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Intracranial Hypertension and Papilledema: An Unusual Complication After the Adenoviral DNA Vector-Based Coronavirus Disease 2019 Vaccination in an Air Medical Transportation Pilot.
Farahani, Azade Amirabadi; Shahali, Hamze.
  • Farahani AA; Department of Clinical and Surgical Pathology, Medical Faculty, Tehran University of Medical Sciences, Tehran, Iran.
  • Shahali H; Aerospace and Sub-Aquatic Medical Faculty, Aja University of Medical Sciences, Tehran, Iran. Electronic address: hamze.shahali@ajaums.ac.ir.
Air Med J ; 41(6): 560-565, 2022.
Article in English | MEDLINE | ID: covidwho-2158369
ABSTRACT
A 32-year-old male, Mil Mi-17 (air medical transport) helicopter pilot presented to the emergency department with a headache and visual blurring 12 days after the first dose of the Sputnik V vaccine. He had no past medical history; he successfully passed his last annual medical examination, and his vital signs were in the normal range. The significant findings were decreased visual acuity, papilledema, severe visual field narrowing, and increased nerve fiber layer thickness in both eyes. The aviation medical examiner suspended him from flight duties and referred him for a complete neuro-ophthalmic investigation. The patient underwent a lumbar puncture; his cerebrospinal fluid pressure was 39 cm H2O, and his cerebrospinal fluid biochemical analysis and blood tests were normal. He refused ventriculoperitoneal shunt surgery and received methylprednisolone with acetazolamide. After 10 days, the patient reported a significant improvement. One month later, his visual acuity and visual field were better, papilledema resolved, and disc pallor appeared. Three months later, he needed no medical treatment; he had normal visual acuity and near-normal visual fields. Based on the aviation medical regulations and the importance of flight safety in air medical transportation operations, he cannot return to flight duties until full neuro-ophthalmic recovery is confirmed.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / Papilledema / Intracranial Hypertension / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid / Vaccines Limits: Adult / Humans / Male Language: English Journal: Air Med J Journal subject: Aerospace Medicine / Emergency Medicine Year: 2022 Document Type: Article Affiliation country: J.amj.2022.07.007

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / Papilledema / Intracranial Hypertension / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid / Vaccines Limits: Adult / Humans / Male Language: English Journal: Air Med J Journal subject: Aerospace Medicine / Emergency Medicine Year: 2022 Document Type: Article Affiliation country: J.amj.2022.07.007