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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Asubdural Hematoma, Dizziness, Occasional Headache, Vomiting, Lack Of Sleep. Safe To Take A Flight?

hi sir,my husband had a fall in the bathroom and had asubdural hematoma 3 weeks before.He was having dizziness and headache occasionally. Last night his father expired and he need to fly to from .He started throwing up badly .He is in now. Next flight takes around 14hrs and is it safe to travel . he did not sleep last night too. please help YYYY@YYYY
Mon, 17 Sep 2012
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Internal Medicine Specialist,  's  Response
Hi shojiaji,
Thanks for writing in to Healthcare Magic!
He is symptomatic for subdural hematoma, vomiting is a cardinal sign reflecting the seriousness of a brain lesion.
Subdural hematoma is usually associated with serious underlying brain injury and should be treated when large/symptomatic.
He can develop seizure anytime and the pressure fluctuation of flight can lead to trouble as such. Above all an airline is a poor set up to manage sick patient like him.
He should get himself evaluated first by a neurosurgeon and then decide about future course to be followed.
If you have any further query please let me know I would try to answer it for you.
Wish you a great health!
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Neurologist,  Dr. Piyush Ostwal's  Response
Hello,
The subdural hematoma is very recent and he has been symptomatic intermittently so travel is not advisable. Try to convince him not to take a chance. Sometimes emergencies may arise and proper medical help is not available in flight.
Good luck.
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Neurologist, Surgical,  Dr. Vineet Saggar's  Response
Dear Friend,
I think you need to get repeat CT done urgent ly cause this coud be sign of increasd swelling around SDH or late increase in its size afer becoming a chronic SDH and meet aneurosurgeon before thinking of flying.
Regards
Dr. Vineet Saggar (MCh)
Neuro Surgeon / Spinal Surgeon
Chandigarh, Mohali -
Ivy Hospital Sector 71
Mob. No.:- +91-9855990990
http://neurosergeonhead.blogspot.in/
http://www.facebook.com/neuro.surgeon.7186
http://www.linkedin.com/pub/dr-vineet/56/2a9/863
https://twitter.com/drvineetsaggar
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Asubdural Hematoma, Dizziness, Occasional Headache, Vomiting, Lack Of Sleep. Safe To Take A Flight?

Hi shojiaji, Thanks for writing in to Healthcare Magic! He is symptomatic for subdural hematoma, vomiting is a cardinal sign reflecting the seriousness of a brain lesion. Subdural hematoma is usually associated with serious underlying brain injury and should be treated when large/symptomatic. He can develop seizure anytime and the pressure fluctuation of flight can lead to trouble as such. Above all an airline is a poor set up to manage sick patient like him. He should get himself evaluated first by a neurosurgeon and then decide about future course to be followed. If you have any further query please let me know I would try to answer it for you. Wish you a great health!