The vexing question often posed of an unspepecting neurolgist is whether patients with a recent stroke, or risk of strokes, should fly. The answer is obvious, being “only with a safe airline:))”. However, all humour aside, this can be a difficult magaement questions. In this must read issue of JNNP, Reynolds and colleagues grapple with this issue. Subjects from the Carotid Occlusion Surgery Study (COSS) that travelled for a PET study to a regionla center were recruited. While just over a thirs of the subjects exhibited ipsilateral cerebral ischemia, thankfully no events were reported (TIAs or atrokes). So, I gues the answer must be Bon Voyage, but perhaps with an antiplatelet agent.
APPEARS TO BE OK
Reynolds MR, Kamath AA, Grubb RL, Powers WJ, Adams HP, Derdeyn CP; Carotid Occlusion Surgery Study Investigators. The safety of aeroplane travel in patients with symptomatic carotid occlusion. J Neurol Neurosurg Psychiatry. 2014 Apr;85(4):435-7. doi: 10.1136/jnnp-2013-306627. Epub 2013 Nov 18.