Lipothymic episode in a diabetic military pilot: diagnostic pathway and flight fitness management

Main Article Content

Fabrizio Palumbo
Giovanni Marfia
Stefania E Navone
Emanuele Garzia
Fabio Bignami
Giuseppe Ciniglio Appiani

Keywords

.

Abstract

We report a case study of a military helicopter pilot, 56-year-old with a lipothymic episode during a mission in Afghanistan. He had increased cardio and cerebrovascular risk factors, suffering from type II diabetes mellitus under diet therapy. The management of the clinical case consisted basically of 2 phases: acute management in an advanced field hospital which excluded the presence of cerebral ischemic events and assessment of the fitness to fly. In Italy second-level investigations of neuroradiological relevance were carried out which excluded changes in the flow of the intra and extra-cranial circulation, highlighting more of an initial damage to the microcirculation with findings compatible with chronic microvasculopathy. A cardiologic evaluation was also carried out without signs of ischemic heart disease. Nevertheless, the patient presented also a metabolic syndrome so a complete medical evaluation had to be performed to assess the fitness to fly according to the current standards for flying safety.

Downloads

Download data is not yet available.
Abstract 5 | PDF Downloads 6

References

1. Art.584 comma 2 D.P.R. 15/3/2010 n.90 Testo Unico Codice Ordinamento Militare
2. Direttiva M_D ARM003 del 6/7/2015
3. Iavicoli I, Gambelunghe A, Magrini A, Mosconi G, Soleo L, Vigna L, Trevisan R, Bruno A, Chiambretti AM, Scarpitta AM, Sciacca L, Valentini U. Diabetes and work: The need of a close collaboration between diabetologist and occupational physician. Nutr Metab Cardiovasc Dis 2019