, moving around during the flight to promote circulation, and having a plan in place for medical care if needed. Safe travels!

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