A pilot with an intravestibular schwannoma: to fly or not to fly?

Authors:
Address: Department of Otolaryngology-Head and Neck Surgery, UZ Brussel, Vrije Universiteit Brussel. frans.gordts@uzbrussel.be
Journal:

Publication:

abstract

OBJECTIVE:

To report on the professional repercussions of an intravestibular schwannoma in a commercial airline pilot.

PATIENTS:

The case of a single patient with a unilateral intravestibular schwannoma.

INTERVENTION:

Return to a flying status with specific restrictions and under tight conditions depending on the outcomes of a mandatory periodic watch-and-rescan policy.

MAIN OUTCOME MEASURES:

Consecutive magnetic resonance imaging results coupled to the clinical otovestibular status of the patient.

RESULTS:

After 16 uneventful months of flying, the pilot was grounded after a first episode of vertigo.

CONCLUSION:

The combination of an intravestibular schwannoma-as one of the rarest intralabyrinthine schwannomas-and a pilot-for whom proper otovestibular functioning is of the uppermost importance-challenges the responsibilities of all involved. Depending on the clinical circumstances and under tight conditions with specific restrictions, a return to a flying status can very exceptionally be considered. An open discussion and the establishment of a relation of mutual trust are felt to be an absolute prerequisite.

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