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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476231PMC
http://dx.doi.org/10.1007/s10194-010-0249-5DOI Listing

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Article Synopsis
  • A young flight instructor experienced a stroke linked to a patent foramen ovale (PFO), leading to complications like facial paresthesia and hand weakness, with MRI confirming ischemic brain lesions.
  • After thorough medical evaluation, specialists believed the PFO was not the primary cause of his stroke, estimating a low risk for recurrence.
  • The case underscores challenges in assessing stroke recurrence risk in pilots with PFOs and highlights the role of medical treatment versus PFO closure in aviation medical certification decisions.
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Headaches Attributed to Disorders of Homeostasis.

Neurol Clin

May 2024

Department of Pediatrics, Division of Neurology, The Hospital for Sick Children, University of Toronto; Gladstone Headache Clinic, 1333 Sheppard Avenue E, Suite 122, North York, Ontario M2J1V1, Canada.

Article Synopsis
  • - Headaches related to homeostasis disorders are linked to various metabolic and systemic diseases, manifesting with conditions like hypoxia, sleep apnea, and hypertension.
  • - These headaches occur in connection to specific homeostasis disruptions and can include types like cardiac cephalalgia and headaches from preeclampsia.
  • - The text will cover the proposed mechanisms, diagnostic criteria, evaluation methods, treatment options, and management strategies for these headache disorders.
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Migraine is a common condition that can carry considerable risk to aeromedical duties. Because randomized controlled trials are not an appropriate method to evaluate flight safety risk for medical conditions that may cause subtle or sudden incapacitation, the determination of fitness-to-fly must be based on risk assessments informed by extrapolated evidence. Therefore, we conducted a review of current literature to provide background information to inform the aeromedical risk assessment of migraine using a risk matrix approach.

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We report a case of the formation of a dural arteriovenous fistula (dAVF) of the transverse-sigmoid sinus following venous sinus stenting (VSS), treated with trans-arterial embolisation and venous remodelling. An obese woman in her 30s presented with persistent daily headaches after undergoing endoscopic repair of a skull base cerebrospinal fluid leak. Angiography demonstrated a focal right transverse-sigmoid sinus stenosis, and she underwent VSS of the right transverse sinus.

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