Can Brain Surgery Patients Safely Fly? Risks and Recovery - Neurosurgery

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Is it safe to fly after having brain surgery?


I had a car accident two years ago, which injured my left hemisphere.
I underwent brain surgery, and for the past few months, I have been experiencing dizziness at night.
If I go out in the evening, I also have headaches.
Could this be due to poor cerebral circulation? Is there a way to improve this? Additionally, I have a concern: someone else who had brain surgery recovered and went to Hong Kong, but upon returning, they became like a vegetative state, lying in bed.
Should individuals who have undergone brain surgery avoid flying?

Yu, 20~29 year old female. Ask Date: 2005/02/25

Dr. Ding Xianwei reply Neurosurgery


Hello: This is a post-traumatic sequela, but congratulations on your recovery.
I recommend that you continue to follow up.
If everything goes well, symptomatic treatment may suffice for dizziness and headaches.
Whether a patient who has undergone brain surgery can fly depends entirely on the nature of the surgery and the condition of the disease, so I suggest discussing this with your surgeon before making a decision.
Sincerely, Dr.
Ding Hsien-Wei, Neurosurgery.

Reply Date: 2005/02/25

More Info


When it comes to flying after brain surgery, the safety and risks involved can vary significantly depending on the individual’s specific medical history, the nature of their surgery, and their current health status. In your case, having undergone surgery due to a traumatic brain injury, it is essential to consider several factors before deciding to fly.

Firstly, the primary concern for patients who have had brain surgery is the potential for changes in intracranial pressure during flight. The cabin pressure in an airplane is lower than at sea level, which can lead to a decrease in oxygen levels and changes in blood flow. For individuals who have had brain surgery, especially those with a history of complications or ongoing symptoms, this can pose risks such as headaches, dizziness, or even more severe neurological issues.
In your situation, experiencing headaches and dizziness, particularly in the evenings, could indicate that your brain is still adjusting to the changes post-surgery. These symptoms may not necessarily mean that you have poor brain circulation, but they do suggest that your brain is still healing. It is crucial to discuss these symptoms with your healthcare provider, as they can provide tailored advice based on your recovery progress and overall health.

Regarding the anecdote about another individual who experienced severe complications after flying, it is important to note that each case is unique. While some patients may tolerate flying well after a period of recovery, others may experience adverse effects. Factors such as the type of surgery performed, the presence of any residual neurological deficits, and overall physical health play significant roles in determining whether flying is advisable.

Before making any travel plans, it is highly recommended that you consult with your neurosurgeon or the physician who managed your care. They can assess your current condition, review any imaging studies if necessary, and provide personalized recommendations. They may suggest waiting until you have fully recovered and are symptom-free before considering air travel.

In addition to consulting your doctor, here are some general tips for flying after brain surgery:
1. Timing: It is often advised to wait at least a few months after surgery before flying, allowing sufficient time for healing. Your doctor can provide specific guidance based on your recovery.

2. Medication: Ensure you have all necessary medications with you, and take them as prescribed. Discuss with your doctor whether you should take any additional medications to manage potential symptoms during the flight.

3. Hydration: Staying well-hydrated is crucial, as dehydration can exacerbate headaches and dizziness. Drink plenty of water before and during the flight.

4. Movement: If you are cleared to fly, try to move around the cabin periodically to promote circulation and reduce the risk of blood clots.

5. Emergency Plan: Have a plan in place in case you experience any adverse symptoms during the flight. Inform the flight attendants of your medical history so they can assist you if needed.

In conclusion, while many individuals who have undergone brain surgery can safely fly, it is essential to approach this decision with caution and under the guidance of a healthcare professional. Your health and safety should always come first, and ensuring that you are fully prepared for travel will help mitigate any potential risks associated with flying post-surgery.

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