歼击机飞行员空晕病合并蛛网膜囊肿一例并文献复习

The arachnoid cyst with symptoms of air sickness in fighter pilot—a case report with review of the literature

目的对歼击机飞行员空晕病及蛛网膜囊肿的临床诊治过程及医学鉴定进行探讨。方法分析1例以空晕病为临床表现的歼击机飞行员,同时影像学检查发现右侧颞叶蛛网膜囊肿,复习国内外相关文献。结果空晕病在飞行学员中较常见,飞行员中相对少见,同时合并颞叶蛛网膜囊肿更少见,本例患者症状明显,继续飞歼击机信心不足,加之颅内有囊肿,我们认为驾驶歼击机存在安全隐患,故结论为歼击机飞行不合格。结论空晕病可分为原发性和继发性,蛛网膜囊肿多为良性病变,但歼击机飞行员合并有颞叶蛛网膜囊肿可能诱发或加重空晕病的症状,提示对于飞行人员出现空晕病表现时应注意排除颅内病变的可能。

Objective To explore the clinical treatment and medical evaluation of air sickness and arachnoid cysts in fight pilots. Methods We analyzed the disease history, clinical diagnosis, and medical evaluation of a fight pilot diagnosed air sickness. We also found arachnoid cyst in front of the right temporal lobe using MRI. Relevant literature were reviewed. Results Air sickness is common in pilot cadets but seldom in pilots. It is rare in pilots diagnosed with air sickness and arachnoid cyst. In this case the patient had serious symptoms of air sickness and arachnoid cyst, little confidence of piloting fighter. So we think there may be some hidden danger if he contiue to fly a fighter. The medical evaluation is disqualified for piloting fighter. Conclusion Air sickness may be classified as first and second. Arachnoid cyst is thought as benign lesion. The hint of this case is that arachnoid cyst around temporal lobe may induce or aggravate the symptom of air sickness in fighter pilots. So pilots suffered from air sickness should eliminate possibility of encephalic disease.