Structure of short paroxysmal disorders of consciousness in the Civil Aviation specialists and the approaches to medical-flight examination
Abstract
The article presents the clinical observations of short episodes of losses of consciousness among the Civil aviation specialists, which make a threat to the flights safety. From 2000 to 2011 192 episodes were recorded. In 29.17 % of cases epileptic seizures were diagnosed, in 70.83 % - transient disorders of consciousness of non-epileptic origin. Results of a comprehensive survey showed features of clinical manifestations among the various categories of aviation professionals. At the deciding a question on the professional serviceableness at the medical-flight examination an individual and a balanced approach is necessary that takes into account gender, age, etiology, previous medical examination, etc.
About the Author
G. N. BiriykbaevaRussian Federation
Biryukbaeva Galina Nikolaevna, chief neurologist expert Central Flight Medical Expertise Commission, physician - neurologist of the highest qualification category, PhD
Moscow
References
1. Barsukov A.V. Syncope in clinical practice / A.V. Barsukov, M.V. Didenko, S.N. Janiszewski, I.V. Shkodkin; Ed. S.V. Shustov. - St. Pbg: «ELBISPb “, 2009. - 336 p.
2. Biryukbaeva G.N. Paroxysmal disorders of consciousness in aviation specialists / G.N. Biryukbaeva // Aerospace and Environmental Medicine, 2012. - V.46, № 2. - P.64 -67.
3. Biryukbaeva G.N. Paroxysmal disorders of consciousness. Clinic, diagnostics, medical- flight expertise in civil aviation personnel: Textbook / G.N. Biryukbaeva, NA. Skripkina. – M., 2013. – 60 p.
4. Zenkov L.R. Clinical epileptology /L.R. Zenkov. – M., 2002. – 416 p.
5. Karlov V.A. Epilepsy as clinical and neurophysiological problem /V.A. Karlov // S.S. Korsakov Journal of Neurology and Psychiatry. - 2000. - V. 100. - p. 7-15.
6. Karlov V.A. Catamnesis of epilepsy patients discharged from the neurological department of the emergency hospital / V.A. Karlov, Listratova T.A. // S.S. Korsakov Journal of Neurology and Psychiatry. – 2008. – V. 2. Epilepsy. Suppl. - p. 10-12.
7. Clinical and functional criteria for the differential diagnosis of epileptic and nonepileptic paroxysmal disorders / A.K. Petrov, A.S. Zharylgapova, J.E. Akchurina [et al.] //http://svs.kz.2011
8. Korovin A.M. Paroxysmal disorders of consciousness / A.M. Korovin. – L., 1973. - 104 p.
9. Guidelines for the diagnosis and expert evaluation of paroxysmal disorders of consciousness in aircrew of civil aviation / Compiled by B.H. Semenov, S.G. Svinnikov, L.I. Kuznetsova; Ed. B.L. Gelman. – M., 1978. – 31p.
10. Methods of medical examination of aviation personnel of Civil Aviation: Handbook for medicalflight expert commissions / ed. by V.V. Kniga. - M: Air transport, 2004. - 304 p.
11. Neurology: national guide / ed. E.I. Gusev, A.N. Konovalov, V.I. Skvortsova, A.B. Hecht. - M.: GEOTAR - Media, 2009. - 1040 p. (Series “National guide”).
12. Some features of the clinic and etiology of paroxysmal disorders of consciousness in the individual flight professions / G.N. Biryukbaeva, Bogomolova M.A., A.G. Bystrova [et al.] // Proceedings of the 6th International Scientific Practical Congress.- M., 2008. – 94 p.
13. Paroxysmal disorders of consciousness. Urgent issues of diagnosis, first aid and military medical examination: guidelines / Ed. Y.V. Sabanin. – Balashikha, 2006. – 54 p.
14. Manual on Civil Aviation Medicine / Ed. MD, prof. N.A. Razsolov. – M.: Publishing house “Ekon -Inform”, 2006. - 592 p.
15. Sologubova T.S. Modern capabilities of differential diagnosis of neurogene syncopes and seizures: the PhD thesis abstract / T.S. Sologubova. – M., 2004. - 25 p.
16. Federal Aviation Regulations. Medical examination of the flight, dispatching staff, cabin crew, cadets and candidates, entering the Civil Aviation aviations (FAP MOGA- 2002). –M., 2002. – 118 p.
17. Epileptic seizures in stroke patients: risk factors and mechanisms of development / I.A. Kaymovsky, A.B. Hecht, A.V. Lebedeva [et al.] // S.S. Korsakov Journal of neurology and psychiatry, 2008. –V. 2. Epilepsy. Ann. - p. 29-32.
18. Epilepsy // Http://www.nytimes.com/health/guides.2013.
19. Loss of Consciousness // http://www.pdrhealth.com/diseases/2013.
20. Proceedings of the Royal Society of Medicine /Section of Neurology. Discussion on Faints and fits.1950. Vol.XL111 507. Sectijnal page 23-24.
Review
For citations:
Biriykbaeva G.N. Structure of short paroxysmal disorders of consciousness in the Civil Aviation specialists and the approaches to medical-flight examination. Yakut Medical Journal. 2014;(1):26-29.