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November 1979

Cerebrovascular Disease—Panel 1

Arch Neurol. 1979;36(12):734-738. doi:10.1001/archneur.1979.00500480008003

Symptoms due to cerebrovascular disease may occur suddenly and without warning. Residual disability commonly results, and the physical or intellectual impairment may be severe enough to deny flying status. The various ischemic and hemorrhagic cerebrovascular disorders have been considered from the standpoint of probable recurrence of sudden, unpredictable disability.

In summary of this report, we judge ischemic cerebrovascular disorders to recur with a frequency sufficient to justify denial of flying status except in unusual circumstances. If an ischemic event was caused by an embolus from a cardiac source, and that abnormality was corrected, then the judgment concerning flying status will depend on whether there is impairment of physical or intellectual function.

The prognosis for individuals with primary brain hemorrhage is poor, and there are relatively few survivors. If survival does occur and associated hypertension is controlled, then recurrence is rare, and judgment concerning flying status should be based on residual

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